Chapter 215 — INSURANCE

(215 ILCS 159/5) Sec. 5. Definitions. As used in this Act: "Accredited investor" means an accredited investor as defined in Rule 501(a) promulgated under the Securities Act of 1933 (15 U.S.C. 77 et seq.), as amended. "Advertising" means any written, electronic, or printed communi…

(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 159/55) Sec. 55. Prohibited practices and conflicts of interest. (a) With respect to any viatical settlement contract or insurance policy, no viatical settlement broker knowingly shall solicit an offer from, effectuate a viatical settlement with, or make a sale to any v…

(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 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 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 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 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.)

(215 ILCS 159/85) Sec. 85. Additional powers. In addition to any other hearing, examination, or investigation specifically provided for by this Act, the Director may conduct such hearings, examinations, and investigations as are provided for by Sections 402 and 403 of the Illinoi…

(215 ILCS 159/90) Sec. 90. Insurance Code Provisions. Insurance producers operating as viatical settlement brokers shall be subject to Article XXXI of the Illinois Insurance Code. (Source: P.A. 96-736, eff. 7-1-10.)

(215 ILCS 159/900) Sec. 900. (Amendatory provisions; text omitted). (Source: P.A. 96-736, eff. 7-1-10; text omitted.)

(215 ILCS 159/905) Sec. 905. (Amendatory provisions; text omitted). (Source: P.A. 96-736, eff. 7-1-10; text omitted.)

(215 ILCS 159/910) Sec. 910. (Amendatory provisions; text omitted). (Source: P.A. 96-736, eff. 7-1-10; text omitted.)

(215 ILCS 159/95) Sec. 95. Applicability of securities laws. Nothing in this Act shall preempt or otherwise limit the provisions of the Illinois Securities Law of 1953 or any regulations, bulletins, or other interpretations issued by or through the Secretary of State acting pursu…

(215 ILCS 159/950) Sec. 950. The Viatical Settlements Act is repealed. (Source: P.A. 96-736, eff. 7-1-10.)

(215 ILCS 159/995) Sec. 995. No acceleration or delay. Where this Act makes changes in a statute that is represented in this Act by text that is not yet or no longer in effect (for example, a Section represented by multiple versions), the use of that text does not accelerate or d…

(215 ILCS 159/999) Sec. 999. Effective date. This Act takes effect July 1, 2010. (Source: P.A. 96-736, eff. 7-1-10.)

(215 ILCS 161/1) Sec. 1. Short title. This Act may be cited as the Vision Care Plan Regulation Act. (Source: P.A. 103-482, eff. 8-4-23.)

(215 ILCS 161/10) Sec. 10. Noncovered services. (a) No vision care organization that issues, delivers, amends, or renews a vision care plan on or after the effective date of this Act shall issue a contract that requires an eye care provider, as a condition of participation in the…

(215 ILCS 161/15) Sec. 15. Fees for covered services and covered materials. Fees paid under a vision care plan for covered services and covered materials, regardless of the supplier or optical lab used to obtain materials, shall be reasonable and shall be clearly listed on a fee …

(215 ILCS 161/20) Sec. 20. Misrepresentation. (a) A vision care organization and its officers, directors, agents, and employees are subject to the provisions of Sections 149 and 154.6 of the Illinois Insurance Code. (b) Incorporation by reference in this Act to specific laws of t…

(215 ILCS 161/25) Sec. 25. Subcontractors. The provisions of this Act apply to any subcontractors used by a vision care organization to supply materials or services to an eye care provider or an enrollee under a vision care plan. (Source: P.A. 103-482, eff. 8-4-23.)

(215 ILCS 161/30) Sec. 30. Suppliers; optical labs. (a) A vision care organization may not restrict or limit an eye care provider's choice of suppliers of services, covered materials, or the use of an optical lab. (b) A vision care organization may not require an eye care provide…

(215 ILCS 161/35) Sec. 35. Modification of plan. (a) The terms, fees, discounts, or reimbursement rates in a vision care plan may not be changed during the term of the contract unless mutually agreed to in writing by the eye care provider and the vision care organization that iss…

(215 ILCS 161/40) Sec. 40. Prohibitions; medical plan preconditions. (a) No vision care organization that issues, delivers, amends, or renews a vision care plan on or after the effective date of this Act shall issue a vision care plan contract that requires: (1) an eye care provi…

(215 ILCS 161/5) Sec. 5. Definitions. As used in this Act: "Covered materials" means materials for which reimbursement from the vision care plan is provided to an eye care provider by an enrollee's plan contract or for which a reimbursement would be available but for the applicat…

(215 ILCS 161/900) Sec. 900. (Amendatory provisions; text omitted). (Source: P.A. 103-482, eff. 8-4-23; text omitted.)

(215 ILCS 161/999) Sec. 999. Effective date. This Act takes effect upon becoming law. (Source: P.A. 103-482, eff. 8-4-23.)

