H-1008 _______________________________________________
HOUSE BILL NO. 782
_______________________________________________
State of Washington 49th Legislature 1985 Regular Session
By Representatives B. Williams, Tilly, Silver and Schoon
Read first time 2/8/85 and referred to Committee on State Government.
AN ACT Relating to the state insurance board; amending RCW 41.05.010, 41.05.025, 41.05.030, 41.05.040, 41.05.050, 41.05.070, 28A.58.420, 41.04.205, 41.04.230, 41.40.380, 47.64.270, and 48.24.010; and adding new sections to chapter 41.05 RCW.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
Sec. 1. Section 1, chapter 39, Laws of 1970 ex. sess. as last amended by section 90, chapter 3, Laws of 1983 and RCW 41.05.010 are each amended to read as follows:
Unless the context clearly indicates otherwise, words used in this chapter have the following meaning:
(1)
"Board" means the state ((employees')) insurance board
established under the provisions of RCW 41.05.025.
(2) "Employee" shall include all full time and career seasonal employees of the state, a county, a municipality, or other political subdivision of the state, whether or not covered by civil service; elected and appointed officials of the executive branch of government, including full time members of boards, commissions, or committees; and shall include any or all part time and temporary employees under the terms and conditions established by the board; justices of the supreme court and judges of the court of appeals and the superior courts; and members of the state legislature or of the legislative authority of any county, city, or town who are elected to office after February 20, 1970.
(3) "Panel medicine plan" means a health care plan which can be offered by a health care service contractor which itself furnishes the health care service contracted for by means of a group practice prepaid medical care plan, and also includes a health maintenance organization holding a valid certificate of registration under chapter 48.46 RCW.
(4) (("Trustee"))
"Executive director" shall mean the ((director of personnel))
person appointed by the board pursuant to RCW 41.05.030(1)(a).
Sec. 2. Section 2, chapter 136, Laws of 1977 ex. sess. as last amended by section 68, chapter 287, Laws of 1984 and RCW 41.05.025 are each amended to read as follows:
(1) There
is hereby created a state ((employees')) insurance board ((to be
composed of the members of the present board holding office on the day prior to
July 1, 1977, which such members shall serve until the expiration of the period
of time of the term for which they were appointed and until their successors
are appointed and qualified. Thereafter)). The board shall ((be
composed as follows:)) consist of fifteen members to be appointed as provided
in this section:
(a) The governor or the governor's designee;
(b) One administrative officer representing all of higher education to be appointed by the governor;
((two))
(c) One higher education faculty member((s)) and one teacher
in the common schools, to be appointed by the governor;
(d) The
director of the department of personnel ((who shall act as trustee));
(e) One
representative of an employee association certified as an exclusive
representative of at least one bargaining unit of classified employees ((and)),
to be appointed by the governor;
(f) One representative of an employee association certified as an exclusive representative of at least one bargaining unit of certified employees, to be appointed by the governor;
(g) One
representative of an employee union certified as exclusive representative of at
least one bargaining unit of classified employees, ((both)) to be
appointed by the governor;
(h) One person who is retired and is covered by a program under the jurisdiction of the board, to be appointed by the governor;
(i) One
member of the senate who shall be appointed by the president of the senate; ((and))
(j) One member of the house of representatives who shall be appointed by the speaker of the house; and
(k) Four nonvoting members appointed by the state insurance board who are considered experienced and qualified in the field of health insurance.
(2) The
terms of office of the administrative officer representing higher education,
the ((two)) higher education faculty member((s)), the teacher
in the common schools, the representatives of ((an)) the
employee associations for classified and certified employees, the
retired person, ((and)) the representative of an employee union, and
the four nonvoting members shall be for four years((: PROVIDED, That
the first term of one faculty member and one employee association or union
representative member shall be for three years)). Meetings of the board shall
be ((at the call of the director of personnel)) held quarterly.
