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H.B. 215

This document includes Senate 2nd Reading Floor Amendments incorporated into the bill on Wed, Mar 3, 2010 at 4:48 PM by rday. -->              1     

AMENDMENTS TO PUBLIC EMPLOYEES'

             2     
BENEFIT AND INSURANCE PROGRAM ACT -

             3     
RISK POOLS

             4     
2010 GENERAL SESSION

             5     
STATE OF UTAH

             6     
Chief Sponsor: Kevin S. Garn

             7     
Senate Sponsor: Daniel R. Liljenquist

             8     
             9      LONG TITLE
             10      General Description:
             11          This bill amends the Public Employee's Benefit and Insurance Program Act risk pools.
             12      Highlighted Provisions:
             13          This bill:
             14          .    changes the number of eligible full-time enrollees an institution of higher education
             15      must have in order to participate in the program's risk pools S. ;
             15a          .    requires the program to create a rate for an institute of higher education with 1,000
             15b      or more plan enrollees based 100% on experience; and
             15c          .     requires a separate risk pool for institutes of higher education that have experience
             15d      rating that is higher than the state employees risk pool experience rating .S .
             16      Monies Appropriated in this Bill:
             17          None
             18      Other Special Clauses:
             19          None
             20      Utah Code Sections Affected:
             21      AMENDS:
             22          49-20-202, as last amended by Laws of Utah 2006, Chapter 307
             23     
             24      Be it enacted by the Legislature of the state of Utah:
             25          Section 1. Section 49-20-202 is amended to read:
             26           49-20-202. Establishment of separate risk pools.
             27          (1) The program shall establish separate risk pools for:



             28          (a) state employees; and
             29          (b) the Utah Children's Health Insurance Program.
             30          (2) In accordance with participation standards established by the program, the
             31      following entities may elect to participate in the risk pool established under Subsection (1)(a):
             32          (a) S. in accordance with Subsection (3)(b), .S an institution of higher education
             32a      designated under Section 53B-1-102 with a total
             33      full-time equivalent enrollment of less than [12,000] 18,000; and
             34          (b) an independent entity as defined in Section 63E-1-102 .
             35          (3) S. (a) .S The program shall create risk pools for other covered employers separate from
             36      those created in Subsection (1) as determined by the program.
             36a      S.     (b)(i) If an institution of higher education described in Subsection (2)(a) has 1,000 or
             36b      more plan enrollees, the program shall establish a rate for the institution of higher education
             36c      based 100% on experience; and
             36d          (ii) if the rate established under Subsection (3)(b)(i) is:
             36e          (A) less than the risk pool rate established for the state employees' risk pool, the
             36f      program may include the institution of higher education in the state employees' risk pool
             36g      described in Subsection (1)(a); or
             36h          (B) more than the risk pool rate established for the state employees' risk pool, the
             36i      program shall create a risk pool for the institution of higher education that is separate from
             36j      the state employees' risk pool under Subsection (1)(a). .S




Legislative Review Note
    as of 12-22-09 11:26 AM


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