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| Public Act 101-0625
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| SB0667 Enrolled | LRB101 04428 SMS 49436 b |
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois, |
represented in the General Assembly:
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Section 1. Findings. The General Assembly finds and |
declares that: |
(1) Diabetes affects approximately 1,300,000 adults in |
Illinois (12.5% of the population); |
(2) Diabetes is the seventh leading cause of death |
nationally and in Illinois; |
(3) The toll on the U.S. economy has increased by more |
than 40% since 2007, costing the country $245,000,000,000 |
in 2012; |
(4) When someone has diabetes, the body either does not |
make enough insulin or is unable to use its own insulin, |
causing glucose levels to rise higher than normal in the |
blood; |
(5) For people with Type 1 diabetes, near-constant |
self-management of glucose levels is essential to prevent |
life-threatening complications; |
(6) From 2012 to 2016, the average price of insulin |
increased from 13 cents per unit to 25 cents per unit; |
therefore, |
It is necessary for the State to enact laws to reduce the |
costs for Illinoisans with diabetes and increase their access |
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to life-saving and life-sustaining insulin.
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Section 5. The State Employees Group Insurance Act of 1971 |
is amended by changing Section 6.11 as follows:
|
(5 ILCS 375/6.11)
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Sec. 6.11. Required health benefits; Illinois Insurance |
Code
requirements. The program of health
benefits shall provide |
the post-mastectomy care benefits required to be covered
by a |
policy of accident and health insurance under Section 356t of |
the Illinois
Insurance Code. The program of health benefits |
shall provide the coverage
required under Sections 356g, |
356g.5, 356g.5-1, 356m,
356u, 356w, 356x, 356z.2, 356z.4, |
356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, |
356z.13, 356z.14, 356z.15, 356z.17, 356z.22, 356z.25, 356z.26, |
356z.29, 356z.30a, 356z.32, and 356z.33, 356z.36, and 356z.41 |
of the
Illinois Insurance Code.
The program of health benefits |
must comply with Sections 155.22a, 155.37, 355b, 356z.19, 370c, |
and 370c.1, and Article XXXIIB of the
Illinois Insurance Code. |
The Department of Insurance shall enforce the requirements of |
this Section with respect to Sections 370c and 370c.1 of the |
Illinois Insurance Code; all other requirements of this Section |
shall be enforced by the Department of Central Management |
Services.
|
Rulemaking authority to implement Public Act 95-1045, if |
any, is conditioned on the rules being adopted in accordance |
|
with all provisions of the Illinois Administrative Procedure |
Act and all rules and procedures of the Joint Committee on |
Administrative Rules; any purported rule not so adopted, for |
whatever reason, is unauthorized. |
(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17; |
100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff. |
1-1-19; 100-1102, eff. 1-1-19; 100-1170, eff. 6-1-19; 101-13, |
eff. 6-12-19; 101-281, eff. 1-1-20; 101-393, eff. 1-1-20; |
101-452, eff. 1-1-20; 101-461, eff. 1-1-20; revised 10-16-19.)
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Section 15. The Counties Code is amended by changing |
Section 5-1069.3 as follows:
|
(55 ILCS 5/5-1069.3)
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Sec. 5-1069.3. Required health benefits. If a county, |
including a home
rule
county, is a self-insurer for purposes of |
providing health insurance coverage
for its employees, the |
coverage shall include coverage for the post-mastectomy
care |
benefits required to be covered by a policy of accident and |
health
insurance under Section 356t and the coverage required |
under Sections 356g, 356g.5, 356g.5-1, 356u,
356w, 356x, |
356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, |
356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29, |
356z.30a, and 356z.32, and 356z.33, 356z.36, and 356z.41 of
the |
Illinois Insurance Code. The coverage shall comply with |
Sections 155.22a, 355b, 356z.19, and 370c of
the Illinois |
|
Insurance Code. The Department of Insurance shall enforce the |
requirements of this Section. The requirement that health |
benefits be covered
as provided in this Section is an
exclusive |
power and function of the State and is a denial and limitation |
under
Article VII, Section 6, subsection (h) of the Illinois |
Constitution. A home
rule county to which this Section applies |
must comply with every provision of
this Section.
|
Rulemaking authority to implement Public Act 95-1045, if |
any, is conditioned on the rules being adopted in accordance |
with all provisions of the Illinois Administrative Procedure |
Act and all rules and procedures of the Joint Committee on |
Administrative Rules; any purported rule not so adopted, for |
whatever reason, is unauthorized. |
(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17; |
100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff. |
1-1-19; 100-1102, eff. 1-1-19; 101-81, eff. 7-12-19; 101-281, |
eff. 1-1-20; 101-393, eff. 1-1-20; 101-461, eff. 1-1-20; |
revised 10-16-19.)