(215 ILCS 165/1) (from Ch. 32, par. 595) Sec. 1. This Act may be cited as the Voluntary Health Services Plans Act. (Source: P.A. 86-1475.)

(215 ILCS 165/10) (from Ch. 32, par. 604) (Text of Section from P.A. 104-1, 104-42, 104-73, 104-289, 104-324, and 104-379) Sec. 10. Application of Insurance Code provisions. Health services plan corporations and all persons interested therein or dealing therewith shall be subject…

(215 ILCS 165/11) (from Ch. 32, par. 605) Sec. 11. Examination of corporations. The Director shall have with respect to health services plan corporations the powers of examination conferred upon him relative to insurance companies by Sections 132 through 132.7 of the Illinois Ins…

(215 ILCS 165/12) (from Ch. 32, par. 606) Sec. 12. All rates or formula base for experience rate subscriber contracts shall be submitted to the Director prior to use. The Director may disapprove rates or formula base for rates for specific reason and must do so within 45 days of …

(215 ILCS 165/13) (from Ch. 32, par. 607) Sec. 13. No subscription certificate shall be issued by any health services 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 conne…

(215 ILCS 165/14) (from Ch. 32, par. 608) Sec. 14. Every subscription certificate issued by a health services plan corporation shall provide for the rendering of health services as therein specified for a period of 12 months from the date of issuance of the subscription certifica…

(215 ILCS 165/15) (from Ch. 32, par. 609) Sec. 15. Every contract entered into by a health services 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 certificate…

(215 ILCS 165/15.1) (from Ch. 32, par. 609.1) Sec. 15.1. No contract issued by a voluntary health services plan shall contain any exception or exclusion from coverage which would preclude the payment of expenses incurred for the processing and administration of blood and its comp…

(215 ILCS 165/15.10) (from Ch. 32, par. 609.10) Sec. 15.10. Every service plan contract of a health service plan corporation issued after the effective date of this amendatory Act of 1979 which provides coverage for services coming within the practice of optometry as defined in t…

(215 ILCS 165/15.11) (from Ch. 32, par. 609.11) Sec. 15.11. To the extent not inconsistent with this Act every health services plan corporation shall be subject to the provisions of Section 356g of the "Illinois Insurance Code", approved June 29, 1937, as amended. (Source: P.A. 8…

(215 ILCS 165/15.12) (from Ch. 32, par. 609.12) Sec. 15.12. Medical assistance; coverage of child. (a) In this Section, "Medicaid" means medical assistance authorized under Section 1902 of the Social Security Act. (b) A contract delivered, issued for delivery, renewed, or amended…

(215 ILCS 165/15.13) (from Ch. 32, par. 609.13) Sec. 15.13. (Repealed). (Source: Repealed by P.A. 89-183, eff. 1-1-96.)

(215 ILCS 165/15.14) (from Ch. 32, par. 609.14) Sec. 15.14. Coverage for Organ Transplantation Procedures. No voluntary health services plan corporation providing coverage under this Act for hospital or medical expenses shall deny reimbursement for an otherwise covered expense in…

(215 ILCS 165/15.15) (from Ch. 32, par. 609.15) Sec. 15.15. All claims payable in the form of indemnities under the terms of a service plan contract shall be paid within 30 days following receipt by the corporation of due proof of loss. Failure to pay within such period shall ent…

(215 ILCS 165/15.2) (from Ch. 32, par. 609.2) Sec. 15.2. No claim shall be denied, under a contract issued or renewed by a voluntary health services plan after the effective date of this amendatory Act, for treatment or services for mental illness rendered in a hospital solely be…

(215 ILCS 165/15.20) Sec. 15.20. Post-parturition care. A health service plan corporation is subject to the provisions of Section 356s of the Illinois Insurance Code. (Source: P.A. 89-513, eff. 9-15-96; 90-14, eff. 7-1-97.)

(215 ILCS 165/15.25) Sec. 15.25. 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 165/15.3) (from Ch. 32, par. 609.3) Sec. 15.3. (1) No service plan contract of a health 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 limita…

(215 ILCS 165/15.30) Sec. 15.30. Managed Care Reform and Patient Rights Act. A health service plan corporation 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 165/15.4) (from Ch. 32, par. 609.4) Sec. 15.4. (1) No service plan contract of a health service plan corporation which in addition to covering the subscriber, also covers the subscriber's spouse shall contain a provision for termination of coverage for a spouse covered …

(215 ILCS 165/15.5) (from Ch. 32, par. 609.5) Sec. 15.5. Conversion Privilege-Group Type Contracts. (1) Every service plan contract of a health service plan corporation which provides that the continued coverage of a beneficiary is contingent upon the continued employment or memb…

(215 ILCS 165/15.6-1) (from Ch. 32, par. 609.6-1) Sec. 15.6-1. Continuance privilege; group type contracts. (1) Every service plan contract of a health service plan corporation which provides that the continued coverage of a beneficiary is contingent upon the continued employment…