STATEMENT OF EMERGENCY

101 KAR 2:210E

 

      This emergency administrative regulation incorporates by reference the 2015 plan year handbook for the self-insured plan offered to the Public Employee Health Insurance Program, commonly known as the Kentucky Employees’ Health Plan. KRS 18A.2254(1) requires the Personnel Cabinet to promulgate an administrative regulation that incorporates the plan year handbook by reference and to file the administrative regulation by September 15 of each year. This emergency administrative regulation is necessary to meet the filing deadline established by state law at KRS 18A.2254(1)(a)3. KRS 18A.2254(1)(a) requires the secretary of the Personnel Cabinet to annually promulgate an administrative regulation to incorporate by reference the plan year handbook. The handbook must contain, at a minimum, the premiums, employee contributions, employer contributions, and a summary of benefits, co-pays, coinsurance, and deductibles for each plan provided to public employees covered under the self-insured plan. The 2015 plan year handbook, or Benefits Selection Guide, contains the required and necessary information for public employees to make health insurance coverage decisions during open enrollment in October 2014. This administrative regulation incorporates by reference the 2015 Benefits Selection Guide that will be distributed by the Personnel Cabinet’s Department of Employee Insurance to public employees covered under the self-insured plan. An ordinary administrative regulation is not sufficient due to the statutory filing deadlines and handbook distribution requirements. This emergency administrative regulation will be replaced by an ordinary administrative regulation. The ordinary administrative regulation is not identical to this emergency administrative regulation. This emergency administrative regulation will be in effect for part of the current 2014 plan year. The existing language in the Benefits Selection Guide for the 2014 plan year should remain until such time as the ordinary administrative regulation incorporating the Benefits Selection Guide for plan year 2015 replaces this emergency administrative regulation.

 

STEVEN BESHEAR, Governor

TIM LONGMEYER, Secretary

 

PERSONNEL CABINET

Office of the Secretary

(Emergency Amendment)

 

      101 KAR 2:210E. 2014 and 2015 Plan Year Handbooks [Handbook] for the Public Employee Health Insurance Program.

 

      RELATES TO: KRS 18A.030, 18A.225, 18A.2254

      STATUTORY AUTHORITY: KRS 18A.030(2)(b), 18A.2254(1)(a)

      EFFECTIVE: September 15, 2104

      NECESSITY, FUNCTION, AND CONFORMITY: KRS 18A.2254(1)(a)1 requires the secretary of the Personnel Cabinet to promulgate an administrative regulation to incorporate by reference the plan year handbook distributed by the Department of Employee Insurance to public employees covered under the self-insured plan and establishes the minimum requirements for the information included in the handbook. This administrative regulation incorporates by reference the plan year Benefits Selection Guide, which is the handbook distributed by the department to public employees for the 2014 and 2015 Plan Years[Year] as required by KRS 18A.2254(1)(a)1.

 

      Section 1. The Department of Employee Insurance shall distribute or make available to the public employees covered under the self-insured plan the 2014 Plan Year Kentucky Employees’ Health Plan Benefits Selection Guide, which shall include the premiums, employee contributions, employer contributions, and a summary of benefits, copays, coinsurance, and deductibles for each plan provided to the public employees covered under the self-insured plan.

 

      Section 2. (1) The Department of Employee Insurance shall distribute or make available to the public employees covered under the self-insured plan the 2015 Plan Year Kentucky Employees’ Health Plan Benefits Selection Guide, which shall include the premiums, employee contributions, employer contributions, and a summary of benefits, copays, coinsurance, and deductibles for each plan provided to the public employees covered under the self-insured plan.

      (2) The 2015 Plan Year Kentucky Employees’ Health Plan Benefits Selection Guide shall govern the health plan benefits for public employees covered under the self-insured plan beginning January 1, 2015.

 

      Section 3. Incorporation by Reference. (1) The following material is incorporated by reference:

      (a) "2014 Plan Year Kentucky Employees’ Health Plan Benefits Selection Guide", 2014 edition; and

      (b) "2015 Plan Year Kentucky Employees’ Health Plan Benefits Selection Guide", 2015 edition[, is incorporated by reference].

      (2) This material may be inspected, copied, or obtained, subject to applicable copyright law, at the Personnel Cabinet, 501 High Street, 3rd Floor, Frankfort, Kentucky 40601, Monday through Friday, 8:00 a.m. to 4:30 p.m.