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Section 20. The Illinois Municipal Code is amended by |
changing Section 10-4-2.3 as follows:
|
(65 ILCS 5/10-4-2.3)
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Sec. 10-4-2.3. Required health benefits. If a |
municipality, including a
home rule municipality, is a |
self-insurer for purposes of providing health
insurance |
|
coverage for its employees, the coverage shall include coverage |
for
the post-mastectomy care benefits required to be covered by |
a policy of
accident and health insurance under Section 356t |
and the coverage required
under Sections 356g, 356g.5, |
356g.5-1, 356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.10, |
356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, |
356z.26, 356z.29, 356z.30a, and 356z.32, and 356z.33, 356z.36, |
and 356z.41 of the Illinois
Insurance
Code. The coverage shall |
comply with Sections 155.22a, 355b, 356z.19, and 370c of
the |
Illinois Insurance Code. The Department of Insurance shall |
enforce the requirements of this Section. The requirement that |
health
benefits be covered as provided in this is an exclusive |
power and function of
the State and is a denial and limitation |
under Article VII, Section 6,
subsection (h) of the Illinois |
Constitution. A home rule municipality to which
this Section |
applies must comply with every provision of this Section.
|
Rulemaking authority to implement Public Act 95-1045, if |
any, is conditioned on the rules being adopted in accordance |
with all provisions of the Illinois Administrative Procedure |
Act and all rules and procedures of the Joint Committee on |
Administrative Rules; any purported rule not so adopted, for |
whatever reason, is unauthorized. |
(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17; |
100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff. |
1-1-19; 100-1102, eff. 1-1-19; 101-81, eff. 7-12-19; 101-281, |
eff. 1-1-20; 101-393, eff. 1-1-20; 101-461, eff. 1-1-20; |
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revised 10-16-19.)
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Section 25. The School Code is amended by changing Section |
10-22.3f as follows:
|
(105 ILCS 5/10-22.3f)
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Sec. 10-22.3f. Required health benefits. Insurance |
protection and
benefits
for employees shall provide the |
post-mastectomy care benefits required to be
covered by a |
policy of accident and health insurance under Section 356t and |
the
coverage required under Sections 356g, 356g.5, 356g.5-1, |
356u, 356w, 356x,
356z.6, 356z.8, 356z.9, 356z.11, 356z.12, |
356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29, |
356z.30a, and 356z.32, and 356z.33, 356z.36, and 356z.41 of
the
|
Illinois Insurance Code.
Insurance policies shall comply with |
Section 356z.19 of the Illinois Insurance Code. The coverage |
shall comply with Sections 155.22a, 355b, and 370c of
the |
Illinois Insurance Code. The Department of Insurance shall |
enforce the requirements of this Section.
|
Rulemaking authority to implement Public Act 95-1045, if |
any, is conditioned on the rules being adopted in accordance |
with all provisions of the Illinois Administrative Procedure |
Act and all rules and procedures of the Joint Committee on |
Administrative Rules; any purported rule not so adopted, for |
whatever reason, is unauthorized. |
(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17; |
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100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff. |
1-1-19; 100-1102, eff. 1-1-19; 101-81, eff. 7-12-19; 101-281, |
eff. 1-1-20; 101-393, eff. 1-1-20; 101-461, eff. 1-1-20; |
revised 10-16-19.)
|
Section 30. The Illinois Insurance Code is amended by |
changing Section 356w and by adding Sections 356z.41 and |
356z.42 as follows:
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(215 ILCS 5/356w)
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Sec. 356w. Diabetes self-management training and |
education.
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(a) A group policy of accident and health insurance that is |
amended,
delivered,
issued, or renewed after the
effective date |
of this amendatory Act of 1998 shall provide coverage for
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outpatient self-management
training and education, equipment, |
and supplies, as set forth in this Section,
for the treatment |
of type 1 diabetes, type 2 diabetes, and gestational diabetes
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mellitus.
