Chapter 215 — INSURANCE

(215 ILCS 109/50) Sec. 50. Point-of-service plans. (a) If an employer who has 25 or more employees and contributes 25% or more to the cost of the dental benefit plan coverage to employees and the only dental plan coverage being offered requires enrollees to select a primary care …

(215 ILCS 109/55) Sec. 55. Private cause of action; existing remedies. This Act and rules adopted under this Act do not: (1) provide a private cause of action for damages or create a standard of care, obligation, or duty that provides a basis for a private cause of action for dam…

(215 ILCS 109/60) Sec. 60. Record of complaints. (a) The Department shall maintain records concerning the complaints filed against the plan with the Department. The Department shall make a summary of all data collected available upon request and publish the summary on the World W…

(215 ILCS 109/65) Sec. 65. Administration of Act. The Director may adopt rules necessary to implement the Department's responsibility under this Act. To enforce the provisions of this Act, the director may issue a cease and desist order or require a managed care dental plan to su…

(215 ILCS 109/70) Sec. 70. Retaliation prohibited. A managed care dental plan may not take any retaliatory actions, including cancellation or refusal to renew a policy, against an employer or enrollee solely because the employer or enrollee has filed complaints with the plan or a…

(215 ILCS 109/75) Sec. 75. Application of other law. (a) All provisions of this Act and other applicable law that are not in conflict with this Act shall apply to managed care dental plans and other persons subject to this Act. To the extent that any provision of this Act or rule…

(215 ILCS 109/80) Sec. 80. Limitations on indemnification provisions. No contract between a managed care dental plan and a provider may require that the provider indemnify the managed care dental plan for the Plan's, or its officers, employees, or agents, negligence, willful misc…

(215 ILCS 109/85) Sec. 85. Severability. The provisions of this Act are severable under Section 1.31 of the Statute on Statutes. (Source: P.A. 91-355, eff. 1-1-00.)

(215 ILCS 110/1) (from Ch. 32, par. 690.1) Sec. 1. This Act may be cited as the Dental Service Plan Act. (Source: P.A. 86-1475.)

(215 ILCS 110/10) (from Ch. 32, par. 690.10) Sec. 10. "Participating dentist" means a dentist licensed in Illinois to practice dentistry, and who, by written agreement with a dental service plan corporation undertakes to furnish dental service to the plan's subscribers and their …

(215 ILCS 110/11) (from Ch. 32, par. 690.11) Sec. 11. "Director" means the Director of Insurance of the State of Illinois. (Source: Laws 1965, p. 2179.)

(215 ILCS 110/12) (from Ch. 32, par. 690.12) Sec. 12. All masculine pronouns may import the masculine, feminine or neuter gender. (Source: Laws 1965, p. 2179.)

(215 ILCS 110/13) (from Ch. 32, par. 690.13) Sec. 13. "Person" means any of the following: natural person, corporation, co-partnership or association of persons. (Source: Laws 1965, p. 2179.)

(215 ILCS 110/14) (from Ch. 32, par. 690.14) Sec. 14. "Geographic area" means an area consisting of 2 or more contiguous counties, except that a county having more than 500,000 inhabitants may be a geographic area. (Source: Laws 1965, p. 2179.)

(215 ILCS 110/15) (from Ch. 32, par. 690.15) Sec. 15. It is unlawful for any person, except a dental service plan corporation chartered in accordance with the provisions of this Act and operating in accordance with authority from the Director, to establish, maintain or operate a …

(215 ILCS 110/15.1) (from Ch. 32, par. 690.15a) Sec. 15.1. No new plans may be chartered. No dental service plan shall be issued a charter for the purpose of doing business under this Act after the effective date of this Amendatory Act of 1989. (Source: P.A. 86-600.)

