SECTION
108 - F50-PUBLIC EMPLOYEE BENEFIT AUTHORITY
���� 108.1.�� (PEBA:
Lottery,� Infrastructure Bank, and Magistrates Health Insurance)� South
Carolina Lottery Commissioners and South Carolina Transportation Infrastructure
Bank Board members and their eligible dependents are eligible to participate in
the State Health and Dental Insurance Plan, upon paying the full premium costs
as determined by the Public Employee Benefit Authority.If a county is
participating in the State Health and Dental Insurance Plan, magistrates and
their eligible dependents are eligible to participate in the State Health and
Dental Insurance Plan, upon the magistrate paying the full premium costs as
determined by the Public Employee Benefit Authority.
���� 108.2.�� (PEBA:
Adoption Assistance Program)� The Employee Adoption Assistance Program is
established to provide grants to eligible employees to assist them with the
direct costs of adoption.� The program shall be an employee benefit through the
Public Employee Benefit Authority (PEBA) and shall be funded from the
appropriation for the State Health Plan as provided in this act.� Total funding
for the Adoption Program shall not exceed the amount authorized by the General
Assembly in the annual appropriations act.� Employees are eligible for the
Adoption Program if they participate in PEBA insurance benefits, have adopted a
child during the prior fiscal year, apply for the grant during the annual
application period, and meet any other Adoption Program criteria.� The
application period shall be July first through September thirtieth of the
current fiscal year for an adoption in the prior fiscal year.� The maximum
grant amounts shall be $10,000 in the case of the adoption of a special needs
child and $5,000 for all other child adoptions.� Should the total amount needed
to fund grants at the maximum level exceed the amount authorized, the amount of
a grant to an eligible employee shall be determined by dividing the authorized
amount evenly among qualified program applicants, with the adoption of a
special needs child qualifying for two times the benefit of a non-special needs
child.
���� 108.3.�� (PEBA:
Health Plan Tobacco User Differential)� For health plans adopted under the
authority of Section 1-11-710 of the 1976 Code by the Public Employee Benefit
Authority during the current fiscal year, the board is authorized to
differentiate between tobacco users and nonusers regarding rates charged to
enrollees in its health plans by imposing a surcharge on enrollee rates based
upon tobacco use.� The surcharge for tobacco use may not exceed $40 per month
per subscriber or $60 per month per subscriber and dependent(s).
���� 108.4.�� (PEBA:
Funding Abortions Prohibited)� No funds appropriated for employer contributions
to the State Health Insurance Plan may be expended to reimburse the expenses of
an abortion, except in cases of rape, incest or where the mother�s medical
condition is one which, on the basis of the physician�s good faith judgment, so
complicates the pregnancy as to necessitate an immediate abortion to avert the
risk of her death or for which a delay will create serious risk of substantial
and irreversible impairment of major bodily function, and the State Health Plan
may not offer coverage for abortion services, including ancillary services
provided contemporaneously with abortion services.� The Public Employee Benefit
Authority must determine the amount of the total premium paid for health
coverage necessary to cover the risks associated with reimbursing participants
in the plan for obtaining an abortion in the circumstances covered by this
provision.� The determination must be based on actuarial data and empirical
study in the same manner and by the same method that other risks are adjusted
for in similar circumstances.� The plan must report this determination annually
to the respective Chairmen of the Senate Finance Committee and the House Ways
and Means Committee.
���� 108.5.�� (PEBA:
TRICARE Supplement Policy)� The Public Employee Benefit Authority (PEBA) shall
offera group TRICARE Supplement policy or policies to its TRICARE-eligible
subscribers through its flexible benefits program to provide that subscribers
may pay premiums for such policies on a pretax basis, in accordance with
federal law and regulations.� PEBA may charge TRICARE Supplement subscribers an
amount not to exceed $2 per subscriber per month for any associated
administrative costs.
���� 108.6.�� (PEBA: FY
2016 State Health Plan)� Of the funds authorized for the State Health Plan in
Plan Year 2016 pursuant to Section 1‑11‑710(A)(2) of the 1976 Code,
an employer premium increase of 4.5 percent and a subscriber premium increase
of zero percent for each tier (subscriber, subscriber/spouse,
subscriber/children, full family) will result for the standard State Health
Plan in Plan Year 2016. Co-payments for participants of the State Health Plan
in Plan Year 2016 shall not be increased.� Notwithstanding the foregoing,
pursuant to Section 1-11-710(A)(3), the Public Employee Benefit Authority may
adjust the plan, benefits, or contributions of the State Health Plan during
Plan Year 2016 to ensure the fiscal stability of the Plan.
���� 108.7.�� (PEBA:
Exempt National Guard Pension Fund)� In the calculation of any across-the-board
cut mandated by the Executive Budget Office or General Assembly, the amount of
the appropriation for the National Guard Pension Fund shall be excluded.
���� 108.8.�� (PEBA:
Inactive SCRS Account Transfer)A current employee or teacher who is an active
participant in the State Optional Retirement Program but who has an inactive
account in the South Carolina Retirement Program due to previous service in
that system, shall be allowed to transfer previous contributions to the
employee�s or teacher�s active State Optional Retirement Program account.
���� 108.9.�� (PEBA:
Network Pharmacy Publications) All pharmacy publications or lists must include
independent retail pharmacies. Abridged pharmacy lists are prohibited.
���� 108.10.���� DELETED
���� 108.11.���� DELETED
���� 108.12.���� DELETED
���� 108.13.���� (PEBA:
Covered Contraceptives)� In its Plan of Benefits effective January 1, 2016, the
State Health Plan shall not apply patient cost sharing provisions to covered
contraceptives.� This provision does not alter the current approved list of
contraceptives and complies with the requirements of proviso 108.4.
���� 108.14.���� DELETED
n:justify'>����