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(b) As used in this Section:
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"Diabetes self-management training"
means instruction in |
an outpatient setting
which enables a diabetic patient to |
understand the diabetic management process
and daily |
management of
diabetic therapy as a means of avoiding frequent |
hospitalization and
complications. Diabetes self-management |
training shall include
the content areas listed in the National |
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Standards for Diabetes Self-Management
Education Programs as |
published by the American Diabetes Association, including
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medical nutrition therapy and education programs, as defined by |
the contract of insurance, that allow the patient to maintain |
an A1c level within the range identified in nationally |
recognized standards of care.
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"Medical nutrition therapy" shall have the meaning
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ascribed to that term in the Dietitian Nutritionist
Practice |
Act.
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"Physician" means a
physician licensed to practice |
medicine in all of
its branches providing care to the |
individual.
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"Qualified provider" for an
individual that is enrolled in:
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(1) a health maintenance organization that uses a
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primary
care physician to
control access to specialty care |
means (A) the individual's primary care
physician licensed |
to practice
medicine in all of its branches, (B) a |
physician licensed to practice
medicine in all of its |
branches to
whom the individual has been referred by the |
primary care physician, or (C) a
certified, registered, or
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licensed network health care professional with expertise |
in diabetes management
to whom the individual
has been |
referred by the primary care physician.
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(2) an insurance plan
means (A) a physician licensed to |
practice medicine in
all of its branches or (B) a
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certified, registered, or licensed health care |
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professional with expertise in
diabetes management to whom |
the individual has been referred by a physician.
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(c) Coverage under this Section for diabetes |
self-management training,
including medical nutrition
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education, shall be limited to the following:
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(1) Up to 3 medically necessary visits to a qualified |
provider upon
initial diagnosis of diabetes
by the |
patient's
physician or, if diagnosis of diabetes was made |
within one year prior to the
effective date of
this |
amendatory Act
of 1998 where the insured was a covered |
individual, up to 3 medically necessary
visits to a |
qualified provider within one
year after that
effective
|
date.
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(2) Up to 2 medically necessary visits to a qualified |
provider upon a
determination by a
patient's
physician that |
a significant change in the patient's symptoms or medical
|
condition has
occurred. A "significant change" in |
condition means symptomatic
hyperglycemia (greater than |
250 mg/dl on repeated occasions), severe
hypoglycemia |
(requiring the assistance of another person), onset or |
progression
of diabetes, or a significant change in medical |
condition that would require a
significantly different |
treatment regimen.
|
Payment by the insurer or health maintenance organization |
for the coverage
required for diabetes self-management |
training pursuant to the provisions of
this Section is only |
|
required to be made for services provided.
No coverage is |
required for additional visits beyond those specified in items
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(1) and (2) of this subsection.
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Coverage under this subsection (c) for diabetes |
self-management training
shall
be subject to the same
|
deductible, co-payment, and co-insurance provisions that apply |
to coverage
under
the policy for other
services provided by the |
same type of provider.
|
(d) Coverage shall be provided for the following
equipment |
when medically necessary
and prescribed by a physician licensed |
to practice medicine in all
of its branches.
Coverage for the |
following items shall be subject to deductible, co-payment
and |
co-insurance provisions
provided for under the policy or a |
durable medical equipment rider to the
policy:
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(1) blood glucose monitors;
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(2) blood glucose monitors for the legally blind;
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(3) cartridges for the legally blind; and
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(4) lancets and lancing devices.
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This subsection does not apply to a group policy of |
accident and health
insurance that does not provide a durable |
medical equipment benefit.
|
(e) Coverage shall be provided for the following |
pharmaceuticals and
supplies when
medically necessary and |
prescribed by a physician licensed to
practice medicine in all |
of its
branches.
Coverage for the following items shall be |
subject to the same coverage,
deductible,
co-payment, and |
|
co-insurance
provisions under the policy or a drug rider to the |
policy, except as otherwise provided for under Section 356z.41:
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(1) insulin;
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(2) syringes and needles;
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(3) test strips for glucose monitors;
|
(4) FDA approved oral agents used to control blood |
sugar; and
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(5) glucagon emergency kits.
