Chapter 215 — INSURANCE

(215 ILCS 5/511.113) (from Ch. 73, par. 1065.58-113) (Section scheduled to be repealed on January 1, 2027) Sec. 511.113. Unauthorized Activities. Nothing in this Article shall be construed to permit any person or entity to receive, or collect charges, contributions or premiums fo…

(215 ILCS 5/511.114) (Section scheduled to be repealed on January 1, 2027) Sec. 511.114. 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(215 ILCS 5/511.118) (Section scheduled to be repealed on January 1, 2027) Sec. 511.118. Managed Care Reform and Patient Rights Act. All administrators are subject to the provisions of Sections 55 and 85 of the Managed Care Reform and Patient Rights Act. (Source: P.A. 91-617, eff…

(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…

(215 ILCS 5/512-2) (from Ch. 73, par. 1065.59-2) Sec. 512-2. Purpose. It is hereby determined and declared that the purpose of this Article is to regulate certain practices engaged in by third-party prescription program administrators. (Source: P.A. 82-1005.)

(215 ILCS 5/512-3) (from Ch. 73, par. 1065.59-3) Sec. 512-3. Definitions. For the purposes of this Article, unless the context otherwise requires, the terms defined in this Article have the meanings ascribed to them herein: "Health care payer" means an insurance company, health m…

(215 ILCS 5/512-4) (from Ch. 73, par. 1065.59-4) Sec. 512-4. Registration. All third party prescription programs and administrators doing business in the State shall register with the Director of Insurance. The Director shall promulgate regulations establishing criteria for regis…

(215 ILCS 5/512-5) (from Ch. 73, par. 1065.59-5) Sec. 512-5. Fiduciary and Bonding Requirements. A third party prescription program administrator shall (1) establish and maintain a fiduciary account, separate and apart from any and all other accounts, for the receipt and disburse…

(215 ILCS 5/512-6) (from Ch. 73, par. 1065.59-6) Sec. 512-6. Notice. Notice of any change in the terms of a third party prescription program, including but not limited to drugs covered, reimbursement rates, co-payments, and dosage quantity, shall be given to each enrolled pharmac…

(215 ILCS 5/512-7) (from Ch. 73, par. 1065.59-7) Sec. 512-7. Contractual provisions. (a) Any agreement or contract entered into in this State between the administrator of a program and a pharmacy shall include a statement of the method and amount of reimbursement to the pharmacy …

(215 ILCS 5/512-8) (from Ch. 73, par. 1065.59-8) Sec. 512-8. Cancellation procedures. (a) The administrator of a program shall notify all pharmacies enrolled in the program of any cancellation of the coverage of benefits of any group enrolled in the program at least 30 days prior…

(215 ILCS 5/512-9) (from Ch. 73, par. 1065.59-9) Sec. 512-9. Denial of Payment. (a) No administrator shall deny payment to any pharmacy for covered pharmaceutical services or prescription drug products rendered as a result of the misuse, fraudulent or illegal use of an identifica…

(215 ILCS 5/513a1) (from Ch. 73, par. 1065.60a1) Sec. 513a1. Scope of Article. (a) Except as provided in subsection (b), this Article applies to all persons engaged in the business of financing insurance premiums, entering into premium finance agreements, or otherwise acquiring p…

(215 ILCS 5/513a10) (from Ch. 73, par. 1065.60a10) Sec. 513a10. Maximum service charge. (a) No service charge shall be made for financing premiums other than as permitted by this Article. (b) The service charge is to be computed on the principal balance from the effective date of…

(215 ILCS 5/513a11) (from Ch. 73, par. 1065.60a11) Sec. 513a11. Cancellation requirements upon default. (a) When a premium finance agreement contains a power of attorney enabling the premium finance company to cancel any insurance contract or contracts listed in the premium finan…

(215 ILCS 5/513a12) (from Ch. 73, par. 1065.60a12) Sec. 513a12. Books and records. (a) Until payment in full and 3 years thereafter every licensee shall maintain each premium finance agreement or duplicate originals thereof and all original documents relating thereto (except thos…

(215 ILCS 5/513a13) Sec. 513a13. Electronic delivery of notices and documents. (a) As used in this Section: "Delivered by electronic means" includes: (1) delivery to an electronic mail address at which a party has consented to receive notices or documents; or (2) posting on an el…

