(215 ILCS 134/75)
Sec. 75.
Consumer advisory committee.
(a) A health care plan shall establish a consumer advisory committee. The
consumer advisory committee shall have the authority to identify and review
consumer
concerns and make advisory recommendations to the health care plan. The health
care plan may also make requests of the consumer advisory committee to provide
feedback to proposed changes in plan policies and procedures which will affect
enrollees. However, the consumer advisory committee shall not have the
authority to hear or resolve specific complaints or grievances, but instead
shall refer such complaints or grievances to the health care plan's grievance
committee.
(b) The health care plan shall randomly select 8 enrollees meeting the
requirements
of this Section to serve on the consumer advisory committee.
The health care plan must continue to randomly select enrollees
until 8 enrollees have agreed to serve on the consumer advisory committee.
Upon initial
formation of the consumer advisory committee, the health care plan shall
appoint 4 enrollees to a 2 year term and 4 enrollees to a one year term.
Thereafter, as an enrollee's term expires, the health care plan shall
re-appoint or appoint an enrollee to serve on the consumer advisory committee
for a 2 year term.
Members of the consumer advisory committee shall by majority vote elect a
member of the committee to serve as chair of the committee.
(c) An enrollee may not serve on the consumer advisory committee if during
the 2 years preceding service the enrollee:
(1) has been an employee, officer, or director of the plan, an affiliate of the plan, or |