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This subsection does not apply to a group policy of |
accident and health
insurance that does not provide a drug |
benefit.
|
(f) Coverage shall be provided for regular foot care exams |
by a
physician or by a
physician to whom a physician has |
referred the patient. Coverage
for regular foot care exams
|
shall be subject to the same deductible, co-payment, and |
co-insurance
provisions
that apply under the policy for
other |
services provided by the same type of provider.
|
(g) If authorized by a physician, diabetes self-management
|
training may be provided as a part of an office visit, group |
setting, or home
visit.
|
(h) This Section shall not apply to agreements, contracts, |
or policies that
provide coverage for a specified diagnosis or |
other limited benefit coverage.
|
(Source: P.A. 97-281, eff. 1-1-12; 97-1141, eff. 12-28-12.)
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(215 ILCS 5/356z.41 new) |
|
Sec. 356z.41. Cost sharing in prescription insulin drugs; |
limits; confidentiality of rebate information. |
(a) As used in this Section, "prescription insulin drug" |
means a prescription drug that contains insulin and is used to |
control blood glucose levels to treat diabetes but does not |
include an insulin drug that is
administered to a patient |
intravenously. |
(b) This Section applies to a group or individual policy of |
accident and health insurance amended, delivered, issued, or |
renewed on or after the effective date of this amendatory Act |
of the 101st General Assembly. |
(c) An insurer that provides coverage for prescription |
insulin drugs pursuant to the terms of a health coverage plan |
the insurer offers shall limit the total amount that an insured |
is required to pay for a 30-day supply of covered prescription |
insulin drugs at an amount not to exceed $100, regardless of |
the quantity or type of covered prescription insulin drug used |
to fill the insured's prescription. |
(d) Nothing in this Section prevents an insurer from |
reducing an insured's cost sharing by an amount greater than |
the amount specified in subsection (c). |
(e) The Director may use any of the Director's enforcement |
powers to obtain an insurer's compliance with this Section. |
(f) The Department may adopt rules as necessary to |
implement and administer this Section and to align it with |
federal requirements. |
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(g) On January 1 of each year, the limit on the amount that |
an insured is required to pay for a 30-day supply of a covered |
prescription insulin drug shall increase by a percentage equal |
to the percentage change from the preceding year in the medical |
care component of the Consumer Price Index of the Bureau of |
Labor Statistics of the United States Department of Labor.
|
(215 ILCS 5/356z.42 new) |
Sec. 356z.42. Insulin pricing report. By November 1, 2020, |
the Department of Insurance in conjunction with the Department |
of Human Services and the Department of Healthcare and Family |
Services shall make available to the public a report that |
details each Department's findings for the following: |
(1) a summary of insulin pricing practices and variables |
that contribute to pricing of health coverage plans; |
(2) public policy recommendations to control and prevent |
overpricing of prescription insulin drugs made available to |
Illinois consumers;
and |
(3) any other information the Department finds necessary. |
This Section is repealed December 31, 2020.
|
Section 35. The Health Maintenance Organization Act is |
amended by changing Section 5-3 as follows:
|
(215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
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Sec. 5-3. Insurance Code provisions.
|
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(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, 143c, 147, 148, 149, 151,
152, 153, 154, |
154.5, 154.6,
154.7, 154.8, 155.04, 155.22a, 355.2, 355.3, |
355b, 356g.5-1, 356m, 356v, 356w, 356x, 356y,
356z.2, 356z.4, |
356z.4a, 356z.5, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, |
356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.18, 356z.19, |
356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, |
356z.30a, 356z.32, 356z.33, 356z.35, 356z.36, 356z.41, 364, |
364.01, 367.2, 367.2-5, 367i, 368a, 368b, 368c, 368d, 368e, |
370c,
370c.1, 401, 401.1, 402, 403, 403A,
408, 408.2, 409, 412, |
444,
and
444.1,
paragraph (c) of subsection (2) of Section 367, |
and Articles IIA, VIII 1/2,
XII,
XII 1/2, XIII, XIII 1/2, XXV, |
XXVI, and XXXIIB of the Illinois Insurance Code.
|
(b) For purposes of the Illinois Insurance Code, except for |
Sections 444
and 444.1 and Articles XIII and XIII 1/2, Health |
Maintenance Organizations in
the following categories are |
deemed to be "domestic companies":
|
(1) a corporation authorized under the
Dental Service |
Plan Act or the Voluntary Health Services Plans Act;
|
(2) a corporation organized under the laws of this |
State; or
|
(3) a corporation organized under the laws of another |
state, 30% or more
of the enrollees of which are residents |
of this State, except a
corporation subject to |
substantially the same requirements in its state of
|
|
organization as is a "domestic company" under Article VIII |
1/2 of the
Illinois Insurance Code.
