HomeMy WebLinkAbout065-R-19 Approving Procedures Regarding Determination of Benefit Eligibility Under the Public Safety Employee Benefits Act6/20/2019
65-R-19
A RESOLUTION
Approving Procedures Regarding Determination of Benefit Eligibility
Under the Public Safety Employee Benefits Act
WHEREAS, the City of Evanston ("City") is a home rule municipality in
accordance with Article VII, Section 6(a) of the Constitution of the State of Illinois of
1970; and
WHEREAS, the Public Safety Employee Benefits Act, 820 1LCS 32011 et
seq. ("PSEBA"), requires that the City provide certain benefits to any public safety
employee covered by PSEBA who suffers a catastrophic injury or is killed in the line of
duty; and
WHEREAS, the City's Human Resources Division recommends the
adoption of a policy identifying the procedures for determining the eligibility of public
safety employees for PSEBA benefits and for the provision of those benefits; and
WHEREAS, the proposed policy and procedures are in accordance with
the Public Safety Employee Benefits Act; and
NOW BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
EVANSTON, COOK COUNTY, ILLINOIS:
SECTION 1: The policy and procedures for determining the eligibility of
public safety employees for PSEBA benefits and for the provision of those benefits set
forth in the document entitled City of Evanston Public Safety Employee Benefits Act
(PSEBA) Policy, attached hereto as Exhibit A and incorporated herein by this
65-R-19
reference, is hereby adopted as the official policy for determining the eligibility of
public safety employees for PSEBA benefits and for the provision of those benefits.
SECTION 2: This Resolution 65-R-19 shall be in full force and effect on
January 1, 2020, after its passage and approval in the manner provided by law.
SECTION 3: If any section or provision of this Resolution or the adopted
PSEBA Policy is declared to be invalid, that decision shall not affect the validity of this
Resolution or adopted PSEBA Policy as a whole or any part thereof, other than the part
so declared to be invalid.
Attest:
Devon Reid, City Clerk
Adopted:
, 2019
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Approved as to form:
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Michelle L. Masoncup, Corp ation
Counsel
65-R-19
EXHIBIT I
CITY OF EVANSTON
PUBLIC SAFETY EMPLOYEE BENEFITS ACT
(PSEBA) POLICY
s
-� City of Evanston
Public Safety Employee Benefits Act
Evanston- Y
(PSEBA) Policy
Purpose
The Public Safety Employee Benefits Act ("PSEBA" or the "Act") 820 ILCS 320/1, et
seq., requires certain benefits be provided to a public safety employee covered by the
Act who suffers a catastrophic injury or is killed in the line of duty. The Act defines a
public safety employee to include any fulltime law enforcement, correctional or
correctional probation officer, firefighter or licensed emergency medical technician
(EMT) who is a sworn member of a public fire department. The same benefits may be
extended to the spouse and eligible dependents of the catastrophically injured or
deceased public safety employee, provided the conditions as established by the Act are
met.
The City of Evanston ("City"), as an employer of public safety employees, may be
required to pay the entire premium of the City's basic health insurance plan for a public
safety employee and his/her spouse and eligible dependents for the period defined by
the Act, if such public safety employee is eligible for benefits under the Act.
The general purpose of this Policy is to memorialize the process as it may be
administratively amended from time to time for application for health insurance benefits
pursuant to PSEBA. This Policy is consistent with the obligations of the City under state
law to provide health insurance benefits to certain public safety employees who qualify
for, and are determined by the City to be eligible to receive, certain health insurance
benefits pursuant to this policy and the Act.
Administrative Process
All applications for health insurance benefits under PSEBA must be submitted, and will
be considered, according to the following process.
1. Application Form
Any person seeking PSEBA benefits from the City must complete and
submit to the City the standard application form prepared by the City, and
all supporting documentation required by the application. The PSEBA
application must be completed, sworn, and notarized as to the content of
the application.
2. Time Period for Submission of Application
Employees eligible to apply for Public Safety Employee Benefits Act
(PSEBA) health insurance coverage must request, in writing, an
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application for such benefits from the Human Resources division within
two weeks from the date an employee's duty related disability pension
commences. The completed application must be submitted via certified
mail to:
City of Evanston
2100 Ridge Avenue
Evanston, IL 60201
Attn: Human Resources/Safety & Worker's Compensation Mgr.
Failure to submit a timely PSEBA application, within 90 days from the
commencement of the disability pension, may result in a waiver of the
claim under this Policy for benefits under the Act. The Safety & Worker's
Compensation Manager, or their designee, will review the application
when all of the documentation required by the City under this Policy has
been received.
3. Processina of Annlicant
Upon receipt of a timely, complete and executed application form, the
Safety & Worker's Compensation Manager shall promptly review the
materials and other relevant information necessary or appropriate to
analyze whether the applicant is eligible for PSEBA benefits.
a. If the Safety & Worker's Compensation Manager determines that
additional fact-finding is necessary or appropriate, the applicant will
respond in writing to written requests from the City for additional
information not later than 30 days after receipt of the City's request.
b. If the applicant does not respond to, or cooperate with, the City's
written requests for additional information, the City will send a
reminder notice to the applicant explaining the duty of full
cooperation in the fact-finding process.
c. If the applicant does not provide the requested information or
otherwise cooperate with the City within 21 days after receipt of
such additional notice, then the City shall deem the application for
PSEBA benefits to be withdrawn and waived.
4. Recommendation to the Citv Manaqer
The Safety & Worker's Compensation Manager will make a
recommendation to the City Manager on the applicant's eligibility for
PSEBA benefits after completing a review of the application, supporting
materials, and any related fact-finding evidence.
The Safety & Worker's Compensation Manager, upon review of the
PSEBA application and all supporting documentation (the packet) will
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forward the packet to the City Attorney for a final review before forwarding
to the City Manager for review and determination.
5. City Manaaer's Determination of Eligibility
After receipt of the recommendation of the Safety & Worker's
Compensation Manager, the City Manager will review the facts contained
in the application, supporting materials and any other information gathered
through any additional fact-finding. Based on this review of facts, the City
Manager will make a final determination regarding the applicant's eligibility
for PSEBA benefits.
6. Notice of City Manager's Determination
Not later than 45 days after receipt of the recommendation of the Safety &
Worker's Compensation Manager, the City Manager will advise the
applicant, in writing, of the City Manager's determination.
Health Insurance Benefits Durin4 the Pendencv of a PSEBA Application
During the processing and review of the PSEBA application, the applicant may remain
on the City's health insurance plan. But, the applicant shall be responsible for payment
of 100% of the health insurance premium. For those applicants wishing to continue
their health insurance during the pendency of their PSEBA application health insurance
premiums shall be deducted from the PSEBA applicant's pension check until such time
as a determination has been made.
If the City Manager grants PSEBA benefits and the eligible recipient elected to continue
on the City's health insurance plan while the PSEBA application was being reviewed,
the City will reimburse the PSEBA benefit recipient for any health insurance premiums
paid during the period beginning on the date on which the City became obligated to
provide PSEBA benefits to the eligible recipient, and ending on the date of the City's
first premium payment after the City Manager's determination; provided, however, that
any reimbursement by the City will not exceed the pro rata amount of the City's basic
group health insurance plan monthly premium multiplied by the number of months, or
parts thereof, within the same period. The City will pay any such reimbursement not
later than 60 calendar days after the date of the City Manager's determination. There
shall be no reimbursement of health insurance premiums if the eligible recipient did not
elect to continue on a City health insurance plan while the PSEBA application was being
reviewed.
If the City Manager denies PSEBA benefits, the applicant may remain on the City's
health insurance plan pursuant to COBRA or state insurance statutes; however, the
applicant will be responsible for the payment of 100% of the health insurance premium
cost.
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All records pertaining to the administrative process will be held in a separate file in the
applicant's name within the Administrative Services Department/Human Resources
Division of the City of Evanston. Requests for such file shall be made in accordance
with the requirements of the Freedom of Information Act.
Health Insurance Benefits if PSEBA Benefits Are Granted
If an applicant is awarded health insurance benefits pursuant to PSEBA, the following
provisions apply:
1. City of Evanston Insurance Plan
If the City of Evanston approves the PSEBA application and awards health
insurance benefits under PSEBA, the City's specifically designated base
HMO insurance plan is the employer's basic group health insurance plan
offered. The basic group health insurance plan will be determined annually
by the City at the start of the benefit open enrollment period. The City
reserves the right to change the basic group health insurance plan offered
to persons eligible for health insurance benefits under PSEBA or those
already receiving PSEBA benefits. This Policy will be administratively
amended if the City decides to change the basic group health insurance
plan offered to persons who are awarded health insurance benefits under
PSEBA. If the applicant, or current PSEBA recipient, chooses to enroll in
any plan other than the basic group health insurance plan offered by the
City of Evanston, the applicant, or current PSEBA recipient, must pay the
difference in insurance premiums. Health insurance coverage under the
Act does not include any supplemental coverage such as dental
insurance, optical insurance or life insurance. If such supplemental
coverage(s) are available, they may be continued by the eligible recipient
at his/her own cost. If health insurance benefits under the Act are not
awarded, the public safety employee may continue to remain on a City
health insurance plan if allowed to do so under City policy, however
he/she will be responsible for 100% of the health insurance premium cost.
If the public Safety employee chooses not to remain on a City health
insurance plan, he/she may be eligible to continue health insurance
coverage under applicable laws as defined under COBRA.
2. Other Health Insurance Benefits
Pursuant to PSEBA, health insurance benefits payable from another
source will reduce the benefits payable from the City. Each PSEBA
applicant or benefit recipient claiming full health insurance benefits from
the City's basic group health insurance plan will be required to sign an
affidavit attesting that he or she is not eligible for insurance benefits from
any other source.
It is the responsibility of the PSEBA benefit recipient to notify the City of
Evanston within 30 days of any changes to other sources of health
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insurance benefits, and to otherwise comply with all applicable reporting
and information requests and requirements. Any PSEBA benefit recipient
who receives health insurance benefits from the City, and whose City -paid
premiums should have been reduced because of health insurance
payable from another source, will be required to reimburse the City for the
difference between the premiums actually paid by the City and the
reduced premiums that the City should have paid. The City reserves the
right to annually require any PSEBA benefit recipient to provide an
affidavit attesting to any other health insurance available or payable to the
PSEBA benefit recipient, the recipient's spouse or to the recipient's
dependent children.
Effective Date:
Signature:
Wally Bobkiewicz, City Manager
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