Chapter 215, INSURANCE

(215 ILCS 5/221.1) (from Ch. 73, par. 833.1) Sec. 221.1. Definitions. For the purposes of Sections 221.1 to 221.10, both inclusive, the following terms have the following meanings; (1) "Reciprocal State" means a state wherein: (a) it is provided by law that the insurance supervis…

(215 ILCS 5/221.10) (from Ch. 73, par. 833.10) Sec. 221.10. Declaration of purpose. The purpose of Sections 221.1 to 221.10, both inclusive is to promote uniformity in the liquidation, rehabilitation, reorganization or conservation of insurers doing business in more than one stat…

(215 ILCS 5/221.11) (from Ch. 73, par. 833.11) Sec. 221.11. Proceedings governed by Civil Practice Law and Supreme Court Rules.) The rules of practice, the course and method of procedure in circuit courts as established by the Civil Practice Law and Supreme Court Rules and any am…

(215 ILCS 5/221.12) (from Ch. 73, par. 833.12) Sec. 221.12. Sections 211, 212, 213, 214, 215, 216, 217, 218, 219 and 220, each inclusive, are repealed; provided, however, that every proceeding heretofore commenced under such sections shall be continued as though such sections had…

(215 ILCS 5/221.13) (from Ch. 73, par. 833.13) Sec. 221.13. Uniformity of interpretation. Sections 221.1 to 221.12 each inclusive, of this Article shall be so interpreted and construed as to effectuate their general purpose to make uniform the law of those states that enact the U…

(215 ILCS 5/221.2) (from Ch. 73, par. 833.2) Sec. 221.2. Ancillary delinquency proceedings. After the commencement of delinquency proceedings in a reciprocal state against an insurer domiciliary in such state, a court of competent jurisdiction in this State shall on the petition …

(215 ILCS 5/221.3) (from Ch. 73, par. 833.3) Sec. 221.3. Filing and proving of claims of non-residents against delinquent domiciliary insurers. In any delinquency proceeding begun in this state against a domiciliary insurer of this state, claimants residing in a reciprocal ancill…

(215 ILCS 5/221.4) (from Ch. 73, par. 833.4) Sec. 221.4. Proof of claims of residents in connection with delinquency proceedings in other states. If a delinquency proceeding is commenced in a reciprocal state against an insurer domiciliary in such state, claimants against such in…

(215 ILCS 5/221.5) (from Ch. 73, par. 833.5) Sec. 221.5. Priority of preferred claims. In any delinquency proceeding against a domiciliary insurer of this state, claims owing to residents of ancillary reciprocal states shall be deemed preferred claims if, and only if, like claims…

(215 ILCS 5/221.6) (from Ch. 73, par. 833.6) Sec. 221.6. Priority of special deposit claims. The owners of special deposit claims against an insurer for which a receiver has been appointed in a delinquency proceeding in this or any reciprocal state shall be given priority against…

(215 ILCS 5/221.7) (from Ch. 73, par. 833.7) Sec. 221.7. Priority of secured claims. The owner of a secured claim against an insurer for which a receiver has been appointed in a delinquency proceeding in this or any reciprocal state may surrender his security and file his claim a…

(215 ILCS 5/221.8) (from Ch. 73, par. 833.8) Sec. 221.8. Right of domiciliary receiver to residium of assets of insurers domiciled in ancillary states. The ancillary receiver of assets in this State of insurers domiciliary in reciprocal states and subject to delinquency proceedin…

(215 ILCS 5/221.9) (from Ch. 73, par. 833.9) Sec. 221.9. Attachment and garnishment of assets. In the event of the commencement of delinquency proceedings in any reciprocal state no action or proceeding in the nature of an attachment, garnishment, execution or otherwise, shall be…

(215 ILCS 5/245.21) (from Ch. 73, par. 857.21) Sec. 245.21. Establishment of separate accounts by domestic companies organized to do a life, annuity, or accident and health insurance business. A domestic company, including for the purposes of this Article all domestic fraternal b…

(215 ILCS 5/245.22) (from Ch. 73, par. 857.22) Sec. 245.22. Any contract providing benefits payable in variable amounts delivered or issued for delivery in this State must contain a statement of the essential features of the procedures to be followed by the insurance company in d…

(215 ILCS 5/245.23) (from Ch. 73, par. 857.23) Sec. 245.23. No company may deliver or issue for delivery within this State variable contracts unless it is authorized or organized to do a life, annuity, or accident and health insurance business in this State, and the Director is s…

