11085200 - Group Insurance Premium and Plan Costs

Account Description FY2012
Spending
FY2013
GAA
1108-5200 Group Insurance Premium and Plan Costs
For the commonwealth's share of the group insurance premium and plan costs incurred in fiscal year 2013; provided, that notwithstanding any general or special law to the contrary, funds in this item shall not be available during the accounts-payable period of fiscal year 2013, and any unexpended balance in this item shall revert to the General Fund on June 30, 2013; provided further, that the secretary of administration and finance shall charge the division of unemployment assistance and other departments, authorities, agencies and divisions which have federal or other funds allocated to them for this purpose, for that portion of insurance premiums and plan costs as the secretary determines shall be borne by such funds, and shall notify the comptroller of the amounts to be transferred, after similar determination, from the several state or other funds and amounts received in payment of all such charges or transfers shall be credited to the General Fund; provided further, that funds may be expended from this item for the commonwealth's share of group insurance premium and plan costs provided to employees and retirees in prior fiscal years; provided further, that the group insurance commission shall report quarterly to the house and senate committees on ways and means the amounts expended from this item for prior year costs; provided further, the group insurance commission shall conduct an audit of beneficiaries claimed as dependents of eligible current and former state employees; provided further, that said audit shall be completed no later than January 11, 2013; provided further, that the department shall report to the house and senate committees on ways and means no later than February 8, 2013 on the results and projected savings of the audit, and actions taken to account for the results of the audit; provided further, that the report shall include, but not be limited to the following: (a) who the audit was conducted by; (b) the amount paid for such audit; (c) the number of dependents found to be ineligible; (d) the actions taken to rectify the data; (e) the savings realized as a result of said audit; and (f) the percentage of those found to be ineligible; provided further, that the group insurance commission shall obtain reimbursement for premium and administrative expenses from other agencies and authorities not funded by state appropriation; provided further, that the secretary of administration and finance may charge all agencies for the commonwealth's share of the health insurance costs incurred on behalf of any employees of those agencies who are on leave of absence for a period of more than 1 year; provided further, that the amounts received in payment for the charges shall be credited to the General Fund; provided further, that notwithstanding section 26 of chapter 29 of the General Laws, the commission may negotiate, purchase and execute contracts before July 1 of each year for policies of group insurance as authorized by chapter 32A of the General Laws; provided further, that the rules for determining the commonwealth's share of the group insurance premiums for retired and active state employees shall be no different from the standards in effect on July 1, 2011; provided further, that the commission shall notify the house and senate committees on ways and means by April 1, 2013 of the cost of the commonwealth's projected share of group insurance premiums for the next fiscal year; provided further, that the commission shall notify the house and senate committees on ways and means at least 90 days prior to any changes in coverage, benefits, or the schedule of copayments and deductibles, for plans offered by the group insurance commission; provided further, that the group insurance commission may pay premium and plan costs for municipal employees and retirees who are enrolled in the group insurance commission's health plans pursuant to the commission's regulations; and provided further, that the group insurance commission shall report no later than December 3, 2012 to the house and senate committees on ways and means on the average full cost premium equivalent per enrollee and the average actual cost per enrollee for enrollees from participating municipalities, as well as the contribution ratios for each participating municipality, for fiscal year 2011, and, not later than March 31, 2013, for the equivalent information for fiscal year 2012
1,123,305,510 1,223,126,679