|
(c) In considering the merger, consolidation, or other |
acquisition of
control of a Health Maintenance Organization |
pursuant to Article VIII 1/2
of the Illinois Insurance Code,
|
(1) the Director shall give primary consideration to |
the continuation of
benefits to enrollees and the financial |
conditions of the acquired Health
Maintenance Organization |
after the merger, consolidation, or other
acquisition of |
control takes effect;
|
(2)(i) the criteria specified in subsection (1)(b) of |
Section 131.8 of
the Illinois Insurance Code shall not |
apply and (ii) the Director, in making
his determination |
with respect to the merger, consolidation, or other
|
acquisition of control, need not take into account the |
effect on
competition of the merger, consolidation, or |
other acquisition of control;
|
(3) the Director shall have the power to require the |
following
information:
|
(A) certification by an independent actuary of the |
adequacy
of the reserves of the Health Maintenance |
Organization sought to be acquired;
|
(B) pro forma financial statements reflecting the |
combined balance
sheets of the acquiring company and |
the Health Maintenance Organization sought
to be |
acquired as of the end of the preceding year and as of |
|
a date 90 days
prior to the acquisition, as well as pro |
forma financial statements
reflecting projected |
combined operation for a period of 2 years;
|
(C) a pro forma business plan detailing an |
acquiring party's plans with
respect to the operation |
of the Health Maintenance Organization sought to
be |
acquired for a period of not less than 3 years; and
|
(D) such other information as the Director shall |
require.
|
(d) The provisions of Article VIII 1/2 of the Illinois |
Insurance Code
and this Section 5-3 shall apply to the sale by |
any health maintenance
organization of greater than 10% of its
|
enrollee population (including without limitation the health |
maintenance
organization's right, title, and interest in and to |
its health care
certificates).
|
(e) In considering any management contract or service |
agreement subject
to Section 141.1 of the Illinois Insurance |
Code, the Director (i) shall, in
addition to the criteria |
specified in Section 141.2 of the Illinois
Insurance Code, take |
into account the effect of the management contract or
service |
agreement on the continuation of benefits to enrollees and the
|
financial condition of the health maintenance organization to |
be managed or
serviced, and (ii) need not take into account the |
effect of the management
contract or service agreement on |
competition.
|
(f) Except for small employer groups as defined in the |
|
Small Employer
Rating, Renewability and Portability Health |
Insurance Act and except for
medicare supplement policies as |
defined in Section 363 of the Illinois
Insurance Code, a Health |
Maintenance Organization may by contract agree with a
group or |
other enrollment unit to effect refunds or charge additional |
premiums
under the following terms and conditions:
|
(i) the amount of, and other terms and conditions with |
respect to, the
refund or additional premium are set forth |
in the group or enrollment unit
contract agreed in advance |
of the period for which a refund is to be paid or
|
additional premium is to be charged (which period shall not |
be less than one
year); and
|
(ii) the amount of the refund or additional premium |
shall not exceed 20%
of the Health Maintenance |
Organization's profitable or unprofitable experience
with |
respect to the group or other enrollment unit for the |
period (and, for
purposes of a refund or additional |
premium, the profitable or unprofitable
experience shall |
be calculated taking into account a pro rata share of the
|
Health Maintenance Organization's administrative and |
marketing expenses, but
shall not include any refund to be |
made or additional premium to be paid
pursuant to this |
subsection (f)). The Health Maintenance Organization and |
the
group or enrollment unit may agree that the profitable |
or unprofitable
experience may be calculated taking into |
account the refund period and the
immediately preceding 2 |
|
plan years.
|
The Health Maintenance Organization shall include a |
statement in the
evidence of coverage issued to each enrollee |
describing the possibility of a
refund or additional premium, |
and upon request of any group or enrollment unit,
provide to |
the group or enrollment unit a description of the method used |
to
calculate (1) the Health Maintenance Organization's |
profitable experience with
respect to the group or enrollment |
unit and the resulting refund to the group
or enrollment unit |
or (2) the Health Maintenance Organization's unprofitable
|
experience with respect to the group or enrollment unit and the |
resulting
additional premium to be paid by the group or |
enrollment unit.