(215 ILCS 5/245.24) (from Ch. 73, par. 857.24) Sec. 245.24. Notwithstanding any other provision of law, the Director has sole authority to regulate the issuance and sale of variable contracts, and to promulgate such reasonable rules and regulations as may be appropriate to carry …

(215 ILCS 5/245.25) (from Ch. 73, par. 857.25) Sec. 245.25. Except for subparagraphs (1)(a), (1)(f), (1)(g) and (3) of Section 226 of the Illinois Insurance Code, in the case of a variable annuity contract and subparagraphs (1)(b), (1)(f), (1)(g), (1)(h), (1)(i), and (1)(k) of Se…

(215 ILCS 5/245.60) (from Ch. 73, par. 857.60) Sec. 245.60. Whenever the Director finds that there has been a violation of this Article or of any rules or regulations issued pertaining thereto, and after written notice thereof and hearing given to the company or other person auth…

(215 ILCS 5/370f) (from Ch. 73, par. 982f) Sec. 370f. Short Title. This Article may be cited as the "Health Care Reimbursement Reform Act of 1985". (Source: P.A. 84-618.)

(215 ILCS 5/370g) (from Ch. 73, par. 982g) Sec. 370g. Definitions. As used in this Article, the following definitions apply: (a) "Health care services" means health care services or products rendered or sold by a provider within the scope of the provider's license or legal author…

(215 ILCS 5/370h) (from Ch. 73, par. 982h) Sec. 370h. Noninstitutional providers. Before entering into any agreement under this Article an insurer or administrator shall establish terms and conditions that must be met by noninstitutional providers wishing to enter into an agreeme…

(215 ILCS 5/370i) (from Ch. 73, par. 982i) Sec. 370i. Policies, agreements or arrangements with incentives or limits on reimbursement authorized. (a) Policies, agreements or arrangements issued under this Article may not contain terms or conditions that would operate unreasonably…

(215 ILCS 5/370j) (from Ch. 73, par. 982j) Sec. 370j. Requirements not applicable to insurers. Except as otherwise provided, no insurer authorized to do business in this State shall be subject to any of the requirements of this Article that are applicable to administrators. Requi…

(215 ILCS 5/370k) (from Ch. 73, par. 982k) Sec. 370k. Registration. (a) All administrators of a preferred provider program subject to this Article shall register with the Department of Insurance, which shall by rule establish criteria for such registration including minimum solve…

(215 ILCS 5/370l) (from Ch. 73, par. 982l) Sec. 370l. Fiduciary and bonding requirements. Each administrator who handles money for purposes of payment for providers services subject to this Article shall (1) establish and maintain a fiduciary account, separate and apart from any …

(215 ILCS 5/370m) (from Ch. 73, par. 982m) Sec. 370m. Program Requirements. Each administrator shall provide to each beneficiary of any program subject to this Article a document which (1) sets forth those providers with which agreements or arrangements have been made to provide …

(215 ILCS 5/370n) (from Ch. 73, par. 982n) Sec. 370n. Utilization Review Requirements: Any preferred provider organization providing hospital, medical or dental services must include a program of utilization review. This Section applies to insurers and administrators. (Source: P.…

(215 ILCS 5/370o) (from Ch. 73, par. 982o) Sec. 370o. Emergency Care. Any preferred provider contract, subject to this Article shall provide the beneficiary or insured emergency care coverage such that payment for this coverage is not dependent upon whether such services are perf…

(215 ILCS 5/370p) (from Ch. 73, par. 982p) Sec. 370p. Failure to register. Any administrator subject to this Article who fails to register or pay the fee required by this Article shall be construed to be an unauthorized insurer as defined in Article VII of the "Illinois Insurance…

(215 ILCS 5/370q) (from Ch. 73, par. 982q) Sec. 370q. To the extent of any conflict between this Article and any other statutory provision, this Article prevails over the conflicting provision. Agreements may be entered into under this Article notwithstanding any policy provision…

(215 ILCS 5/370s) Sec. 370s. Managed Care Reform and Patient Rights Act. All administrators shall comply with Sections 55 and 85 of the Managed Care Reform and Patient Rights Act. Except as provided by Section 85 of the Managed Care Reform and Patient Rights Act, no law or rule s…

(215 ILCS 5/370t) Sec. 370t. Drug formulary; notice. All administrators must comply with Section 155.37 of this Code. (Source: P.A. 92-440, eff. 8-17-01.)

