BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 373
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          Date of Hearing:   April 10, 2013

            ASSEMBLY COMMITTEE ON PUBLIC EMPLOYEES, RETIREMENT AND SOCIAL  
                                      SECURITY
                                  Rob Bonta, Chair
                    AB 373 (Mullin) - As Amended:  March 19, 2013
           
          SUBJECT  :   Public Employees' Long-Term Care Act.

           SUMMARY  :   Requires the Board of Administration of the  
          California Public Employees' Retirement System's (CalPERS) to  
          expand eligibility for the Long-Term Care (LTC) Program to  
          include adult children and domestic partners of active or  
          retired California public employees, except as prohibited by the  
          Internal Revenue Code, and allows the Board to expand  
          eligibility for the program to all classes of person who meet  
          certain requirements, as specified, and applicable federal law.   
          Specifically,  this bill  : 

          1)Allows the adult child of any California public employee or  
            retiree eligible to participate in the CalPERS LTC Program.   
            The adult child must be at least 18 years of age.

          2)Allows same-sex spouses and domestic partners, if permitted  
            under the Internal Revenue Code and applicable law, to  
            participate in the CalPERS LTC Program.

          3)Allows the CalPERS Board to expand eligibility to any other  
            person permitted under applicable law governing federally  
            qualified state long-term care plans.

           EXISTING LAW  

          1)Establishes in CalPERS a program that offers long-term care  
            insurance coverage to all California public employees, their  
            spouses, parents, parents-in-law and siblings. 

          2)Requires employees to pay the full cost of premiums for the  
            PERS long-term care insurance plan.

           FISCAL EFFECT  :   Unknown.

           COMMENTS  :   The CalPERS LTC Program was established in 1995, and  
          has over 148,000 members and approximately $3.8 billion in LTC  
          Fund assets.  It is a voluntary, self-funded, not-for-profit  








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          program funded entirely by policyholder premiums and investment  
          earnings.  The Program is a tax-qualified plan under federal law  
          and member benefits are exempt from federal taxation.  

          The CalPERS LTC Program is open to active California public  
          employees and retirees of the all California public retirement  
          systems, their spouses, parents, siblings, and spouses' parents.

          There are currently three policy categories: 

          1)LTC1:    Long-Term care policies issued 1995-2002 
          2)LTC2:    Long Term care policies issued 2003-2004 
          3)LTC 3:   Long-Term Care policies issued 2005-2008 

          Current policies include comprehensive and facility-only  
          coverage with lifetime, 6-year and 3-year policies - with and  
          without inflation protection - and there are also 2-year and  
          1-year Partnership policies with inflation protection. 

          The CalPERS Board recently approved the following actions  
          regarding its LTC Program:

          1)Approved the benefit design and pricing for a new policy  
            product - LTC4.  The focus of LTC4 is to promote independence  
            and a greater ability for CalPERS policy holder to remain  
            safely at home as long as possible, and to create a  
            competitive product.

          2)Allow for a continuous open application for the CalPERS LTC  
            Program, which is to begin December 2013.  Accepting  
            applications on a continuous basis allows CalPERS to remain  
            competitive in the market and available to its eligible  
            population whenever they wish to pursue this type of  
            insurance.

          3)Extend eligibility to adult children and other qualified  
            persons by amending the LTC Act, allowing CalPERS to be more  
            consistent with Internal Revenue Code provisions applicable to  
            federally qualified State long-term care plans.

          According to the author, expanding eligibility requirements to  
          adult children and other qualified persons would provide the  
          following benefits for the CalPERS LTC Program:

          1)Better aligns the CalPERS LTC Program eligibility requirements  








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            with the Internal Revenue Code provisions applicable to  
            state-maintained long-term care plans.

          2)Demonstrates the sustainability of the LTC Program and  
            CalPERS' commitment to provide a viable voluntary insurance  
            benefit for eligible policyholders.

          3)Potentially increases the solvency and sustainability of the  
            LTC Fund by bringing in more premium dollars into the Fund and  
            by adding new and younger policyholders into the Program.

          4)Improves the LTC Program risk pool and provides an opportunity  
            to bring in additional lives with appropriate underwriting,  
            lowering the risk to the pool.

          AB 44 (Connelly), Chapter 9, Statutes of 1991, enacted the  
          CalPERS LTC Program.  The legislation authorized CalPERS to make  
          plans available to active and retired members, their spouses,  
          and parents by January 1, 1992, and specified that the enrollee  
          must pay the entire cost to enroll in the plan.

          SB 857 (Hughes), Chapter 1144, Statutes of 1993, extended  
          enrollment eligibility in the CalPERS LTC Program to members and  
          retirees of the California State Teachers' Retirement System,  
          their spouses and their parents.

          SB 860 (Alquist), Chapter 850, Statutes of 1995, extended  
          eligibility in the CalPERS LTC Program to active and retired  
          members of the Legislators' Retirement System, the Judges'  
          Retirement System and members of the Assembly and the Senate.

          AB 824 (Cohn), Chapter 185, Statutes of 2001, allowed siblings,  
          at least 18 year of age, of eligible active and retire public  
          employees to enroll in the CalPERS LTC Program.

          REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Public Employees' Retirement System (CalPERS)
          California Assisted Living Association

           Opposition 
           
          None on file








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          Analysis Prepared by  :    Karon Green / P.E., R. & S.S. / (916)  
          319-3957