(215 ILCS 5/513a2) (from Ch. 73, par. 1065.60a2) Sec. 513a2. Definitions. (a) "Accepted agreement" means a premium finance agreement deemed to be accepted by a premium finance company when a binder number or policy number is provided for each policy premium listed on the premium …

(215 ILCS 5/513a3) (from Ch. 73, par. 1065.60a3) Sec. 513a3. License required. (a) No person may act as a premium finance company or hold himself out to be engaged in the business of financing insurance premiums, either directly or indirectly, without first having obtained a lice…

(215 ILCS 5/513a4) (from Ch. 73, par. 1065.60a4) Sec. 513a4. Application and license. (a) Each application for a premium finance license shall be made on a form specified by the Director and shall be signed by the applicant declaring under penalty of refusal, suspension, or revoc…

(215 ILCS 5/513a5) (from Ch. 73, par. 1065.60a5) Sec. 513a5. Insurance Producer Administration Fund. All fees and penalties paid to and collected by the Director under this Article shall be paid promptly after receipt, together with a detailed statement of the fees, into the Insu…

(215 ILCS 5/513a6) (from Ch. 73, par. 1065.60a6) Sec. 513a6. Felony convictions. Any person or authorized member of a partnership or corporation who, while licensed as a premium finance company, is convicted of a felony shall report the conviction to the Director within 30 days o…

(215 ILCS 5/513a7) (from Ch. 73, par. 1065.60a7) Sec. 513a7. License suspension; revocation or denial. (a) Any license issued under this Article may be suspended, revoked, or denied if the Director finds that the licensee or applicant: (1) has wilfully violated any provisions of …

(215 ILCS 5/513a8) (from Ch. 73, par. 1065.60a8) Sec. 513a8. Examinations. (a) The Director may examine any applicant for or holder of a premium finance license. (b) All persons being examined, as well as their officers and directors, shall provide to the Director convenient and …

(215 ILCS 5/513a9) (from Ch. 73, par. 1065.60a9) Sec. 513a9. Premium finance agreement. (a) A premium finance agreement must be dated and signed by or on behalf of the named insured, and the printed portion shall be in at least 8-point type. The following items must be set forth …

(215 ILCS 5/513b1) Sec. 513b1. Pharmacy benefit manager contracts. (a) As used in this Article: "340B drug discount program" means the program established under Section 340B of the federal Public Health Service Act, 42 U.S.C. 256b. "340B entity" means a covered entity as defined …

(215 ILCS 5/513b1.1) Sec. 513b1.1. Pharmacy benefit manager reporting requirements. (a) A pharmacy benefit manager that provides services for a health benefit plan must submit an annual report no later than September 1, to the Department, each health benefit plan sponsor, and eac…

(215 ILCS 5/513b2) Sec. 513b2. Licensure requirements. (a) Beginning on July 1, 2020, to conduct business in this State, a pharmacy benefit manager must register with the Director. To initially register or renew a registration, a pharmacy benefit manager shall submit: (1) A nonre…

(215 ILCS 5/513b3) Sec. 513b3. Examination. (a) The Director, or his or her designee, may examine a registered pharmacy benefit manager related to all of its lines of business, including government programs, under the Director's jurisdiction in accordance with Sections 132-132.7.…

(215 ILCS 5/513b4) Sec. 513b4. Denial, revocation, or suspension of registration; administrative fines. (a) Denial of an application or suspension or revocation of a registration in accordance with this Section shall be by written order sent to the applicant or registrant by cert…

(215 ILCS 5/513b5) Sec. 513b5. Failure to register. Any pharmacy benefit manager that operates without a registration or fails to register with the Director and pay the fee prescribed by this Article is an unauthorized insurer as defined in Article VII of this Code and shall be s…

(215 ILCS 5/513b6) Sec. 513b6. Insurance Producer Administration Fund. All fees and fines paid to and collected by the Director under this Article shall be paid promptly after receipt thereof, together with a detailed statement of such fees, into the Insurance Producer Administra…

(215 ILCS 5/513b7) Sec. 513b7. Pharmacy audits. (a) As used in this Section: "Audit" means any physical on-site, remote electronic, or concurrent review of a pharmacist or pharmacy service submitted to the pharmacy benefit manager or pharmacy benefit manager affiliate by a pharma…

