Chapter 215, INSURANCE

(215 ILCS 124/15) Sec. 15. Notice of nonrenewal or termination. (a) A network plan must give at least 60 days' notice of nonrenewal or termination of a provider to the provider and to the beneficiaries served by the provider. The notice shall include a name and address to which a…

(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 132/15) Sec. 15. Illinois Long-term Care Partnership Program. (a) In accordance with Title VI, Section 6021 of the federal Deficit Reduction Act of 2005, there shall be established the Illinois Long-Term Care Partnership Program, to be administered by the Agency with th…

(215 ILCS 161/15) (Text of Section before amendment by P.A. 104-851) 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 …

(215 ILCS 150/15) (from Ch. 148, par. 215) Sec. 15. Ineligible beneficiaries. A beneficiary is ineligible (1) if it is not exempt from taxation under paragraph (3) of subsection (c) of Section 501 of the Internal Revenue Code of 1954 as amended, or an affiliate of a corporation e…

(215 ILCS 215/15) Sec. 15. Investigation of a cybersecurity event. (a) If the licensee learns that a cybersecurity event has occurred or may have occurred, the licensee, or an outside vendor or service provider designated to act on behalf of the licensee, shall conduct a prompt i…

(215 ILCS 152/15) Sec. 15. Financial requirements. No service contract shall be issued, sold, or offered for sale in this State unless one of the following conditions are satisfied: (1) (A) The service contract provider is insured under a service contract reimbursement insurance …

(215 ILCS 157/15) Sec. 15. Definitions. For the purposes of this Act, these defined words have the following meanings: "Adverse action" means a denial or cancellation of, an increase in any charge for, or a reduction or other adverse or unfavorable change in the terms of coverage…

(215 ILCS 159/15) Sec. 15. License revocation for viatical settlement providers. (a) The Director may refuse to issue or renew or may suspend or revoke the license of any viatical settlement provider if the Director finds any of the following: (1) there was any material misrepres…

(215 ILCS 200/15) Sec. 15. Definitions. As used in this Act: "Adverse determination" has the meaning given to that term in Section 10 of the Health Carrier External Review Act. "Appeal" means a formal request, either orally or in writing, to reconsider an adverse determination. "…

(215 ILCS 210/15) Sec. 15. Premium misalignment study. (a) The Department of Insurance shall oversee a study to explore rate setting approaches that may yield a misalignment of premiums across different tiers of coverage in Illinois' individual health insurance market. The study …

(215 ILCS 138/15) Sec. 15. Uniform prescription drug information cards required. (a) A health benefit plan that issues a physical or electronic card or other technology and provides coverage for prescription drugs or devices and an administrator of such a plan including, but not …

(215 ILCS 205/15) Sec. 15. Regulatory notice of intent. Authorized insurers must: (1) notify the Department of plans to sell primary residential flood insurance products in accordance with the State's rate filing laws at least 30 days before writing primary residential flood insu…

(215 ILCS 134/15) Sec. 15. Provision of information. (a) A health care plan shall provide annually to enrollees and prospective enrollees, upon request, a complete list of participating health care providers in the health care plan's service area and a description of the followin…

(215 ILCS 107/15) Sec. 15. Minimum standards. (a) Controlled insurers and controlling producers must comply with the provisions of this Section no later than 60 days after the effective date of this Act. (b) Except as provided in subsection (c), this Section shall apply if, in an…

(215 ILCS 111/15) Sec. 15. Definitions. As used in this Act: "Department" means the Department of Insurance. "Director" means the Director of Insurance. "Dental care provider" means a dentist who bills for services in Illinois. "Dental plan carrier" means an entity subject to the…

(215 ILCS 185/15) (Text of Section before amendment by P.A. 104-481) Sec. 15. Insurer conduct. (a) An insurer shall initially perform a comparison of its insureds', annuitants', and retained asset account holders' in-force policies, annuity contracts, and retained asset accounts …

(215 ILCS 109/15) Sec. 15. Rules. The Department may promulgate such rules as it deems reasonably necessary to implement the terms of this Act. The Department shall establish an advisory committee made up of representatives from the dental profession to provide clinical advice an…