(215 ILCS 110/16) (from Ch. 32, par. 690.16) Sec. 16. Nine or more natural persons of legal age, all of whom are residents of Illinois and citizens of the United States, and at least a majority of whom are dentists licensed in Illinois to practice dentistry, may form, under the p…

(215 ILCS 110/17) (from Ch. 32, par. 690.17) Sec. 17. The business and affairs of a dental service plan corporation shall be managed by a board of trustees, which shall have the power to adopt and to amend, from time to time, by-laws governing the conduct of the corporation's bus…

(215 ILCS 110/18) (from Ch. 32, par. 690.18) Sec. 18. A dental service plan corporation may, in the discretion of its board of trustees, through its by-laws, limit or define the classes of persons who shall be eligible to become subscribers, limit and define the benefits which it…

(215 ILCS 110/19) (from Ch. 32, par. 690.19) Sec. 19. Every dentist licensed in Illinois to practice dentistry, and who is reputable and in good standing, shall be eligible to become a participating dentist in the dental service plan corporation operating in the geographic area i…

(215 ILCS 110/2) (from Ch. 32, par. 690.2) Sec. 2. For the purpose of this Act, the terms set forth in Sections 3 through 14, inclusive, have the respective meanings specified therein, unless different meanings are plainly indicated by the context. (Source: Laws 1965, p. 2179.)…

(215 ILCS 110/20) (from Ch. 32, par. 690.20) Sec. 20. The charter of a dental service plan corporation shall set forth: (a) The corporate name; (b) The location of its principal office and the name and address of its registered agent; (c) The period of duration, which may be perp…

(215 ILCS 110/21) (from Ch. 32, par. 690.21) Sec. 21. Prior to the issuance of a charter to any such corporation, the following information shall be furnished to the Director: (a) The occupation, qualifications and place of residence and professional or business address, if any, …

(215 ILCS 110/22) (from Ch. 32, par. 690.22) Sec. 22. Amendments to a charter shall be made by application to the Director and shall be subject to his approval. Amendments to a charter having the effect of adding one or more additional counties in which the dental service plan co…

(215 ILCS 110/23) (from Ch. 32, par. 690.23) Sec. 23. After the issuance of a charter, the Director, as he deems in the public interest, may authorize a dental service plan corporation to solicit and fulfill contracts, or require a dental service plan corporation to charge rates …

(215 ILCS 110/24) (from Ch. 32, par. 690.24) Sec. 24. The Director may revoke or amend, after reasonable notice and hearing, any charter, certificate, order, authority or consent made by him to a dental service plan corporation on being satisfied (1) that the further solicitation…

(215 ILCS 110/25) (from Ch. 32, par. 690.25) Sec. 25. Application of Insurance Code provisions. Dental service plan corporations and all persons interested therein or dealing therewith shall be subject to the provisions of Articles IIA, XI, and XII 1/2 and Sections 3.1, 133, 136,…

(215 ILCS 110/26) (from Ch. 32, par. 690.26) Sec. 26. Examination of corporations. The Director shall have, with respect to dental service plan corporations, the powers of examination conferred upon him relative to insurance companies by Sections 132 through 132.7 of the Illinois…

(215 ILCS 110/27) (from Ch. 32, par. 690.27) Sec. 27. No dental service plan corporation shall enter into any contract with a subscriber until it has filed with the Director a schedule of rates to be paid by a subscriber to each type of contract, and the Director has approved the…

(215 ILCS 110/27.1) Sec. 27.1. Reinsurance agreement; filing. A dental service plan may enter into reinsurance agreements for dental service. Any reinsurance agreement shall be subject to the provisions of the laws of this State regarding reinsurance as provided in Article XI of …

(215 ILCS 110/28) (from Ch. 32, par. 690.28) Sec. 28. No subscription certificate shall be issued by any dental service plan corporation until the form thereof has been filed with and approved by the Director, together with all applications, riders and endorsements for use in con…

(215 ILCS 110/29) (from Ch. 32, par. 690.29) Sec. 29. Every subscription certificate made by a dental service plan corporation shall provide for the payment for dental services as therein specified for a period of 12 months from the date of issue of the subscription certificate. …

(215 ILCS 110/3) (from Ch. 32, par. 690.3) Sec. 3. "Dental service plan corporation" means a corporation organized under the terms of this Act for the sole and specific purpose of establishing and operating a dental service plan. (Source: Laws 1965, p. 2179.)

