Chapter 215, INSURANCE

(215 ILCS 5/194) (from Ch. 73, par. 806) Sec. 194. Rights and liabilities of creditors fixed upon liquidation. (a) The rights and liabilities of the company and of its creditors, policyholders, stockholders or members and all other persons interested in its assets, except persons…

(215 ILCS 5/195) (from Ch. 73, par. 807) Sec. 195. Borrowing on the pledge of assets. For the purpose of facilitating the rehabilitation, liquidation, conservation or dissolution provided for by this article, the Director may, subject to the approval of the court, borrow money an…

(215 ILCS 5/196) (from Ch. 73, par. 808) Sec. 196. Order of dissolution. If the company against whom the complaint for liquidation is filed is a corporation and the complaint prays for dissolution of such company, the court shall have jurisdiction either before or after final liq…

(215 ILCS 5/197) (from Ch. 73, par. 809) Sec. 197. Rights, powers, and duties ancillary to domiciliary proceeding. The rights, powers, and duties of the Director as conservator, rehabilitator, or liquidator, with reference to the assets of a foreign or alien company, whether auth…

(215 ILCS 5/198) (from Ch. 73, par. 810) Sec. 198. Service of summons and return. (1) Upon the filing of a complaint, summons shall forthwith issue, returnable in 3 days after its date, and a copy of the summons together with the complaint in any proceeding under this article sha…

(215 ILCS 5/199) (from Ch. 73, par. 811) Sec. 199. Removal of proceedings to Sangamon or Cook county. In the event an order is entered directing liquidation, rehabilitation or conservation, the Director may remove the property and assets of the company to the county of Sangamon o…

(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 105/2) (from Ch. 73, par. 1302) Sec. 2. Definitions. As used in this Act, unless the context otherwise requires: "Plan administrator" means the insurer or third party administrator designated under Section 5 of this Act. "Benefits plan" means the coverage to be offered …

(215 ILCS 220/2) (This Section may contain text from a Public Act with a delayed effective date) Sec. 2. Findings. The General Assembly finds that: (1) Downcoding of medical claims, when done without clear justification or transparency, undermines fair payment of health care prof…

(215 ILCS 150/2) (from Ch. 148, par. 202) Sec. 2. Authorized organizations; purpose. Any number of organizations which are all exempt from taxation under paragraph (3) of subsection (c) of Section 501 of the Internal Revenue Code of 1954 as amended or as it may be amended hereaft…

(215 ILCS 120/2) (from Ch. 73, par. 1252) Sec. 2. Farm Mutual Insurance Companies. Any district, county, township or special act mutual insurance company now authorized to write insurance in this State shall hereafter be known as a "Farm Mutual Insurance Company". (Source: P.A. 8…

(215 ILCS 155/2) (from Ch. 73, par. 1402) Sec. 2. Any corporation which has been or shall be incorporated or qualified to do business under the Business Corporation Act of 1983, as now or hereafter amended, or any predecessor law for the purpose, in whole or part, of doing the bu…

(215 ILCS 115/2) (from Ch. 32, par. 690.72) Sec. 2. Any employer, group or organization that pays or contributes to the premium of a group health insurance plan or a dental service plan corporation which provides dental coverage to eligible employees or members of such employer, …

(215 ILCS 215/2) Sec. 2. Purpose and intent. (a) The purpose and intent of this Act is to establish standards for data security and standards for the investigation of and notification to the Director of a cybersecurity event applicable to licensees. (b) This Act shall not be cons…

(215 ILCS 5/2) (from Ch. 73, par. 614) Sec. 2. General definitions. In this Code, unless the context otherwise requires, (a) "Director" means the Director of Insurance. (b) "Department" means the Department of Insurance. (c) "State" or "State of the United States" includes the Di…

(215 ILCS 165/2) (from Ch. 32, par. 596) Sec. 2. For the purposes of this Act, the following terms have the respective meanings set forth in this section, unless different meanings are plainly indicated by the context: (a) "Health Services Plan Corporation" means a corporation or…