|
In no event shall the Illinois Health Maintenance |
Organization
Guaranty Association be liable to pay any |
contractual obligation of an
insolvent organization to pay any |
refund authorized under this Section.
|
(g) Rulemaking authority to implement Public Act 95-1045, |
if any, is conditioned on the rules being adopted in accordance |
with all provisions of the Illinois Administrative Procedure |
Act and all rules and procedures of the Joint Committee on |
Administrative Rules; any purported rule not so adopted, for |
whatever reason, is unauthorized. |
(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17; |
100-863, eff. 8-14-18; 100-1026, eff. 8-22-18; 100-1057, eff. |
1-1-19; 100-1102, eff. 1-1-19; 101-13, eff. 6-12-19; 101-81, |
|
eff. 7-12-19; 101-281, eff. 1-1-20; 101-371, eff. 1-1-20; |
101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff. |
1-1-20; revised 10-16-19.)
|
Section 40. The Limited Health Service Organization Act is |
amended by changing Section 4003 as follows:
|
(215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
|
Sec. 4003. Illinois Insurance Code provisions. Limited |
health service
organizations shall be subject to the provisions |
of Sections 133, 134, 136, 137, 139,
140, 141.1, 141.2, 141.3, |
143, 143c, 147, 148, 149, 151, 152, 153, 154, 154.5,
154.6, |
154.7, 154.8, 155.04, 155.37, 355.2, 355.3, 355b, 356v, |
356z.10, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, |
356z.30a, 356z.32, 356z.33, 356z.41, 368a, 401, 401.1,
402,
|
403, 403A, 408,
408.2, 409, 412, 444, and 444.1 and Articles |
IIA, VIII 1/2, XII, XII 1/2,
XIII,
XIII 1/2, XXV, and XXVI of |
the Illinois Insurance Code. For purposes of the
Illinois |
Insurance Code, except for Sections 444 and 444.1 and Articles |
XIII
and XIII 1/2, limited health service organizations in the |
following categories
are deemed to be domestic companies:
|
(1) a corporation under the laws of this State; or
|
(2) a corporation organized under the laws of another |
state, 30% or more
of the enrollees of which are residents |
of this State, except a corporation
subject to |
substantially the same requirements in its state of |
|
organization as
is a domestic company under Article VIII |
1/2 of the Illinois Insurance Code.
|
(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17; |
100-201, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1057, eff. |
1-1-19; 100-1102, eff. 1-1-19; 101-81, eff. 7-12-19; 101-281, |
eff. 1-1-20; 101-393, eff. 1-1-20; revised 10-16-19.)
|
Section 45. The Voluntary Health Services Plans Act is |
amended by changing Section 10 as follows:
|
(215 ILCS 165/10) (from Ch. 32, par. 604)
|
Sec. 10. Application of Insurance Code provisions. Health |
services
plan corporations and all persons interested therein |
or dealing therewith
shall be subject to the provisions of |
Articles IIA and XII 1/2 and Sections
3.1, 133, 136, 139, 140, |
143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b, 356g, |
356g.5, 356g.5-1, 356r, 356t, 356u, 356v,
356w, 356x, 356y, |
356z.1, 356z.2, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8, |
356z.9,
356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, |
356z.18, 356z.19, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, |
356z.30, 356z.30a, 356z.32, 356z.33, 356z.41, 364.01, 367.2, |
368a, 401, 401.1,
402,
403, 403A, 408,
408.2, and 412, and |
paragraphs (7) and (15) of Section 367 of the Illinois
|
Insurance Code.
|
Rulemaking authority to implement Public Act 95-1045, if |
any, is conditioned on the rules being adopted in accordance |
|
with all provisions of the Illinois Administrative Procedure |
Act and all rules and procedures of the Joint Committee on |
Administrative Rules; any purported rule not so adopted, for |
whatever reason, is unauthorized. |
(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17; |
100-863, eff. 8-14-18; 100-1026, eff. 8-22-18; 100-1057, eff. |
1-1-19; 100-1102, eff. 1-1-19; 101-13, eff. 6-12-19; 101-81, |
eff. 7-12-19; 101-281, eff. 1-1-20; 101-393, eff. 1-1-20; |
revised 10-16-19.)
|