The board shall prescribe rules for the conduct of its business and shall elect
a ((chairman)) chair and ((vice chairman)) vice-chair
annually, one of whom must be one of the nonvoting members. Neither the
chair nor vice-chair may serve more than one successive term. Members of
the board shall be compensated in accordance with RCW 43.03.240 and shall be
paid for their travel expenses while on official business in accordance with
RCW 43.03.050 and 43.03.060, and legislative members shall receive allowances
provided for in RCW 44.04.120.
(((2)))
(3) The board shall study all matters connected with the providing of
adequate health care coverage, life insurance, liability insurance, accidental
death and dismemberment insurance, and disability income insurance or any one
of, or a combination of, the enumerated types of insurance and health care
plans for employees and their dependents on the best basis possible with
relation both to the welfare of the employees and to the state: PROVIDED, That
liability insurance shall not be made available to dependents. The board
shall provide an annual report of their findings to the legislature not later
than December 31 prior to each legislative session. The board shall design
benefits, devise specifications, analyze carrier responses to advertisements
for bids, determine the terms and conditions of employee participation and
coverage, and decide on the award of contracts which shall be signed by the ((trustee))
executive director on behalf of the board: PROVIDED, That all contracts
for insurance, health care plans, including panel medicine plans, or protection
applying to employees covered by RCW 28B.10.660 and chapters 41.04 and 41.05
RCW shall provide that the beneficiaries of such insurance, health care plans,
or protection may utilize on an equal participation basis the services of
practitioners licensed pursuant to chapters 18.22, 18.25, 18.32, 18.53, 18.57,
18.71, 18.74, 18.83, and 18.88 RCW: PROVIDED FURTHER, That the boards of
trustees and boards of regents of the several institutions of higher education
shall retain sole authority to provide liability insurance as provided in RCW
28B.10.660. The board shall from time to time review and amend such plans.
Contracts for all plans shall be rebid and awarded at least every five years.
(((3)))
(4) The board shall develop and provide as a part of the employee
insurance benefit program an employee health care benefit plan which may be
provided through a contract or contracts with regularly constituted insurance
carriers or health care service contractors as defined in chapter 48.44 RCW,
and a plan to be provided by a panel medicine plan in its service area only
when approved by the board. The board ((may but)) shall ((not))
be required to ((pay more)) negotiate costs for health benefits
under a panel medicine plan ((than it would otherwise be required to pay for
health benefits by a contract with a regularly constituted insurance carrier or
health care service contractor in effect at the time the panel medicine plan is
included in the employee health care benefit plan)) based on the plans'
claims experience data. Except for panel medicine plans, the board may but
is not required to contract with more than one insurance carrier or health care
service contractor to provide similar benefits: PROVIDED, That employees may
choose participation in only one of the health care benefit plans sponsored by
the board. Active employees, as defined in RCW 41.05.010(2), eligible for
medicare benefits shall have the option of continuing participation in health
care programs on the same basis as all other employees or participation in
medicare supplemental programs as may be developed by the board. These health
care benefit plans shall provide coverage for all officials and employees and
their dependents without premium or subscription cost to the individual
employees and officials, unless the board approves a panel medicine plan at a
subscription rate in excess of the premium of the regularly constituted
insurance carrier or health care service contractor, in which circumstances an
employee contribution may be authorized at an amount equal to such excess.
Rates for self pay segments of state employee groups will be developed from the
experience of the entire group. Such self pay rates will be established based
on a separate rate for the employee, the spouse, and children.
(((4)))
(5) The board shall review plans proposed by insurance carriers who
desire to offer property insurance and/or accident and casualty insurance to
state employees through payroll deduction. The board may approve any such plan
for payroll deduction by carriers holding a valid certificate of authority in
the state of Washington and which the board determines to be in the best
interests of employees and the state. The board shall promulgate rules setting
forth criteria by which it shall evaluate the plans.