(215 ILCS 5/370u) (This Section may contain text from a Public Act with a delayed effective date) Sec. 370u. Hearing care plans and discounted hearing care plans. All administrators of hearing care plans or discounted hearing care plans must comply with Section 356z.88 of this Co…

(215 ILCS 122/5-1) Sec. 5-1. Short title. This Article may be cited as the Illinois Health Benefits Exchange Law. (Source: P.A. 97-142, eff. 7-14-11.)

(215 ILCS 122/5-10) Sec. 5-10. Exchange functions. (a) The Illinois Health Benefits Exchange shall meet the core functions identified by Section 1311 of the Patient Protection and Affordable Care Act and subsequent federal guidance and regulations. (b) In order to meet the deadli…

(215 ILCS 122/5-11) Sec. 5-11. Easy enrollment special enrollment period. (a) The Illinois Health Benefits Exchange shall allow a special enrollment period for an uninsured taxpayer and the uninsured taxpayer's qualified dependents, if applicable, if (1) the uninsured taxpayer re…

(215 ILCS 122/5-15) Sec. 5-15. Illinois Health Benefits Exchange Legislative Study Committee. (a) There is created an Illinois Health Benefits Exchange Legislative Study Committee to conduct a study regarding State implementation and establishment of the Illinois Health Benefits …

(215 ILCS 122/5-20) Sec. 5-20. Committee study. No later than September 30, 2011, the Committee shall report all findings concerning the implementation and establishment of the Illinois Health Benefits Exchange to the executive and legislative branches, including, but not limited…

(215 ILCS 122/5-21) Sec. 5-21. Monthly assessments. (a) The Director of Insurance may apply a monthly assessment to each health benefits plan sold on the Illinois Health Benefits Exchange. The assessment shall be paid by the issuer and to the Department of Insurance and shall be …

(215 ILCS 122/5-22) Sec. 5-22. State medical assistance program coordination. (a) The Department of Insurance and the Department of Healthcare and Family Services shall coordinate the operations of the exchange with the operations of State medical assistance programs. The Departm…

(215 ILCS 122/5-23) Sec. 5-23. Department of Insurance and Department of Healthcare and Family Services authority. (a) The Department of Insurance and the Department of Healthcare and Family Services, in addition to the powers granted under the Illinois Insurance Code and the Ill…

(215 ILCS 122/5-24) Sec. 5-24. Illinois Health Benefits Exchange Advisory Committee. (a) The Director of Insurance shall establish the Illinois Health Benefits Exchange Advisory Committee no later than December 31, 2023. The Illinois Health Benefits Exchange Advisory Committee sh…

(215 ILCS 122/5-25) Sec. 5-25. Federal action. This Law shall be null and void if Congress and the President take action to repeal or replace, or both, Section 1311 of the Affordable Care Act. (Source: P.A. 97-142, eff. 7-14-11.)

(215 ILCS 122/5-3) Sec. 5-3. Legislative intent. The General Assembly finds the health benefits exchanges authorized by the federal Patient Protection and Affordable Care Act represent one of a number of ways in which the State can address coverage gaps and provide individual con…

(215 ILCS 122/5-35) Sec. 5-35. Transfers from the Insurance Producer Administration Fund. During State Fiscal Year 2027 only, at the direction of and upon notification from the Director of Insurance, the State Comptroller shall direct and the State Treasurer shall transfer up to …

(215 ILCS 122/5-5) Sec. 5-5. State health benefits exchange. It is declared that this State, beginning October 1, 2013, in accordance with Section 1311 of the federal Patient Protection and Affordable Care Act, shall establish a State health benefits exchange to be known as the I…

(215 ILCS 5/512-1) (from Ch. 73, par. 1065.59-1) Sec. 512-1. Short Title. This Article shall be known and may be cited as the "Third Party Prescription Program Act". (Source: P.A. 82-1005.)

(215 ILCS 5/512-10) (from Ch. 73, par. 1065.59-10) Sec. 512-10. Failure to Register. Any third party prescription program or administrator which operates without a certificate of registration or fails to register with the Director and pay the fee prescribed by this Article shall …

(215 ILCS 5/512-11) Sec. 512-11. Examination. The Director or the Director's designee may examine any applicant for or holder of an administrator's registration in accordance with Sections 132 through 132.7 of this Code. If the Director or the examiners find that the administrato…