 

TIM LONGMEYER, Secretary

      APPROVED BY AGENCY: September 11, 2014

      FILED WITH LRC: September 15, 2014 at 10 a.m.

      CONTACT PERSON: Sharron Burton, Deputy Executive Director, Office of Legal Services, 501 High Street, 3rd Floor, Frankfort, Kentucky 40601, phone (502) 564-7430, fax (502) 564-0224.

 

REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT

 

Contact person: Sharron Burton

      (1) Provide a brief summary of:

      (a) What this administrative regulation does: This administrative regulation incorporates by reference the 2015 plan year handbook containing information about the self-insured health insurance plans offered through the Public Employee Health Insurance Program. The handbook, commonly referred to as the Benefits Selection Guide, is distributed to all plan holders participating in the self-insured program. The Benefits Selection Guide contains the premiums, employee contributions, employer contributions, and a summary of benefits, co-pays, coinsurance, and deductibles for each plan available to public employees through the self-insured program in 2015.

      (b) The necessity of this administrative regulation: This administrative regulation is necessary to comply with the statutory mandate of KRS 18A.2254. More specifically, KRS 18A.2254(1)(a) requires the Personnel Cabinet to promulgate an administrative regulation that incorporates by reference the 2015 plan year handbook that will be distributed to the public employees covered by the Public Employee Health Insurance Program. The handbook must be filed with the Legislative Research Commission on or before September 15 each year.

      (c) How this administrative regulation conforms to the content of the authorizing statutes: This administrative regulation complies with KRS 18A.2254(1), the statute authorizing the self-insured plan and the statute mandating the promulgation of the administrative regulation.

      (d) How this administrative regulation currently assists or will assist in the effective administration of the statutes: This administrative regulation aids in the effectuation of the statute, KRS 18A.2254, by incorporating by reference the 2015 plan year handbook for the Public Employee Health Insurance Program in an administrative regulation. Further, this administrative regulation is the method by which the Personnel Cabinet will comply with KRS 18A.2254.

      (2) If this is an amendment to an existing administrative regulation, provide a brief summary of:

      (a) How the amendment will change this existing administrative regulation: This is an amendment. The existing administrative regulation incorporates by reference the 2014 plan year handbook which constitutes a compilation of the premium rates and contributions, benefit options, eligibility rules, and exclusions for participants of the Public Employee Health Insurance Program for plan year 2014. The amendment adds and incorporates by reference the 2015 plan year handbook which contains the premiums, employee contributions, employer contributions, and a summary of benefits, co-pays, coinsurance, and deductibles for each plan provided to public employees covered under the self-insured plan for plan year 2015.

      (b) The necessity of the amendment to this administrative regulation: This amendment is necessary to give notice regarding the premiums, employee contributions, employer contributions, benefits, co-pays, coinsurance and deductibles for each plan provided to public employees under the Public Employee Health Insurance Program for plan year 2015. This amendment is also necessary to comply with the statutory mandate in KRS 18A.2254 to annually update the regulation incorporating the plan year handbook.

      (c) How the amendment conforms to the content of the authorizing statutes: This amendment conforms to the content of KRS 18A.2254, the statute authorizing the self-insured plan under the Public Employee Health Insurance Program. KRS 18A.2254 mandates that the plan year handbook be incorporated by reference in an administrative regulation on or before September 15 each year. This amendment incorporates the 2015 plan year handbook by reference in accordance with KRS 18A.2254.

      (d) How the amendment will assist in the effective administration of the statutes: This amendment conforms to the requirements of KRS 18A.2254, the statute authorizing the self-insured plan under the Public Employee Health Insurance Program. KRS 18A.2254 mandates that the plan year handbook be incorporated by reference in an administrative regulation on or before September 15 each year. This amendment incorporates the 2015 plan year handbook by reference in accordance with KRS 18A.2254.

      (3) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation: This administrative regulation affects employees of state and select county and local government entities, including employees of the local school boards and districts. This administrative regulation also affects certain retirees as specified by KRS 18A.225. More specifically and as defined by KRS 18A.225(1)(a), this administrative regulation affects approximately 182,813 employees and retirees eligible to participate in the Public Employee Health Insurance Program. In total, this administrative regulation affects 287,585 members in the self-insured plan including employees and retirees, qualifying beneficiaries, and dependents.