NEW SECTION. Sec. 3. A new section is added to chapter 41.05 RCW to read as follows:
(1) The board may self-fund, self-insure, or enter into other methods of providing for programs under its jurisdiction, except property and casualty insurance authorized under RCW 41.05.025(5). The board may contract for payment of claims or other administrative services including the purchase of reinsurance for programs under its jurisdiction. If programs do not require the prepayment of reserves, the board shall establish that such reserves be maintained for the payment of claims as are normally required for that method of providing that type of insurance. Reserves established by the board shall be held in respective separate trust accounts of the state insurance fund as established by RCW 41.05.040 by the state treasurer. The state investment board is authorized to invest moneys in the state insurance fund as established by RCW 41.05.040 in accordance with the provisions of RCW 43.84.150. Except as provided in RCW 43.33A.160, one hundred percent of all earnings from these investments shall accrue directly to the state insurance fund and the separate accounts which may be created.
(2) Group disability coverage provided as a self-insured program of the board shall provide conversion rights in accordance with RCW 48.21.260.
(3) Group disability coverage provided as a self-insured program of the board shall provide coverage as required by RCW 48.21.130, 48.21.140, 48.21.141, 48.21.142, 48.21.144, 48.21.146, 48.21.150, 48.21.155, and 48.21.180.
(4) Group disability coverage provided as a self-insured program of the board shall conform with the requirements of RCW 48.21.200 (1) and (2).
(5) The board shall keep or cause to be kept full and adequate accounts and records of the assets, obligations, transactions, and affairs of any program created under this section.
(6) The board shall file an annual report of the financial condition, transactions, and affairs of any program under the board's jurisdiction. The report shall also contain actuarial information regarding the adequacy of the reserves established for the type of insurance being offered. A copy of the annual report shall be filed with the speaker of the house of representatives, the president of the senate, and the state auditor. The statement shall be signed by a member of the American academy of actuaries certifying that the actuarial amounts are computed in accordance with commonly accepted actuarial standards; and include all actuarial reserves and related statement items required for the sound operation of any employee benefits program.
(7) Members of the board shall be deemed to stand in a fiduciary relationship to the employees covered by any insurance program created under this section and shall discharge the duties of their respective positions in good faith and with that diligence, care and skill which ordinary prudent persons would exercise under similar circumstances in like positions.
Sec. 4. Section 3, chapter 39, Laws of 1970 ex. sess. as last amended by section 1, chapter 38, Laws of 1975 1st ex. sess. and RCW 41.05.030 are each amended to read as follows:
(1) The
state ((employees')) insurance board shall have the following powers and
duties, in addition to any other powers and duties prescribed by law:
(a) To ((authorize
the director of personnel to appoint a benefits supervisor, to whom the
director may delegate his duties hereunder, and other necessary personnel,
subject to the jurisdiction of the state civil service law, chapter 41.06 RCW;
(b))) appoint an executive director, actuary, insurance benefit
officers, and a confidential secretary, which positions are exempt from
classified service under chapter 41.06 RCW. The executive director shall be
employed for a term of three years and shall be eligible for reappointment for
succeeding terms;
(b) To set salaries for employees based on state personnel board recommendations;
(c) To
authorize other necessary administrative expenses; ((and (c)))
(d) To enter into contracts necessary to carry out its powers and duties; and
(e) To
provide for the expenditure of funds in the state ((employees'))
insurance revolving fund for payment of premiums, to reduce employee contributions
or increase benefits, and, subject to legislative appropriation, to pay
salaries and wages and other necessary administrative expenses.
(2) ((The
director of the department of personnel shall be trustee and administrator of
all health benefit and insurance contracts.
He shall
transmit contributions for health care and other insurance plans in payment of
premiums and receive and deposit contributions and dividends or refunds into
the state employees insurance revolving fund. He shall provide facilities and
services necessary for the purpose of the board and its operations, subject to
full reimbursement by the board for the cost thereof.
(3))) Every division, department, or separate agency of
state government shall fully cooperate in administration of the plans,
education of employees, claims administration, and other duties as required by
((the trustee or)) the board.
NEW SECTION. Sec. 5. A new section is added to chapter 41.05 RCW to read as follows:
(1) Trusteeship of those funds under the authority of the board is vested in the voting members of the board. The board may delegate any of its powers and duties to the executive director as deemed necessary for efficient administration and if consistent with the purposes of this chapter.
