Chapter 215, INSURANCE

(215 ILCS 125/5-10) Sec. 5-10. Health maintenance organizations; revenue data. (a) No health maintenance organization shall pass the cost of the assessment imposed pursuant to Article V-H of the Illinois Public Aid Code on to consumers as a discrete addition to their premiums. (b…

(215 ILCS 125/5-2) (from Ch. 111 1/2, par. 1410) Sec. 5-2. Rules and regulations or licensing of producers. The Director may promulgate such reasonable rules and regulations as are necessary to provide for the licensing of producers. (Source: P.A. 85-20.)

(215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2) (Text of Section from P.A. 104-531) Sec. 5-3. Illinois Insurance Code provisions. (a) Health Maintenance Organizations shall be subject to the provisions of Sections 133, 134, 136, 137, 139, 140, 141.1, 141.2, 141.3, 143, 143.31,…

(215 ILCS 125/5-3.1) Sec. 5-3.1. Access to obstetrical and gynecological care. Health maintenance organizations are subject to the provisions of Section 356r of the Illinois Insurance Code. (Source: P.A. 103-718, eff. 7-19-24.)

(215 ILCS 125/5-3.5) Sec. 5-3.5. Illinois Health Insurance Portability and Accountability Act. The provisions of this Act are subject to the Illinois Health Insurance Portability and Accountability Act as provided in Section 15 of that Act. (Source: P.A. 90-30, eff. 7-1-97.)…

(215 ILCS 125/5-3.6) Sec. 5-3.6. Managed Care Reform and Patient Rights Act. Health maintenance organizations are subject to the provisions of the Managed Care Reform and Patient Rights Act. (Source: P.A. 91-617, eff. 1-1-00.)

(215 ILCS 125/5-4) (from Ch. 111 1/2, par. 1412) Sec. 5-4. Examination of affairs and quality of services by the Director; books and records. The Director shall have with respect to health maintenance organizations the powers of examination conferred upon him relative to Sections…

(215 ILCS 125/5-5) (from Ch. 111 1/2, par. 1413) Sec. 5-5. Suspension, revocation, or denial of certification of authority. The Director may suspend or revoke any certificate of authority issued to a health maintenance organization under this Act or deny an application for a cert…

(215 ILCS 125/5-6) (from Ch. 111 1/2, par. 1414) Sec. 5-6. Supervision of rehabilitation, liquidation or conservation by the Director. (a) For purposes of the rehabilitation, liquidation or conservation of a health maintenance organization, the operation of a health maintenance o…

(215 ILCS 125/5-7) (from Ch. 111 1/2, par. 1415) Sec. 5-7. Rules and regulations to carry out provisions of Act. The Director may, after notice and hearing, promulgate reasonable rules and regulations as are necessary and proper to: (1) Establish minimum coverage standards for ba…

(215 ILCS 125/5-7.1) (from Ch. 111 1/2, par. 1415.1) Sec. 5-7.1. No health care plan shall include any provision which shall have the effect of denying coverage to or on behalf of an enrollee under such plan on the basis of a failure by the enrollee to file a notice of claim with…

(215 ILCS 125/5-8) (from Ch. 111 1/2, par. 1416) Sec. 5-8. Grounds for denial, suspension or revocation of certificate of authority-Hearing-Review under Administrative Review Law. (a) When the Director has cause to believe that grounds for the denial of an application for a certi…

(215 ILCS 125/5-9) (from Ch. 111 1/2, par. 1417) Sec. 5-9. Violations-Class B misdemeanor-Cease and desist order. (a) Any organization which violates this Act shall be guilty of a Class B misdemeanor. (b) The Director may issue to any organization subject to this Act, a cease and…

(215 ILCS 107/5.05) Sec. 5.05. Accredited state. "Accredited state" means a state in which the insurance regulatory agency has qualified as meeting the minimum financial regulatory standards promulgated and established from time to time by the National Association of Insurance Co…

(215 ILCS 107/5.10) Sec. 5.10. Captive Insurer. "Captive insurer" is defined as in Section 123C-1 of the Illinois Insurance Code. (Source: P.A. 87-1090.)