(215 ILCS 136/15) Sec. 15. Requirements for sale of portable electronics insurance. (a) At every location where portable electronics insurance is offered to customers, brochures or other written materials must be made available to a prospective customer. The brochures or other wr…

(215 ILCS 220/15) (This Section may contain text from a Public Act with a delayed effective date) Sec. 15. Prohibition of automatic downcoding. (a) A health care payor shall not implement any policy or use any algorithm or other automated process, system, or tool that bypasses th…

(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 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 155/15.1) Sec. 15.1. No taxes to be imposed by political subdivisions. The fees, charges, and taxes provided for by this Act shall be in lieu of all license fees or privilege or occupation taxes or other fees levied or assessed by any municipality, county, or other poli…

(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 165/15.14) (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…

(215 ILCS 165/15.7) (from Ch. 32, par. 609.7) Sec. 15.7. No claim shall be denied, under a contract issued or renewed by a voluntary health services plan after the effective day of this amendatory Act, for treatment or services for rehabilitation following either a physical or me…

(215 ILCS 165/15.8) (from Ch. 32, par. 609.8) Sec. 15.8. Sexual assault or abuse victims. (1) Policies, contracts or subscription certificates issued by a health services plan corporation, which provide benefits for hospital or medical expenses based upon the actual expenses incu…

(215 ILCS 165/15.9) (from Ch. 32, par. 609.9) Sec. 15.9. Coverage of services for mental illness. To the extent not inconsistent with this Act every Health Service Corporation shall be subject to the provisions of Section 370c of the "Illinois Insurance Code", approved June 29, 1…

(215 ILCS 165/15.9-1) (from Ch. 32, par. 609.9-1) Sec. 15.9-1. No service plan contract or any renewal thereof shall be denied or cancelled by a health service plan corporation, nor shall any such contract contain any exception or exclusion of benefits, solely because the mother …

(215 ILCS 5/150.1) (from Ch. 73, par. 762.1) Sec. 150.1. No company doing business in this State shall enter into a group contract for an annuity or pension plan to cover employees of the State, its agencies, instrumentalities, political subdivisions or municipal corporations pri…

(215 ILCS 5/1501) Sec. 1501. Short title. This Article may be cited as the Public Adjusters Law. (Source: P.A. 96-1332, eff. 1-1-11.)

(215 ILCS 5/1505) Sec. 1505. Purpose and scope. This Article governs the qualifications and procedures for the licensing of public adjusters. It specifies the duties of and restrictions on public adjusters, which include limiting their licensure to assisting insureds in first par…

(215 ILCS 5/151) (from Ch. 73, par. 763) Sec. 151. Payment or acceptance of rebates prohibited. (1) No company doing business in this State and no insurance agent or broker shall offer, promise, allow, give, set off or pay, directly or indirectly, any rebate of or part of the pre…

(215 ILCS 5/1510) Sec. 1510. Definitions. In this Article: "Adjusting a claim for loss or damage covered by an insurance contract" means negotiating values, damages, or depreciation or applying the loss circumstances to insurance policy provisions. "Adjusting insurance claims" me…

(215 ILCS 5/1515) Sec. 1515. License required. (a) A person shall not act, advertise, solicit, or hold himself out as a public adjuster or to be in the business of adjusting insurance claims in this State, nor attempt to obtain a contract for public adjusting services, unless the…

(215 ILCS 5/152) (from Ch. 73, par. 764) Sec. 152. Rebates- Penalties. (1) Any company or any person violating any of the provisions of section 151 shall be guilty of a Class B misdemeanor. (2) No agent or broker for any company doing business in this State violating any of the p…

(215 ILCS 5/1520) Sec. 1520. Application for license. (a) A person applying for a public adjuster license shall make application to the Director on the appropriate uniform application or other application prescribed by the Director. (b) The applicant shall declare under penalty o…

(215 ILCS 5/1525) Sec. 1525. Resident license. (a) Before issuing a public adjuster license to an applicant under this Section, the Director shall find that the applicant: (1) is eligible to designate this State as his or her home state or is a nonresident who is not eligible for…

(215 ILCS 5/153) (from Ch. 73, par. 765) Sec. 153. Rebates- Immunity from prosecution. No person shall be excused from testifying or from producing any books, papers, contracts, agreements or documents at the trial or hearing of any person or company charged with violating any of…