(2) No member of the board is liable for the negligence, default, or failure of any other person or other member of the board to perform the duties of the member's office and no member of the board shall be considered or held to be an insurer of the funds or assets of any of the funds nor is any nonvoting member liable for actions performed with the exercise of reasonable diligence within the scope of the member's authorized activities as a member of the board.
Sec. 6. Section 4, chapter 39, Laws of 1970 ex. sess. as amended by section 3, chapter 136, Laws of 1977 ex. sess. and RCW 41.05.040 are each amended to read as follows:
There is
hereby created a fund within the state treasury, designated as the "state
((employees)) insurance fund", to be used by the trustee as a
revolving fund for the deposit of contributions, dividends and refunds, and for
payment of premiums for employee insurance benefit contracts entered into in
accordance with instructions of the board and payments authorized by RCW
41.05.030(2). Moneys from the state ((employees)) insurance fund shall
be disbursed by the state treasurer by warrants on vouchers duly authorized by
the trustee.
Sec. 7. Section 9, chapter 2, Laws of 1983 as last amended by section 1, chapter 107, Laws of 1984 and RCW 41.05.050 are each amended to read as follows:
(1) Every
department, division, or separate agency of state government, and such county,
municipal, or other political subdivisions as are covered by this chapter,
shall provide contributions to insurance and health care plans for its
employees and their dependents, the content of such plans to be determined by
the ((state employees insurance)) board. Such contributions, which
shall be paid by the county, the municipality, or other political subdivision
for their employees, shall include an amount determined by the ((state
employee's insurance)) board to pay the administrative expenses of the
board and the salaries and wages and expenses of the benefits supervisor and
other necessary personnel: PROVIDED, That this administrative service charge
for state employees shall not result in an employer contribution in excess of
the amount authorized by the governor and the legislature as prescribed in RCW
41.05.050(2), and that the sum of an employee's insurance premiums and
administrative service charge in excess of such employer contribution shall be
paid by the employee. All such contributions will be paid into the state ((employees))
insurance fund to be expended in accordance with RCW 41.05.030.
(2) The
contributions of any department, division, or separate agency of the state
government, and such county, municipal, or other political subdivisions as are
covered by this chapter, shall be set by the state ((employees))
insurance board, subject to the approval of the governor for availability of
funds as specifically appropriated by the legislature for that purpose:
PROVIDED, That ((provision for school district personnel shall not be made
under this chapter: PROVIDED FURTHER, That)) insurance and health care
contributions for ferry employees shall be governed by RCW 47.64.270.
(3) The ((trustee))
board with the assistance of the department of personnel shall survey
private industry and public employers in the state of Washington to determine
the average employer contribution for group insurance programs under the
jurisdiction of the ((state employees insurance)) board. Such survey
shall be conducted during each even-numbered year but may be conducted more
frequently. The survey shall be reported to the board for its use in setting
the amount of the recommended employer contribution to the employee insurance
benefit program covered by this chapter. The board shall transmit a
recommendation for the amount of the employer contribution to the governor and
the director of financial management for inclusion in the proposed budgets
submitted to the legislature.
Sec. 8. Section 7, chapter 39, Laws of 1970 ex. sess. as last amended by section 5, chapter 136, Laws of 1977 ex. sess. and RCW 41.05.070 are each amended to read as follows:
The cost of
any health care insurance contracts or plans to any department, division or
separate agency of state, county, municipal, or other political subdivision of
state government shall be paid by any officer authorized to disburse such funds
to the ((trustee)) board for payment of the contributions due
pursuant to any such contract authorized by the board.
