Chapter 215 — INSURANCE

(215 ILCS 97/40) Sec. 40. Guaranteed availability of coverage for employers in the group market. (A) Issuance of coverage in the small group market. (1) In general. Subject to subsections (C) through (F), each health insurance issuer that offers health insurance coverage in the s…

(215 ILCS 97/45) Sec. 45. Exclusion of certain plans. (A) Exception for certain small group health plans. The requirements of this Act shall not apply to any group health plan (and health insurance coverage offered in connection with a group health plan) for any plan year if, on …

(215 ILCS 97/5) Sec. 5. Definitions. "Affiliate" means a person that directly, or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with the person specified. "Beneficiary" has the meaning given such term under Section 3(8) of t…

(215 ILCS 97/50) Sec. 50. Guaranteed renewability of individual health insurance coverage. (A) In general. Except as provided in this Section, a health insurance issuer that provides individual health insurance coverage to an individual shall renew or continue in force such cover…

(215 ILCS 97/60) Sec. 60. Notice requirement. In any case where a health insurance issuer elects to uniformly modify coverage, uniformly terminate coverage, or discontinue coverage in a marketplace in accordance with Sections 30 and 50 of this Act, the issuer shall provide notice…

(215 ILCS 97/85) Sec. 85. (Amendatory provisions; text omitted). (Source: P.A. 90-30, eff. 7-1-97; text omitted.)

(215 ILCS 97/86) Sec. 86. The Small Employer Rating, Renewability and Portability Health Insurance Act is amended by repealing Sections 1, 5, 10, 15, 20, and 55 on July 1, 1998. (Source: P.A. 90-30, eff. 7-1-97.)

(215 ILCS 97/87) Sec. 87. The Small Employer Rating, Renewability and Portability Health Insurance Act is amended by repealing Sections 25, 30, 35, 40, 45, and 50. (Source: P.A. 90-30, eff. 7-1-97.)

(215 ILCS 97/92) Sec. 92. (Amendatory provisions; text omitted). (Source: P.A. 90-30, eff. 7-1-97; text omitted.)

(215 ILCS 97/94) Sec. 94. (Amendatory provisions; text omitted). (Source: P.A. 90-30, eff. 7-1-97; text omitted.)

(215 ILCS 97/96) Sec. 96. (Amendatory provisions; text omitted). (Source: P.A. 90-30, eff. 7-1-97; text omitted.)

(215 ILCS 97/98) Sec. 98. (Amendatory provisions; text omitted). (Source: P.A. 90-30, eff. 7-1-97; text omitted.)

(215 ILCS 97/99) Sec. 99. Effective date. This Act takes effect on July 1, 1997. (Source: P.A. 90-30, eff. 7-1-97.)

(215 ILCS 100/1) (from Ch. 73, par. 1601) Sec. 1. Short title. This Act may be cited as the Reinsurance Intermediary Act. (Source: P.A. 87-108.)

(215 ILCS 100/10) (from Ch. 73, par. 1610) Sec. 10. Licensure. (a) No person, firm, association, or corporation that maintains an office, officer, director, agent, or employee, directly or indirectly, in this State shall act as an intermediary broker unless licensed as an insuran…

(215 ILCS 100/15) (from Ch. 73, par. 1615) Sec. 15. Required contract provisions; reinsurance intermediary brokers. Transactions between an intermediary broker and the insurer it represents in that capacity shall be entered into only under a written contract, specifying the respo…

(215 ILCS 100/20) (from Ch. 73, par. 1620) Sec. 20. Books and records; reinsurance intermediary brokers. (a) For at least 10 years after expiration of each contract of reinsurance transacted by it, the intermediary broker shall keep a complete record for each transaction showing:…

(215 ILCS 100/25) (from Ch. 73, par. 1625) Sec. 25. Duties of insurers utilizing the services of a reinsurance intermediary broker. (a) An insurer shall not engage the services of any person, firm, association, or corporation to act as an intermediary broker on its behalf unless …