(215 ILCS 125/2-1) (from Ch. 111 1/2, par. 1403) Sec. 2-1. Certificate of authority - Exception for corporate employee programs - Applications - Material modification of operation. (a) No organization shall establish or operate a Health Maintenance Organization in this State with…

(215 ILCS 125/2-10) Sec. 2-10. Directors. (a) After June 30, 2002, the corporate powers for domestic organizations issued a certificate of authority under this Act must be exercised by, and its business and affairs must be under the control of, a board of directors composed of no…

(215 ILCS 125/2-2) (from Ch. 111 1/2, par. 1404) Sec. 2-2. Determination by Director. (a) Upon receipt of an application for issuance of a certificate of authority, the Director shall transmit copies of such application and accompanying documents to the Director of the Illinois D…

(215 ILCS 125/2-3) (from Ch. 111 1/2, par. 1405) Sec. 2-3. Powers of health maintenance organizations. The powers of a health maintenance organization include, but are not limited to the following: (a) The purchase, lease, construction, renovation, operation, or maintenance of ho…

(215 ILCS 125/2-3.1) (from Ch. 111 1/2, par. 1405.1) Sec. 2-3.1. (a) No health maintenance organization shall cause to be dispensed any drug other than that prescribed by a physician. Nothing herein shall prohibit drug product selection under Section 3.14 of the "Illinois Food, D…

(215 ILCS 125/2-4) (from Ch. 111 1/2, par. 1406) Sec. 2-4. Required minimum net worth; special contingent reserve; deficiency; impairment. (a) A health maintenance organization issued a certificate of authority on or after the effective date of this amendatory Act of 1987 shall h…

(215 ILCS 125/2-5) (from Ch. 111 1/2, par. 1406.1) Sec. 2-5. Claims Liabilities. Every Health Maintenance Organization shall, at all times, maintain liabilities in an amount estimated in the aggregate to provide for the payment of all claims incurred and any due and unpaid provid…

(215 ILCS 125/2-6) (from Ch. 111 1/2, par. 1406.2) Sec. 2-6. Statutory deposits. (a) An organization subject to the provisions of this Act shall make and maintain with the Director through December 30, 1993, for the protection of enrollees of the organization, a deposit of securi…

(215 ILCS 125/2-8) (from Ch. 111 1/2, par. 1407.01) Sec. 2-8. Provider agreements. (a) All provider contracts currently in existence between any organization and any hospital which are renewed on or after 180 days following the effective date of this amendatory Act of 1987, and a…

(215 ILCS 125/2-9) (from Ch. 111 1/2, par. 1407.02) Sec. 2-9. Subordinated Indebtedness. An organization having a certificate of authority under this Act may borrow or assume a liability for the repayment of a sum of money upon a written agreement that the loan or advance with in…

(215 ILCS 5/2.1) (from Ch. 73, par. 614.1) Sec. 2.1. Public Policy. It is declared to be the public policy of this State, pursuant to paragraphs (h) and (i) of Section 6 of Article VII of the Illinois Constitution of 1970, that any power or function set forth in this Act to be ex…

(215 ILCS 5/2.5) Sec. 2.5. Exemption. This Code shall not be construed to apply to the administration of the Drycleaner Environmental Response Trust Fund under the Drycleaner Environmental Response Trust Fund Act. (Source: P.A. 90-502, eff. 8-19-97.)

(215 ILCS 93/20) Sec. 20. Establishment of Class of Business. (a) A small employer carrier may establish a separate class of business only to reflect substantial differences in expected claims experience or administrative costs related to the following reasons: (1) the small empl…

(215 ILCS 100/20) (from Ch. 73, par. 1620) Sec. 20. Books and records; reinsurance intermediary brokers. (a) For at least 10 years after expiration of each contract of reinsurance transacted by it, the intermediary broker shall keep a complete record for each transaction showing:…

(215 ILCS 107/20) Sec. 20. Disclosure. The producer shall deliver written notice to the prospective insured before the effective date of any policy disclosing the relationship between the producer and the controlled insurer; except that if the business is placed through a subprod…

