Chapter 215, INSURANCE

(215 ILCS 180/60) Sec. 60. Hold harmless for independent review organizations. No independent review organization or clinical reviewer working on behalf of an independent review organization or an employee, agent or contractor of an independent review organization shall be liable…

(215 ILCS 200/60) Sec. 60. Length of prior authorization approval. A prior authorization approval shall be valid for the lesser of 6 months after the date the health care professional or health care provider receives the prior authorization approval or the length of treatment as …

(215 ILCS 106/60) Sec. 60. Emergency rulemaking. Prior to June 30, 1999, the Department may adopt rules necessary to establish and implement this Act through the use of emergency rulemaking in accordance with Section 5-45 of the Illinois Administrative Procedure Act. For purposes…

(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 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 152/60) Sec. 60. Applicability. This Act applies to all service contracts sold or offered for sale 90 or more days after the effective date of this Act. (Source: P.A. 90-711, eff. 8-7-98.)

(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 159/60) Sec. 60. Advertising for viatical settlements. (a) The purpose of this Section is to provide prospective viators with clear and unambiguous statements in the advertisement of viatical settlements and to assure the clear, truthful, and adequate disclosure of the …

(215 ILCS 5/60) (from Ch. 73, par. 672) (Section scheduled to be repealed on January 1, 2037) Sec. 60. Procedure when insufficient assets are possessed by company. (1) Whenever the Director finds that the admitted assets of a company subject to the provisions of this Article are …

(215 ILCS 5/61) (from Ch. 73, par. 673) (Section scheduled to be repealed on January 1, 2037) Sec. 61. Scope of Article. (1) This Article shall apply to all reciprocals transacting or being organized to transact any of the kinds of business specified in this Article. (2) As used …

(215 ILCS 5/62) (from Ch. 73, par. 674) (Section scheduled to be repealed on January 1, 2037) Sec. 62. Authority to exchange contracts. Individuals, partnerships and corporations of this State are hereby authorized to exchange reciprocal or inter-insurance contracts with each oth…

(215 ILCS 5/63) (from Ch. 73, par. 675) (Section scheduled to be repealed on January 1, 2037) Sec. 63. Name. The name or designation under which contracts are to be exchanged shall include the words "Reciprocal" or "Inter-Insurance Exchange" or be supplemented by the following wo…

(215 ILCS 5/64) (from Ch. 73, par. 676) (Section scheduled to be repealed on January 1, 2037) Sec. 64. Principal office. The principal office of the attorney-in-fact of a domestic reciprocal shall be maintained in this State, at such place as may be designated by the subscribers …

(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 134/65) Sec. 65. Emergency services prior to stabilization. (a) A health care plan that provides or that is required by law to provide coverage for emergency services shall provide coverage such that payment under this coverage is not dependent upon whether the services…

(215 ILCS 180/65) Sec. 65. External review reporting requirements. (a) Each health carrier shall maintain written records in the aggregate, by state, and for each type of health benefit plan offered by the health carrier on all requests for external review that the health carrier…

(215 ILCS 5/65) (from Ch. 73, par. 677) (Section scheduled to be repealed on January 1, 2037) Sec. 65. Authorized kinds of business. A reciprocal may be authorized to exchange contracts covering any or all of the kinds of insurance enumerated in Classes 2 and 3 of Section 4. (Sou…

(215 ILCS 97/65) Sec. 65. Past-due premiums. (a) Except as provided in subsection (b) for a third plan or policy year, a health insurance issuer in the individual, small group, or large group market shall not deny coverage to an individual or employer due to the individual's or e…

(215 ILCS 200/65) Sec. 65. Length of prior authorization approval for treatment for chronic or long-term conditions. If a health insurance issuer requires a prior authorization for a recurring health care service or maintenance medication for the treatment of a chronic or long-te…

(215 ILCS 106/65) Sec. 65. Dental home initiative. The Department, in cooperation with the dental community and other affected organizations such as Head Start, shall work to develop and promote the concept of a dental home for children covered under this Act. Included in this de…

(215 ILCS 159/65) Sec. 65. Fraud prevention and control. (a) A person shall not commit the offense of viatical settlement fraud. A person shall not knowingly or intentionally interfere with the enforcement of the provisions of this Act or investigations of suspected or actual vio…

(215 ILCS 5/66) (from Ch. 73, par. 678) (Section scheduled to be repealed on January 1, 2037) Sec. 66. Minimum surplus requirements. (1) No reciprocal may after December 31, 1985 receive a certificate of authority from the Director to exchange contracts under this Article in the …

(215 ILCS 5/67) (from Ch. 73, par. 679) (Section scheduled to be repealed on January 1, 2037) Sec. 67. Power of attorney. The power of attorney or other authority of the attorney-in-fact under which contracts of insurance are to be exchanged pursuant to this Article shall set for…

(215 ILCS 5/68) (from Ch. 73, par. 680) (Section scheduled to be repealed on January 1, 2037) Sec. 68. Declaration of organization. The attorney-in-fact of subscribers who desire to form a reciprocal under this Article shall sign and acknowledge, before an officer authorized to t…

(215 ILCS 5/69) (from Ch. 73, par. 681) (Section scheduled to be repealed on January 1, 2037) Sec. 69. Documents to be delivered to Director. Upon the execution of a declaration of organization, there shall be delivered to the Director (a) duplicate originals of the declaration o…