(215 ILCS 100/30) (from Ch. 73, par. 1630) Sec. 30. Required contract provisions; reinsurance intermediary managers. Transactions between an intermediary manager and the reinsurer it represents in that capacity shall only be entered into under a written contract specifying the re…

(215 ILCS 100/35) (from Ch. 73, par. 1635) Sec. 35. Books and records; reinsurance intermediary managers. (a) For at least 10 years after expiration of each contract of reinsurance transacted by it, the intermediary manager shall keep a complete record for each transaction showin…

(215 ILCS 100/40) (from Ch. 73, par. 1640) Sec. 40. Prohibited acts. An intermediary manager shall not: (1) Cede retrocessions on behalf of the reinsurer, except that it may cede facultative retrocessions pursuant to obligatory facultative agreements if the contract with the rein…

(215 ILCS 100/45) (from Ch. 73, par. 1645) Sec. 45. Duties of reinsurers utilizing the services of a reinsurance intermediary manager. (a) A reinsurer shall not engage the services of any person, firm, association, or corporation to act as an intermediary manager on its behalf un…

(215 ILCS 100/5) (from Ch. 73, par. 1605) Sec. 5. Definitions. "Actuary" means a person who is a member in good standing of the American Academy of Actuaries. "Controlling person" means any person, firm, association, or corporation that directly or indirectly has the power to dir…

(215 ILCS 100/50) (from Ch. 73, par. 1650) Sec. 50. Examination authority. (a) A reinsurance intermediary shall be subject to examination by the Director. The Director shall have access to all books, bank accounts, and records of the reinsurance intermediary in a form usable to t…

(215 ILCS 100/55) (from Ch. 73, par. 1655) Sec. 55. Penalties and liabilities. (a) If the Director determines that a reinsurance intermediary has not materially complied with this Act or any regulation or Order promulgated hereunder, after notice and opportunity to be heard, the …

(215 ILCS 100/60) (from Ch. 73, par. 1660) Sec. 60. Rules and regulations. The Director may adopt reasonable rules and regulations for the implementation and administration of the provisions of this Act. (Source: P.A. 87-108.)

(215 ILCS 105/1) (from Ch. 73, par. 1301) Sec. 1. Short title. This Act shall be known and may be cited as the Comprehensive Health Insurance Plan Act. (Source: P.A. 84-1478.)

(215 ILCS 105/1.1) (from Ch. 73, par. 1301.1) Sec. 1.1. The General Assembly hereby makes the following findings and declarations: (a) The Comprehensive Health Insurance Plan is established as a State program that is intended to provide an alternate market for health insurance fo…

(215 ILCS 105/10) (from Ch. 73, par. 1310) Sec. 10. Collective action. Participation in the operation of the Plan, the establishment of rates, forms or procedures, or any other joint or collective action required by this Act shall not be the basis of any legal action, criminal or…

(215 ILCS 105/11) (from Ch. 73, par. 1311) Sec. 11. Plan notice. On and after the date the Illinois Comprehensive Health Insurance Plan becomes operational as provided in this Act, every insurer licensed to issue, and which issues for delivery, policies of accident and health ins…

(215 ILCS 105/12) (from Ch. 73, par. 1312) Sec. 12. Deficit or surplus. a. If premiums or other receipts by the Board exceed the amount required for the operation of the Plan, including actual losses and administrative expenses of the Plan, the Board shall direct that the excess …

(215 ILCS 105/13) (from Ch. 73, par. 1313) Sec. 13. Civil actions; availability of remedies; costs; attorney fees. (1) No civil action against the Plan or Board shall be allowed unless the party commencing the action has first filed a grievance and received a final decision there…

(215 ILCS 105/14) (from Ch. 73, par. 1314) Sec. 14. Confidentiality. (a) All steps necessary under State and Federal law to protect confidentiality of applicants and covered persons shall be undertaken by the Board to prevent the identification of individual records of persons co…

(215 ILCS 105/14.05) (This Section was renumbered as Section 15 in P.A. 97-333.) Sec. 14.05. (Renumbered). (Source: P.A. 95-331, eff. 8-21-07. Renumbered by P.A. 97-333, eff. 8-12-11.)