(215 ILCS 107/5.15) Sec. 5.15. Control or controlled. "Control" or "controlled" has the meaning ascribed thereto in Article VIII 1/2 of the Illinois Insurance Code. (Source: P.A. 87-1090.)

(215 ILCS 107/5.20) Sec. 5.20. Controlled insurer. "Controlled insurer" means a licensed insurer that is controlled directly or indirectly by a producer. (Source: P.A. 87-1090.)

(215 ILCS 107/5.25) Sec. 5.25. Controlling producer. "Controlling producer" means a producer that directly or indirectly controls an insurer. (Source: P.A. 87-1090.)

(215 ILCS 107/5.30) Sec. 5.30. Licensed insurer or insurer. "Licensed insurer" or "insurer" means any person, firm, association, or corporation duly licensed to transact a property or casualty insurance business in this State except that, for the purposes of this Act, the followi…

(215 ILCS 107/5.35) Sec. 5.35. Producer. "Producer" means any person, firm, association, or corporation that for compensation, commission, or other thing of value acts or aids in any manner in soliciting, negotiating, or procuring the making of any insurance contract on behalf of…

(215 ILCS 107/5.40) Sec. 5.40. Director. "Director" means the Director of the Department of Insurance. (Source: P.A. 87-1090.)

(215 ILCS 5/5.5) Sec. 5.5. Compliance with the Department of Healthcare and Family Services. A company authorized to do business in this State or accredited by the State to issue policies of health insurance, including but not limited to, self-insured plans, group health plans (a…

(215 ILCS 124/50) Sec. 50. Funds for enforcement. Moneys from fines and penalties collected from issuers for violations of this Act shall be deposited into the Insurance Producer Administration Fund for appropriation by the General Assembly to the Department to be used for provid…

(215 ILCS 5/50) (from Ch. 73, par. 662) (Section scheduled to be repealed on January 1, 2037) Sec. 50. Authority to solicit subscriptions to surplus. (1) Upon the approval of the articles of incorporation by the Director he shall issue to the company a permit which shall expire a…

(215 ILCS 215/50) Sec. 50. Severability. If any provision of this Act or its application to any person or circumstance is held invalid, the invalidity of that provision or application does not affect other provisions or applications of this Act that can be given effect without th…

(215 ILCS 200/50) Sec. 50. Review of prior authorization requirements. A health insurance issuer shall periodically review its prior authorization requirements and consider removal of prior authorization requirements: (1) where a medication or procedure prescribed is customary an…

(215 ILCS 180/50) Sec. 50. Approval of independent review organizations. (a) The Director shall approve independent review organizations eligible to be assigned to conduct external reviews under this Act. (b) In order to be eligible for approval by the Director under this Section…

(215 ILCS 134/50) Sec. 50. Administrative complaints and Departmental review. (a) Administrative complaint process. (1) A health care plan shall accept and review appeals of its determinations and complaints related to administrative issues initiated by enrollees or their health …

(215 ILCS 161/50) (This Section may contain text from a Public Act with a delayed effective date) Sec. 50. Prohibition on a security interest. A vision care organization shall not require an eye care provider to establish a security interest in any property or assets of the eye c…

(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 106/50) Sec. 50. Program evaluation. The Department shall conduct 2 evaluations of the effectiveness of the program implemented under this Act. The first evaluation shall be for the first 6 full months of implementation, and the evaluation shall be completed within 90 d…

(215 ILCS 152/50) Sec. 50. Examinations and enforcement provisions. (a) The Director may conduct examinations of service contract providers, administrators, or other persons to enforce this Act and protect service contract holders in this State. Upon request of the Director, a se…