(215 ILCS 205/20) Sec. 20. Notice to consumers. (a) If a consumer currently has no coverage under the National Flood Insurance Program, the consumer applicant must be informed of the existence of the National Flood Insurance Program before being placed with private flood insuranc…

(215 ILCS 111/20) Sec. 20. Uniform electronic claims and eligibility transactions required. (a) Beginning January 1, 2027, no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encoun…

(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 132/20) Sec. 20. Administration. (a) The Agency and the Department are authorized to adopt regulations to implement the provisions of this Act and rules for its administration. (b) The Agency and Department must comply with all federal rules developed in accordance with…

(215 ILCS 134/20) Sec. 20. Notice of nonrenewal or termination. A health care plan must give at least 60 days notice of nonrenewal or termination of a health care provider to the health care provider and to the enrollees served by the health care provider. The notice shall includ…

(215 ILCS 138/20) Sec. 20. Applicability and enforcement. (a) This Act applies to health benefit plans that are amended, delivered, issued, or renewed on and after the effective date of this amendatory Act of the 91st General Assembly. (b) The Director may adopt rules necessary t…

(215 ILCS 150/20) (from Ch. 148, par. 220) Sec. 20. The Director of Insurance may make reasonable rules and regulations as may be necessary for the administration of this Act. (Source: P.A. 80-530.)

(215 ILCS 106/20) Sec. 20. Eligibility. (a) To be eligible for this Program, a person must be a person who has a child eligible under this Act and who is eligible under a waiver of federal requirements pursuant to an application made pursuant to subdivision (a)(1) of Section 40 o…

(215 ILCS 153/20) Sec. 20. Effects of transfer of structured settlement payment rights. Following a transfer of structured settlement payment rights approved under this Act: (1) the structured settlement obligor and the annuity issuer shall, as to all parties except the transfere…

(215 ILCS 5/20) (from Ch. 73, par. 632) (Section scheduled to be repealed on January 1, 2037) Sec. 20. Authority to solicit subscriptions. (1) Upon the approval of the articles of incorporation by the Director and upon compliance with such reasonable regulations relating to the o…

(215 ILCS 185/20) Sec. 20. Revised Uniform Unclaimed Property Act. Nothing in this Act shall be construed to amend, modify, or supersede the Revised Uniform Unclaimed Property Act, including the authority of the State Treasurer to examine the records of any person if the State Tr…

(215 ILCS 155/20) (from Ch. 73, par. 1420) Sec. 20. Rules and regulations. The Secretary shall rely upon federal regulations and opinion letters and may adopt rules and regulations as needed to implement and interpret the provisions of this Act. (Source: P.A. 94-893, eff. 6-20-06…

(215 ILCS 161/20) (Text of Section before amendment by P.A. 104-851) 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) Incorpora…

(215 ILCS 159/20) Sec. 20. Approval of viatical settlement contracts and disclosure statements. A person shall not use a viatical settlement contract form or provide to a viator a disclosure statement form in this State unless first filed with and approved by the Director. The Di…

(215 ILCS 124/20) (Text of Section before amendment by P.A. 104-333) Sec. 20. Transition of services. (a) A network plan shall provide for continuity of care for its beneficiaries as follows: (1) If a beneficiary's provider leaves the network plan's network of providers for reaso…

(215 ILCS 165/20) (from Ch. 32, par. 614) Sec. 20. The funds of any health services plan corporation shall be handled in accordance with the following rules: (a) All loans made to original capital of the corporation may be repayable only out of earned surplus. (b) The funds of th…

(215 ILCS 200/20) Sec. 20. Disclosure and review of prior authorization requirements. (a) A health insurance issuer shall maintain a complete list of services for which prior authorization is required, including for all services where prior authorization is performed by an entity…

(215 ILCS 180/20) Sec. 20. Notice of right to external review. (a) At the same time the health carrier sends written notice of a covered person's right to appeal a coverage decision upon an adverse determination or a final adverse determination, a health carrier shall notify a co…

(215 ILCS 215/20) Sec. 20. Notification of a cybersecurity event. (a) A licensee shall notify the Director as promptly as possible but no later than 3 business days after a determination that a cybersecurity event has occurred when either of the following criteria has been met: (…