(215 ILCS 110/30) (from Ch. 32, par. 690.30) Sec. 30. Every contract entered into between a dental service plan corporation and a subscriber shall be in writing and a certificate stating the terms and conditions thereof shall be furnished the subscriber. No such subscription cert…

(215 ILCS 110/30.1) (from Ch. 32, par. 690.30-1) Sec. 30.1. (1) No service plan contract of a dental service plan corporation which in addition to covering the subscriber, also covers members of the subscriber's immediate family, shall contain any disclaimer, waiver or other limi…

(215 ILCS 110/30.2) (from Ch. 32, par. 690.30-2) Sec. 30.2. Medical Assistance Exclusions Prohibited. No service plan contract delivered, issued for delivery, renewed, or amended by a dental service plan corporation shall contain any provision which limits or excludes payments of…

(215 ILCS 110/30.3) (from Ch. 32, par. 690.30-3) Sec. 30.3. Medical Assistance Exclusions Void. Any provision contained in a service plan contract issued by a dental service plan corporation which limits or excludes payments of hospital or medical benefits or both to or on behalf…

(215 ILCS 110/31) (from Ch. 32, par. 690.31) Sec. 31. In every such subscription certificate, referred to in Section 30: (a) All printed portions shall be plainly printed in type of which the face is not smaller than 10 point; (b) There shall be a brief description of the subscri…

(215 ILCS 110/32) (from Ch. 32, par. 690.32) Sec. 32. A dental service plan corporation may enter into agreements with dentists qualified as set forth herein, under which such dentists become participating dentists in a plan operated by the corporation. Such corporation may make …

(215 ILCS 110/32.1) (from Ch. 32, par. 690.32-1) Sec. 32.1. All claims payable in the form of indemnities under the terms of a service plan contract or subscription certificate shall be paid within 30 days following receipt by the corporation of due proof of loss. A dental servic…

(215 ILCS 110/33) (from Ch. 32, par. 690.33) Sec. 33. No corporation subject to the provisions of this Act shall, except upon the approval of the Director, disburse during any one calendar year more than 10% of the aggregate amount of payments received from subscribers during tha…

(215 ILCS 110/34) (from Ch. 32, par. 690.34) Sec. 34. No such corporation shall disburse during any one year, except upon the approval of the Director, a sum greater than 20% of payments received from subscribers during that year, as administrative expenses. The term "administrat…

(215 ILCS 110/35) (from Ch. 32, par. 690.35) Sec. 35. Investments; reserves; deficiencies. (a) The funds of any dental service plan corporation may be invested only in accordance with the requirements provided by law for the investment of funds of life insurance companies. (b) As…

(215 ILCS 110/36) Sec. 36. (Repealed). (Source: Laws 1965, p. 2179. Repealed by P.A. 97-486, eff. 1-1-12.)

(215 ILCS 110/37) Sec. 37. (Repealed). (Source: Laws 1965, p. 2179. Repealed by P.A. 97-486, eff. 1-1-12.)

(215 ILCS 110/38) (from Ch. 32, par. 690.38) Sec. 38. To the extent that the same are applicable and not inconsistent with the provisions of this Act, all proceedings for the rehabilitation, liquidation, conservation or dissolution of dental service plan corporations shall be sub…

(215 ILCS 110/38.1) Sec. 38.1. Illinois Insurance Code provisions. Every dental service plan corporation shall comply with Section 370a of the Illinois Insurance Code. (Source: P.A. 104-98, eff. 1-1-26.)

(215 ILCS 110/39) (from Ch. 32, par. 690.39) Sec. 39. Every dental service plan corporation shall pay to the Director the fees and charges set forth in Sections 408 and 408.2 of the Illinois Insurance Code. (Source: P.A. 84-989.)

(215 ILCS 110/4) (from Ch. 32, par. 690.4) Sec. 4. "Dental service plan" means a plan or system under which dental service may be rendered to a subscriber or other beneficiary by a duly licensed dentist, at the expense of a dental service plan corporation, in consideration of pre…

(215 ILCS 110/40) (from Ch. 32, par. 690.40) Sec. 40. Every dental service plan corporation shall, at the written request of a subscriber, furnish a list of the names and addresses of all of the dentists in the geographic area of the subscriber's residence who have agreements wit…