(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 159/50) Sec. 50. Prohibited practices. (a) It is a violation of this Act for any person to enter into a viatical settlement contract prior to the application of or issuance of a policy that is the subject of the viatical settlement contract. It is a violation of this Ac…

(215 ILCS 157/50) Sec. 50. Sale of policy term information by consumer reporting agency. (a) No consumer reporting agency shall provide or sell data or lists that include any information that in whole or in part was submitted in conjunction with an insurance inquiry about a consu…

(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 113/50) Sec. 50. Grounds for removal of eligibility; order; hearing; review. (a) Any registration issued under this Act may be revoked or an application for registration may be denied if the Director finds that the lessor or applicant: (1) has willfully violated any pro…

(215 ILCS 220/500) Sec. 500. (Amendatory provisions; text omitted). (Source: P.A. 104-568, eff. 1-1-28; text omitted.)

(215 ILCS 5/500-10) (Section scheduled to be repealed on January 1, 2037) Sec. 500-10. Definitions. In addition to the definitions in Section 2 of the Code, the following definitions apply to this Article: "Business entity" means a corporation, association, partnership, limited l…

(215 ILCS 5/500-100) (Section scheduled to be repealed on January 1, 2037) Sec. 500-100. Limited lines producer license. (a) An individual who is at least 18 years of age and whom the Director considers to be competent, trustworthy, and of good business reputation may obtain a li…

(215 ILCS 5/500-105) (Section scheduled to be repealed on January 1, 2037) Sec. 500-105. Car rental limited line license for rental companies. (a) A rental company must obtain a producer license or obtain a car rental limited line license before offering or selling insurance in c…

(215 ILCS 5/500-107) (Section scheduled to be repealed on January 1, 2037) Sec. 500-107. Self-service storage facility limited line license for self-storage facilities. (a) Except as permitted by subsection (j) of this Section, a self-service storage facility must obtain a produc…

(215 ILCS 5/500-110) (Section scheduled to be repealed on January 1, 2037) Sec. 500-110. Regulatory examinations. (a) The Director may examine any applicant for or holder of an insurance producer license, limited line producer license or temporary insurance producer license or an…

(215 ILCS 5/500-115) (Section scheduled to be repealed on January 1, 2037) Sec. 500-115. Financial responsibilities. (a) Any money that an insurance producer, limited line producer, temporary insurance producer, business entity, or surplus line producer receives for soliciting, n…

(215 ILCS 5/500-120) (Section scheduled to be repealed on January 1, 2037) Sec. 500-120. Conflicts of interest; inactive status. (a) A person, partnership, association, or corporation licensed by the Department who, due to employment with any unit of government that would cause a…

(215 ILCS 5/500-125) (Section scheduled to be repealed on January 1, 2037) Sec. 500-125. Controlled business. (a) An insurance producer license may not be granted or extended to any person if the Director has reasonable cause to believe: (1) that during either of the 2 calendar y…

(215 ILCS 5/500-130) (Section scheduled to be repealed on January 1, 2037) Sec. 500-130. Bond required of insurance producers. (a) An insurance producer who places insurance either directly or indirectly with an insurer with which the insurance producer does not have an agency co…

(215 ILCS 5/500-135) (Section scheduled to be repealed on January 1, 2037) Sec. 500-135. Fees. (a) The fees required by this Article are as follows: (1) a fee of $215 for a person who is a resident of Illinois, and $380 for a person who is not a resident of Illinois, payable once…

(215 ILCS 5/500-140) (Section scheduled to be repealed on January 1, 2037) Sec. 500-140. Injunctive relief. A person required to be licensed under this Article but failing to obtain a valid and current license under this Article constitutes a public nuisance. The Director may rep…

(215 ILCS 5/500-145) (Section scheduled to be repealed on January 1, 2037) Sec. 500-145. Rules. The Director may, in accordance with Section 401 of this Code, promulgate reasonable rules as are necessary or proper to carry out the purposes of this Article. (Source: P.A. 92-386, e…