Sec. 9. Section 28A.58.420, chapter 223, Laws of 1969 ex. sess. as last amended by section 1, chapter 255, Laws of 1977 ex. sess. and RCW 28A.58.420 are each amended to read as follows:
The board of directors of any of the state's school districts may make available liability, life, health, health care, accident, disability and salary protection or insurance or any one of, or a combination of the enumerated types of insurance, or any other type of insurance or protection, for the members of the boards of directors, the students, and employees of the school district, and their dependents. The board of directors may contract with the state insurance board to provide coverage under chapter 41.05 RCW. Whenever funds shall be available for these purposes the board of directors of the school district may contribute all or a part of the cost of such protection or insurance for the employees of their respective school districts and their dependents. The premiums on such liability insurance shall be borne by the school district. The premiums due on such protection or insurance shall be borne by the assenting school board member or student: PROVIDED, That the school district may contribute all or part of the costs, including the premiums, of life, health, health care, accident or disability insurance which shall be offered to all students participating in interschool activities on the behalf of or as representative of their school or school district. All contracts for insurance or protection written to take advantage of the provisions of this section shall provide that the beneficiaries of such contracts may utilize on an equal participation basis the services of those practitioners licensed pursuant to chapters 18.22, 18.25, 18.53, 18.57 and 18.71 RCW.
Sec. 10. Section 1, chapter 106, Laws of 1975-'76 2nd ex. sess. and RCW 41.04.205 are each amended to read as follows:
(1) Notwithstanding
the provisions of RCW 41.04.180, the employees, with their dependents, of any
county, municipality, or other political subdivision of this state shall be
eligible to participate in any insurance program administered under chapter
41.05 RCW if the legislative authority of any such county, municipality, or
other political subdivisions of this state determines a transfer to an
insurance program administered under chapter 41.05 RCW should be made:
PROVIDED, That this section shall have no application to ((school district
personnel provided for in RCW 28A.58.420 and)) members of the law
enforcement officers' and fire fighters' retirement system under chapter 41.26
RCW: PROVIDED FURTHER, That in the event of a special district employee
transfer pursuant to this section, members of the governing authority shall be
eligible to be included in such transfer if such members are authorized by law
as of June 25, 1976 to participate in the insurance program being transferred
from and subject to payment by such members of all costs of insurance for
members.
(2) When
the legislative authority of a county, municipality, or other political
subdivision determines to so transfer, the state ((employees'))
insurance board, as defined in RCW 41.05.010 ((as now or hereafter amended)),
shall:
(a) Establish the conditions under which the transfer may be made, which shall include the requirements that:
(i) All the eligible employees of the political subdivision transfer as a unit, and
(ii) the political subdivision involved obligate itself to make employer contributions in an amount at least equal to those provided by the state as employer; and
(b) Hold public hearings on the application for transfer; and
(c) Have the sole right to reject the application.
Approval of
the application by the state ((employees')) insurance board shall effect
a transfer of the employees involved to the insurance or health care program
applied for.
Sec. 11. Section 5, chapter 59, Laws of 1969 as last amended by section 3, chapter 28, Laws of 1983 1st ex. sess. and RCW 41.04.230 are each amended to read as follows:
Any official of the state authorized to disburse funds in payment of salaries and wages of public officers or employees is authorized, upon written request of the officer or employee, to deduct from the salaries or wages of the officers or employees, the amount or amounts of subscription payments, premiums, contributions, or continuation thereof, for payment of the following:
(1) Credit union deductions: PROVIDED, That the credit union is organized solely for public employees: AND PROVIDED FURTHER, That twenty-five or more employees of a single state agency or a total of one hundred or more state employees of several agencies have authorized such a deduction for payment to the same credit union.
(2) Parking fee deductions: PROVIDED, That payment is made for parking facilities furnished by the agency or by the department of general administration.
(3) U.S. savings bond deductions: PROVIDED, That a person within the particular agency shall be appointed to act as trustee. The trustee will receive all contributions; purchase and deliver all bond certificates; and keep such records and furnish such bond or security as will render full accountability for all bond contributions.
(4) Board, lodging or uniform deductions when such board, lodging and uniforms are furnished by the state, or deductions for academic tuitions or fees or scholarship contributions payable to the employing institution.
(5) Dues and other fees deductions: PROVIDED, That the deduction is for payment of membership dues to any professional organization formed primarily for public employees or college and university professors: AND PROVIDED, FURTHER, That twenty-five or more employees of a single state agency, or a total of one hundred or more state employees of several agencies have authorized such a deduction for payment to the same professional organization.
