An Act To O
Maine Legislature, Session 129, LD 1674
Committee Amendment CA_A_S290 (Senate)

COMMITTEE AMENDMENT "/Jr " to S.P. 545, L.D. 1674, Bill, "An Act To 
O 
Amend the Laws Concerning the Retired County and Municipal Law Enforcement 
Officers and Municipal Firefighters Health Insurance Program" 
Amend the bill in section 2 by striking out all of subsection 6 (page 2, lines 32 to 44 
and page 3, lines 1 to 46 and page 4, lines 1 to 10 in L.D.) and inserting the following: 
'6. Premiums; subsidy. Premiums for the program and the premium subsidy are 
subject to the provisions of this subsection. Premium subsidies are not provided for 
supplemental health insurance coverage. 
A. An enrollee participating in the majority multiple-employer welfare arrangement 
is responsible for the premium payment associated with the cost of the majority 
multiple-employer welfare arrangement benefit option in which the enrollee is 
participating, to the extent such premium obligations exist following the application 
of any premium subsidy authorized by law. An enrollee who fails to remit the 
premium payments as established and required by the majority multiple-employer 
welfare arrangement must be disenrolled from the program. Beginning July 1, 2007, 
the State shall provide a premium subsidy for enrollees in the form of a direct 
payment to the majority multiple-employer welfare arrangement for each enrollee. 
+he Prior to July 1, 2021, the level of the subsidy must equal 45% of the individual 
premium cost for the enrollee and varies among enrollees depending upon the terms 
of the majority multiple-employer welfare arrangement coverage plan in which each 
enrollee is participating. Beginning July 1, 2021, the level of the subsidy must equal 
55% of the individual premium cost for the enrollee and varies among enrollees 
depending upon the terms of the majority multiple-employer welfare arrangement 
coverage plan in which each enrollee is participating. Enrollees are responsible for 
the balance of the applicable individual premium, as well as the total cost of the 
premium for any applicable dependent coverage, and shall make payments directly to 
the majority multiple-employer welfare arrangement. 
B. Enrollees retiring from counties or municipalities that do not participate in the 
majority multiple-employer welfare arrangement but who are eligible and elect to 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT" \f\-"toS.P. 545,L.D.1674 (s-9-c..iD) 
participate in that county's or municipality's fully insured health benefits plan are 
responsible for the premium payment associated with the cost of that plan, to the 
extent such premium obligations exist following the application of any premium 
subsidy authorized by law. An enrollee who fails to remit the premium payments as 
established and required by the fully insured plan must be disenrolled from the 
program. Beginning July 1, 2007, the State shall provide a premium subsidy for 
enrollees participating in fully insured health benefits plans pursuant to this 
subsection. +his Prior to July 1, 2021, this subsidy must be made in the form of a 
direct payment to the enrollee's health benefits plan and must equal 45% of the 
individual premium cost for the enrollee or a dollar amount equivalent to the highest 
premium subsidy provided in accordance with paragraph A, whichever is less. 
Beginning July 1. 2021. this subsidy must be made in the form of a direct payment to 
the enrollee's health benefits plan and must equal 55% of the individual premium cost 
for the enrollee or a dollar amount equivalent to the highest premium subsidy 
provided in accordance with paragraph A, whichever is less. A retiree electing to 
enroll a spouse or a dependent in the program is responsible for payment of 100% of 
such coverage in addition to that portion of the retiree's individual premium cost not 
contributed by the State. 
C. Enrollees retiring from counties or municipalities that do not participate in the 
majority multiple-employer welfare arrangement and do not provide health insurance 
coverage for retirees may enroll in the group health plan available to state employees 
and other eligible persons under section 285 and are responsible for the premium 
payment associated with the cost of that plan, to the extent such premium obligations 
exist following the application of any premium subsidy authorized by law. An 
enrollee who fails to remit the premium payments as established and required by the 
group health plan available to state employees and other eligible persons must be 
disenrolled from the program. 