(215 ILCS 5/52) (from Ch. 73, par. 664) (Section scheduled to be repealed on January 1, 2027) Sec. 52. Voluntary surrender of articles of incorporation. At any time prior to the issuance of the certificate of authority to the company the articles of incorporation may be voluntari…

(215 ILCS 5/522) (from Ch. 73, par. 1065.69) Sec. 522. Purpose. This article is to make basic property insurance increasingly available to the citizens of this State, and to deter the insurance industry from geographically redlining urban areas of this State by requiring the rest…

(215 ILCS 5/523) (from Ch. 73, par. 1065.70) Sec. 523. Definitions.) (1) "Basic Property Insurance" means the coverage against direct loss to real or tangible personal property at a fixed location provided in the Standard Fire Policy and Extended Coverage Endorsement and such van…

(215 ILCS 5/524) (from Ch. 73, par. 1065.71) Sec. 524. FAIR Plan Procedure. (1) Any person having an insurable interest in real or tangible personal property at a fixed location in an urban area who, after diligent effort has been unable to obtain basic property insurance, as evi…

(215 ILCS 5/525) (from Ch. 73, par. 1065.72) Sec. 525. Industry Placement Program.) (1) Within 30 days after the effective date of this Article, all insurers engaged in writing in this State, on a direct basis, basic property insurance or any property insurance component in multi…

(215 ILCS 5/525.1) (from Ch. 73, par. 1065.72-1) Sec. 525.1. Centralized Operations Authorized.) (1) The Industry Placement Facility is authorized, for FAIR Plan purposes only, to issue policies of insurance and endorsements thereto in its own name or a trade name duly adopted fo…

(215 ILCS 5/525.2) (from Ch. 73, par. 1065.72-2) Sec. 525.2. Premium financing. In the event the Industry Placement Facility accepts premium payments from licensed premium financing companies and whenever a financed FAIR Plan insurance contract is cancelled in accordance with Sec…

(215 ILCS 5/525.3) (from Ch. 73, par. 1065.72-3) Sec. 525.3. Approval of Rates. In the event that the Industry Placement Facility proposes to issue policies of insurance or endorsements thereto pursuant to subsection (1) of Section 525.1, the Facility shall file for approval with…

(215 ILCS 5/525.4) (from Ch. 73, par. 1965.72-4) Sec. 525.4. Application for Coverage of Risks by the Facility. (1) In the event that the Industry Placement Facility proposes to issue policies of insurance or endorsements thereto pursuant to subsection (1) of Section 525.1, the F…

(215 ILCS 5/527) (from Ch. 73, par. 1065.74) Sec. 527. Right to appeal. (1) Any applicant or affected insurer has the right of appeal to the Governing Committee. A decision of the Committee may be appealed to the Director within 30 days after such decision. (2) All orders or deci…

(215 ILCS 5/528) (from Ch. 73, par. 1065.75) Sec. 528. Inspection reports. There is no liability on the part of, and no cause of action against insurers, the Inspection Bureau, the Facility, the Association, the Governing Committee, their agents or employees, or the Director or h…

(215 ILCS 5/529) (from Ch. 73, par. 1065.76) Sec. 529. Illinois Insurance Development Fund. (a) A trust fund is created to be known as the "Illinois Insurance Development Fund" to be administered by the State Treasurer as a special trust fund. The purpose is to provide financial …

(215 ILCS 5/529.1) (from Ch. 73, par. 1065.76-1) Sec. 529.1. Reimbursement of the Secretary. The Fund shall reimburse the Secretary of the Department of Housing and Urban Development (hereinafter referred to as "the Secretary") under the provisions of Section 1223(a) (1) of the U…

(215 ILCS 5/529.2) (from Ch. 73, par. 1065.76-2) Sec. 529.2. Making of assessments. Whenever the Secretary shall, in accordance with the Act, present to the State a request for reimbursement under the Act, the Fund shall immediately assess all companies which, during the calendar…

(215 ILCS 5/529.3) (from Ch. 73, par. 1065.76-3) Sec. 529.3. Insolvency. In the event any company fails, by reason of insolvency, to pay any assessment, the Fund shall cause the reimbursement ratios, computed under Section 529.2, to be immediately recalculated, excluding therefro…