      (4) Provide an analysis of how the entities identified in question (3) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:

      (a) List the actions that each of the regulated entities identified in question (3) will have to take to comply with this administrative regulation or amendment: No additional action is required by affected entities to comply with the incorporation of the 2015 plan year handbook in the administrative regulation. The 2015 Benefits Selection Guide will provide notice to the public employees covered under the Public Employee Health Insurance Program concerning the health plans offered for the 2015 plan year. Specifically, the 2015 plan year handbook will provide information about the premiums, employee contributions, employer contributions, and a summary of benefits, co-pays, coinsurance, and deductibles for the 2015 plan year.

      (b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (3): This administrative regulation will give notice to participating employers (entities) and participating employees and retirees and their beneficiaries and dependents covered under the Public Employee Health Insurance Program regarding employer and employee premium contributions for health insurance coverage in 2015. There is no direct cost impact resulting from incorporating the 2015 plan year handbook into the administrative regulation.

      (c) As a result of compliance, what benefits will accrue to the entities identified in question (3): For plan year 2015, participating employers (entities) and participating employees and retirees and their beneficiaries and dependents covered under the Public Employee Health Insurance Program will have access to comprehensive health insurance benefits under all plans offered through the self-insured program. The Public Employee Health Insurance Program will have minor employer and employee contribution adjustments for plan year 2015. Plan year 2015 will have a two (2) percent budgeted employer contribution.

       (5) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:

      (a) Initially: Costs of implementing this administrative regulation initially are believed to be minimal.

      (b) On a continuing basis: Costs of implementing this administrative regulation on a continuing basis are believed to be minimal.

      (6) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation: The source of funding to be used for the implementation of this administrative regulation will be the Public Employee Health Insurance Trust Fund.

      (7) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment: This is an amendment. This administrative regulation will not require an increase in funding or fees.

      (8) State whether or not this administrative regulation established any fees or directly or indirectly increased any fees: This administrative regulation does not directly or indirectly increase any fees.

      (9) TIERING: Is tiering applied? No, tiering is not applied because this administrative regulation applies equally to all participants in the Public Employee Health Insurance Program.

 

FISCAL NOTE ON STATE OR LOCAL GOVERNMENT

 

      1. What units, parts or divisions of state or local government (including cities, counties, fire departments, or school districts) will be impacted by this administrative regulation? This administrative regulation will affect all employees of state and select county and local government entities, including employees of the local school boards and districts that participate in the Public Employee Health Insurance Program. As employers, this administrative regulation will affect state and select county and local government entities as well as local school boards and districts. This administrative regulation also affects retirees participating in the Program.

      2. Identify each state or federal statute or federal regulation that requires or authorizes the action taken by the administrative regulation. KRS 18A.225, 18A.2253, 18A.2254, 18A.2255, 18A.2259, 18A.226, 18A.227, 18A.2271, 18A.228, 18A.2286, 18A.2287; 26 U.S.C. 21, 105, 106, 125, 129, 152, and 213 (Internal Revenue Code); Prop. Treas. Reg. 1.125-1 through 7; the Patient Protection and Affordable Care Act, Pub. L. No. 111-148 (2010); and the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152.

      3. Estimate the effect of this administrative regulation on the expenditures and revenues of a state or local government agency (including cities, counties, fire departments, school boards or school districts) for the first full year the administrative regulation is to be in effect.

      (a) How much revenue will this administrative regulation generate for the state or local government (including cities, counties, fire departments, school boards or school districts) for the first year? The administrative regulation will not generate any revenues.

      (b) How much revenue will this administrative regulation generate for the state or local government (including cities, counties, fire departments, or school districts) for subsequent years? The administrative regulation will not generate any revenues.

      (c) How much will it cost to administer this program for the first year? Costs of implementing this program are believed to be similar to previous plan years.

      (d) How much will it cost to administer this program for subsequent years? Costs of implementing this program on a continuing basis are believed to be consistent with previous plan years. By law, an amended administrative regulation will be promulgated in 2015 and each subsequent plan year.

      Note: If specific dollar estimates cannot be determined, provide a brief narrative to explain the fiscal impact of the administrative regulation.

      Revenues (+/-):

      Expenditures (+/-)

      Other Explanation: