Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698747818569.pdf (Micronesia, Federated States of)
TWENTY-SECOND CONGRESS OF THE FEDERATED STATES OF MICRONESIA SECOND REGULAR SESSION, 2021 C.B.

NO.

22-76 A BILL FOR AN ACT To amend sections 403 and 405 of title 52 of the Code of the Federated States of Micronesia (Annotated), as amended by Public Law No.
20-72, to extend MiCare Health Insurance coverage to all Micronesian citizens and FSM nationals residing in the Federated States of Micronesia, to provide that the National Government shall pay 100 percent of the premium for plan participants, and for other purposes.

BE IT ENACTED BY THE CONGRESS OF THE FEDERATED STATES OF MICRONESIA: Section 1.

Section 403 of title 52 of the Code of the Federated States of Micronesia (Annotated), as amended by Public Law No.
20-72, is hereby further amended to read as follows: “Section 403.

Eligibility.

[(1) All full-time employees of the National Government of the Federated States of Micronesia shall participate in the Plan.

(2) Other persons who may participate in the Plan are: (a) The full-time employees of each participating agency and business which has entered into a contract with the Plan whereby such agencies or businesses have agreed to participate in the Plan.
(b) The dependents of full-time employees of the National Government, participating agencies and participating businesses; (c) Members of an employee’s household who are CBL 22-78 C.B.

NO.
22-76 dependent upon the employee, but are not otherwise defined as “dependents” under the provisions of this Act, if the employee pays 100 percent of the premiums for such persons to the Plan; (d) Government employees whose State or agency does not participate in the Plan, and their dependents, if they pay 100 percent of the premiums for themselves and the dependents to the Plan; (e) Former enrollees in the Plan, and their dependents, if they pay 100 percent of the premiums for themselves and their dependents to the Plan; and (f) Full-time students enrolled at any postsecondary institution in the FSM, if the postsecondary institution has entered into a contract of participation with the Plan and the students pay 100 percent of the premium for themselves to the Plan.
(g) Individuals who were previously enrolled in the Plan as dependents of primary enrollees if they pay 100 percent of the premiums.]

All Micronesian citizens and FSM nationals, as defined in title 7 of this code, who reside in the Federated States of Micronesia, shall participate in the plan.” Section 2.

Section 405 of title 52 of the Code of the 24 Federated States of Micronesia (Annotated), as amended by Public 25 Law No.

20-72, is hereby amended to read as follows: 2 of 4 C.B.

NO.
NO.

22-76 “Section 405.

Premium Contributions.

[Employees participating in the Plan shall contribute the percentage of the premium not paid by their employer for insurance under the Plan.]

The National Government of the Federated States of Micronesia shall contribute [at least 52] 100 percent of the premium for [eligible employees of the National Government participating in] all participants of the Plan.
[Any participating agency or participating business shall contribute at least 50 percent of the premium for their employees participating in the Plan, or may at their request contract with the Board to contribute more than 50 percent.]
All contributions[, including premium contributions by participating agencies, individual insureds and participating businesses] shall be deposited in the MiCare Health Insurance Fund on a timely bi-weekly basis or monthly basis, or at any timely intervals or frequency as required by Regulations of the Board.” Section 3.

Effective Date.

The provisions of this Act shall 20 take effect on October 1, 2022.

21 22 23 24 25 3 of 4 C.B.

NO.

22-76 Section 4.


This act shall become law upon approval by the President of the Federated States of Micronesia or upon becoming law without such approval.

Date: 9/14/21 Introduced by: /s/ Wesley W. Simina Wesley W. Simina of 4