(215 ILCS 5/69.1) (from Ch. 73, par. 681.1) (Section scheduled to be repealed on January 1, 2037) Sec. 69.1. Escrow agreements. The company shall designate a bank or trust company with whom it will enter into an escrow agreement, which agreement shall state that the organization …

(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 106/7) Sec. 7. Eligibility verification. Notwithstanding any other provision of this Act, with respect to applications for benefits provided under the Program, eligibility shall be determined in a manner that ensures program integrity and that complies with federal law …

(215 ILCS 165/7) (from Ch. 32, par. 601) Sec. 7. Every physician licensed in Illinois to practice medicine in all of its branches, every podiatric physician licensed to practice podiatric medicine in Illinois, and every dentist and dental surgeon licensed to practice in Illinois …

(215 ILCS 155/7) (from Ch. 73, par. 1407) Sec. 7. Investments. (a) Subject to the specific provisions of this Section, the Secretary may, after a notice and hearing, order a domestic title insurance company to limit or withdraw from certain investments, or discontinue certain inv…

(215 ILCS 110/7) (from Ch. 32, par. 690.7) Sec. 7. "Beneficiary" means a person designated in a subscription certificate as one entitled to receive dental service. (Source: Laws 1965, p. 2179.)

(215 ILCS 120/7) (from Ch. 73, par. 1257) Sec. 7. Additional Territory. Any farm mutual insurance company may amend its articles of incorporation to include other adjoining counties, provided that the company's net written premium did not exceed 3 times its policyholders' surplus…

(215 ILCS 150/7) (from Ch. 148, par. 207) Sec. 7. The trustees of all trust funds established under this Act shall be natural persons over the age of 18 who are residents of this State. (Source: P.A. 80-530.)

(215 ILCS 5/7) (from Ch. 73, par. 619) (Section scheduled to be repealed on January 1, 2037) Sec. 7. Name. The corporate name of any company organized under this Article shall not be the same as, or deceptively similar to, the name of any domestic company, or of any foreign or al…

(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 180/70) Sec. 70. Funding of external review. The health carrier shall be solely responsible for paying the cost of external reviews conducted by independent review organizations. (Source: P.A. 96-857, eff. 7-1-10.)

(215 ILCS 134/70) Sec. 70. Post-stabilization medical services. (a) If prior authorization for covered post-stabilization services is required by the health care plan, the plan shall provide access 24 hours a day, 7 days a week to persons designated by the plan to make such deter…

(215 ILCS 5/70) (from Ch. 73, par. 682) (Section scheduled to be repealed on January 1, 2037) Sec. 70. Organization bonds. The attorney-in-fact shall deliver to the Director two bonds in the same penalties and containing the same provisions, so far as applicable, as the bonds req…

(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 159/70) Sec. 70. Injunctions; civil remedies; cease and desist. (a) In addition to the penalties and other enforcement provisions of this Act, if any person violates this Act or any rules implementing this Act, the Director may seek an injunction in a court of competent…

(215 ILCS 200/70) Sec. 70. Continuity of care for enrollees. (a) On receipt of information documenting a prior authorization approval from the enrollee or from the enrollee's health care professional or health care provider, a health insurance issuer shall honor a prior authoriza…

(215 ILCS 5/71) (from Ch. 73, par. 683) (Section scheduled to be repealed on January 1, 2037) Sec. 71. Approval of documents. The documents and papers so delivered to the Director may be approved or disapproved by the Director, and the attorney-in-fact is entitled to a hearing, i…

(215 ILCS 134/72) Sec. 72. Pharmacy providers. (a) Before entering into an agreement with pharmacy providers, a health care plan must establish terms and conditions that must be met by pharmacy providers desiring to contract with the health care plan. The terms and conditions sha…

(215 ILCS 159/72) Sec. 72. Crimes and offenses. (a) A person acting in this State as a viatical settlement provider without having been licensed pursuant to Section 10 of this Act who willfully violates any provision of this Act or any rule adopted or order issued under this Act …

(215 ILCS 5/72) (from Ch. 73, par. 684) (Section scheduled to be repealed on January 1, 2037) Sec. 72. Authority to solicit subscriptions to surplus. Upon the approval of the declaration of organization by the Director, he shall issue to the attorney-in-fact a permit, which shall…

(215 ILCS 5/73) (from Ch. 73, par. 685) (Section scheduled to be repealed on January 1, 2037) Sec. 73. Issuance of certificate of authority. When the Director has been notified that the required surplus has been fully collected, he shall conduct an examination of the reciprocal. …

(215 ILCS 5/74) (from Ch. 73, par. 686) (Section scheduled to be repealed on January 1, 2037) Sec. 74. Deposit. A domestic reciprocal subject to the provisions of this Article shall make and maintain with the Director, for the protection of all creditors, policyholders and policy…

(215 ILCS 5/75) (from Ch. 73, par. 687) (Section scheduled to be repealed on January 1, 2037) Sec. 75. Contingent liability policy provisions. (1) Except as provided in subsection (2) any contract of insurance exchanged under this Article shall provide for a cash deposit and a co…

(215 ILCS 180/75) Sec. 75. Disclosure requirements. (a) Each health carrier shall include a description of the external review procedures in, or attached to, the policy, certificate, membership booklet, and outline of coverage or other evidence of coverage it provides to covered …

(215 ILCS 159/75) Sec. 75. Unfair trade practices. A violation of this Act, including the commission of viatical settlement fraud, shall be considered an unfair trade practice under Article XXVI of the Illinois Insurance Code. (Source: P.A. 96-736, eff. 7-1-10.)