(6) Labor or employee organization dues may be deducted in the event that a payroll deduction is not provided under a collective bargaining agreement under the provisions of RCW 41.06.150: PROVIDED, That twenty-five or more officers or employees of a single agency, or a total of one hundred or more officers or employees of several agencies have authorized such a deduction for payment to the same labor or employee organization: PROVIDED, FURTHER, That labor or employee organizations with five hundred or more members in state government may have payroll deduction for employee benefit programs.
(7)
Insurance contributions to the trustee of contracts for payment of premiums
under contracts authorized by the state ((employees')) insurance board.
Deductions
from salaries and wages of public officers and employees other than those
enumerated in this section or by other law, may be authorized by the director
of financial management for purposes clearly related to state employment or
goals and objectives of the agency and for plans authorized by the state ((employees'))
insurance board.
The authority to make deductions from the salaries and wages of public officers and employees as provided for in this section shall be in addition to such other authority as may be provided by law: PROVIDED, That the state or any department, division, or separate agency of the state shall not be liable to any insurance carrier or contractor for the failure to make or transmit any such deduction.
Sec. 12. Section 39, chapter 274, Laws of 1947 as last amended by section 2, chapter 135, Laws of 1982 and RCW 41.40.380 are each amended to read as follows:
(1) Subject to subsections (2) and (3) of this section, the right of a person to a pension, an annuity, or retirement allowance, any optional benefit, any other right accrued or accruing to any person under the provisions of this chapter, the various funds created by this chapter, and all moneys and investments and income thereof, are hereby exempt from any state, county, municipal, or other local tax, and shall not be subject to execution, garnishment, attachment, the operation of bankruptcy or insolvency laws, or other process of law whatsoever, and shall be unassignable.
(2) This
section shall not be deemed to prohibit a beneficiary of a retirement allowance
from authorizing deductions therefrom for payment of premiums due on any group
insurance policy or plan issued for the benefit of a group comprised of public
employees of the state of Washington or its political subdivisions and which has
been approved for deduction in accordance with rules and regulations that may
be promulgated by the state ((employees')) insurance board and/or the
department of retirement systems, and this section shall not be deemed to
prohibit a beneficiary of a retirement allowance from authorizing deductions
therefrom for payment of dues and other membership fees to any retirement
association or organization the membership of which is composed of retired
public employees, if a total of three hundred or more of such retired employees
have authorized such deduction for payment to the same retirement association
or organization.
(3) Benefits under this chapter shall be payable to a spouse or ex-spouse to the extent expressly provided for in any court decree of dissolution or legal separation or in any court order or court-approved property settlement agreement incident to any court decree of dissolution or legal separation.
Sec. 13. Section 18, chapter 15, Laws of 1983 and RCW 47.64.270 are each amended to read as follows:
Absent a
collective bargaining agreement to the contrary, the department of
transportation shall provide contributions to insurance and health care plans
for ferry system employees and dependents, as determined by the state ((employees'))
insurance board, under chapter 41.05 RCW. The ferry system management and
employee organizations may collectively bargain for other insurance and health
care plans, and employer contributions may exceed that of other state agencies
as provided in RCW 41.05.050, subject to RCW 47.64.180. However, after July 1,
1984, any amount by which the employer contribution for ferry system employees'
and dependents' insurance and health care plans exceeds that provided for other
state agencies shall reduce the funds available for compensation purposes,
pursuant to RCW 47.64.180.
Sec. 14. Section .24.01, chapter 79, Laws of 1947 as amended by section 11, chapter 147, Laws of 1973 1st ex. sess. and RCW 48.24.010 are each amended to read as follows:
(1) No contract of life insurance shall hereafter be delivered or issued for delivery in this state insuring the lives of more than one individual unless to one of the groups as provided for in this chapter, and unless in compliance with the other provisions of this chapter.
(2) Subsection (1) of this section shall not apply to contracts of life insurance
(a) insuring only individuals related by marriage, by blood, or by legal adoption; or
(b) insuring only individuals having a common interest through ownership of a business enterprise, or of a substantial legal interest or equity therein, and who are actively engaged in the management thereof; or
(c)
insuring the lives of employees and retirees under contracts executed with the
state ((employees)) insurance board under the provisions of chapter
41.05 RCW.