The State shall provide a premium subsidy for 
enrollees participating in the group health plan available to state employees and other 
eligible persons pursuant to this paragraph. Prior to July 1. 2021. this subsidy must 
be made in the form of a direct payment to the group health plan available to state 
employees and other eligible persons and must equal 45% of the individual premium 
cost for the enrollee or a dollar amount equivalent to the highest premium subsidy 
provided in accordance with paragraph A, whichever is less. Beginning July 1. 2021. 
this subsidy must be made in the form of a direct payment to the group health plan 
available to state employees and other eligible persons and must equal 55% of the 
individual premium cost for the enrollee or a dollar amount equivalent to the highest 
premium subsidy provided in accordance with paragraph A, whichever is less. A 
retiree electing to enroll a spouse or a dependent in the program is responsible for 
payment of 100% of such coverage in addition to that portion of the retiree's 
individual premium cost not contributed by the State. 
D. An enrollee may participate in the group health insurance plan in which the 
enrollee's spouse participates if that plan is offered in this State or in another group 
health insurance plan that is offered in this State. An enrollee is responsible for the 
premium payment associated with the cost of the group health insurance plan in 
which the enrollee is participating, to the extent such premium obligations exist 
following the application of any premium subsidy authorized by law. An enrollee 
who fails to remit the premium payments as established and required by the group 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT" ft "toS.P.545,L.D.1674 ( s-o.e-ib, 
health insurance plan in which the enrollee is participating must be disenrolled from 
the program. The State shall provide a premium subsidy for each enrollee in the form 
of a direct payment to the group health insurance plan in which the enrollee is 
participating. Prior to July 1, 2021, the level of the premium subsidy must equal 45% 
of the individual premium cost for the enrollee or a dollar amount equivalent to the 
highest premium subsidy provided in accordance with paragraph A. whichever is 
less. Beginning July 1, 2021, the level of the premium subsidy must equal 55% of 
the individual premium cost for the enrollee or a dollar amount equivalent to the 
highest premium subsidy provided in accordance with paragraph A. whichever is 
less. Enrollees are responsible for the balance of the applicable individual premium, 
as well as the total cost of the premium for any applicable dependent coverage, and 
shall make payments directly to the group health insurance plan in which the enrollee 
is participating.' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or 
section number to read consecutively. 
SUMMARY 
This amendment is the majority report of the committee. The amendment delays 
until July 1, 2021 the provision to increase the state share of the premium subsidy for 
enrollees in the Retired County and Municipal Law Enforcement Officers and Municipal 
Firefighters Health Insurance Program from 45% to 55%. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 06/10/19 ~ac. 
LD 1674 
LR 1441(02) 
An Act To Amend the Laws Concerning the Retired County and Municipal Law Enforcement 
Officers and Municipal Firefighters Health Insurance Program 
Fiscal Note for Bill as Amended by Committee Amendment ''fP' CS -ZY:12) 
Committee: Labor and Housing 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2019-20 
FY2020-21 
$0 
$0 
$0 
$0 
Projections 
FY2021-22 
$181,000 
$181,000 
Projections 
FY 2022-23 
$181,000 
$181,000 
The bill makes several changes to the Retired County and Municipal Law Enforcement Officers and Municipal 
Firefighters Health Insurance Program, including increasing the State subsidy of premiums from 45% to 55%, 
allowing eligible employees more time to enroll in the program and allowing certain enrollees to join the State 
Employee Health Plan (SEHP). The SEHP currently contributes about $524,000 to meet the requirement of 
subsidizing 45% of premiums and will require $181,000 to subsidize 55%, after accounting for an anticipated increase 
in health premiums for this population. This change is not effective until July 1, 2021 and any costs will occur in a 
future fiscal biennium. 
Currently, eligible employees must choose to enroll within 60 days of being hired. If an employee enrolls, 1.5% of 
their gross wages are sent to the Firefighters and Law Enforcement Officers Health Insurance Program Fund. For 
employees hired on or after October 1, 2019, the bill allows an employee to enroll in the program within 5 years, but 
would require the employee to contribute 2% of gross wages from the effective date of hire to the date the employee 
enrolls in the program, after which the enrollee will contribute 1.5% to the fund. This would result in an increase in 
revenues collected by the fund, but no estimate is available at this time since it is unknown how many employees will 
enroll. 
Last, including additional persons in the SEHP could result in increased costs to the plan, depending on the 
demographics and claim histories of those who join the plan. Any costs would likely be reflected through changes in 
premium amounts in future fiscal years. 
LR1441(02) - Fiscal Note - Page 1 of 1