(215 ILCS 105/15) Sec. 15. Alternative portable coverage for federally eligible individuals. (a) Notwithstanding the requirements of subsection a of Section 7 and except as otherwise provided in this Section, any federally eligible individual for whom a Plan application, and such…

(215 ILCS 105/16) Sec. 16. Cessation of operations. (a) Except as otherwise provided in this Section, the insurance operations of the Plan authorized by this Act shall cease on December 31, 2021. (b) Coverage under the Plan does not apply to services provided on or after January …

(215 ILCS 105/17) Sec. 17. Transfer of the Illinois Comprehensive Health Insurance Plan. (a) Upon entry of an Order of Rehabilitation or Liquidation against the Plan all powers, duties, rights, and responsibilities of the Plan and the Board shall be transferred to and vested in t…

(215 ILCS 105/2) (from Ch. 73, par. 1302) Sec. 2. Definitions. As used in this Act, unless the context otherwise requires: "Plan administrator" means the insurer or third party administrator designated under Section 5 of this Act. "Benefits plan" means the coverage to be offered …

(215 ILCS 105/3) (from Ch. 73, par. 1303) Sec. 3. Operation of the Plan. a. There is hereby created an Illinois Comprehensive Health Insurance Plan. b. The Plan shall operate subject to the supervision and control of the Board. The Board is created as a political subdivision and …

(215 ILCS 105/4) (from Ch. 73, par. 1304) Sec. 4. Powers and authority of the board. The board shall have the general powers and authority granted under the laws of this State to insurance companies licensed to transact health and accident insurance and in addition thereto, the s…

(215 ILCS 105/5) (from Ch. 73, par. 1305) Sec. 5. Plan administrator. a. The Board shall select a Plan administrator through a competitive bidding process to administer the Plan. The Board shall evaluate bids submitted under this Section based on criteria established by the Board…

(215 ILCS 105/6) (from Ch. 73, par. 1306) Sec. 6. Contents of Plan. The Plan shall include, but is not limited to, the following: a. Schedules of premiums and benefits, limitations, exclusions, deductibles, coinsurance payments, and other policy terms and conditions established i…

(215 ILCS 105/7) (from Ch. 73, par. 1307) Sec. 7. Eligibility. a. Except as provided in subsection (e) of this Section or in Section 15 of this Act, any person who is either a citizen of the United States or an individual lawfully admitted for permanent residence and who has been…

(215 ILCS 105/7.1) Sec. 7.1. Premiums. (a) The Board shall establish premium rates for coverage as provided in subsection (d) of this Section. (b) Separate schedules of premium rates based on sex, age, geographical location, and benefit plan shall apply for individual risks. (c) …

(215 ILCS 105/8) (from Ch. 73, par. 1308) Sec. 8. Minimum benefits. a. Availability. The Plan shall offer in a periodically renewable policy major medical expense coverage to every eligible person who is not eligible for Medicare. Major medical expense coverage offered by the Pla…

(215 ILCS 105/8.5) Sec. 8.5. (Repealed). (Source: P.A. 89-514, eff. 7-17-96. Repealed by P.A. 91-639, eff. 8-20-99.)

(215 ILCS 105/8.6) Sec. 8.6. Managed Care Reform and Patient Rights Act. The Plan is subject to the provisions of the Managed Care Reform and Patient Rights Act. (Source: P.A. 91-617, eff. 1-1-00.)

(215 ILCS 105/8.7) Sec. 8.7. Drug formulary; notice. The Plan must comply with Section 155.37 of the Illinois Insurance Code. (Source: P.A. 92-440, eff. 8-17-01.)

(215 ILCS 105/9) (from Ch. 73, par. 1309) Sec. 9. Taxation. The Plan and the Board established pursuant to this Act shall be exempt from payment of all fees and all taxes levied by the State or any of its subdivisions. (Source: P.A. 85-702.)

(215 ILCS 105/99) Sec. 99. This Act takes effect July 1, 1987. (Source: P.A. 97-333, eff. 8-12-11.)