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1 | AN ACT concerning insurance.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Insurance Code is amended by | |||||||||||||||||||||||||
5 | changing Sections 351B-1, 351B-2, 351B-3, and 351B-6 as | |||||||||||||||||||||||||
6 | follows:
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7 | (215 ILCS 5/351B-1) (from Ch. 73, par. 963B-1)
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8 | Sec. 351B-1. Short title. This Article may be cited as the | |||||||||||||||||||||||||
9 | Small
Employer Group Health Insurance Coverage Choice Law.
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10 | (Source: P.A. 86-1407.)
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11 | (215 ILCS 5/351B-2) (from Ch. 73, par. 963B-2)
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12 | Sec. 351B-2. Findings and purpose.
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13 | (a) The General Assembly finds that the cost of group | |||||||||||||||||||||||||
14 | health insurance
is becoming unaffordable to many small | |||||||||||||||||||||||||
15 | employers and their employees.
Further, because of the higher | |||||||||||||||||||||||||
16 | cost
unaffordability of this type of insurance, in some
cases | |||||||||||||||||||||||||
17 | due to the cost of mandated benefits, a significant segment of | |||||||||||||||||||||||||
18 | the
State's working population is unable to pay for many health | |||||||||||||||||||||||||
19 | care services
which is increasing the cost of health insurance | |||||||||||||||||||||||||
20 | for current purchasers
through a cost shift.
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21 | (b) It is the purpose and intent of this amendatory Act of | |||||||||||||||||||||||||
22 | 1990 to
authorize a program whereby small employers may obtain | |||||||||||||||||||||||||
23 | affordable group
health insurance that will increase access to | |||||||||||||||||||||||||
24 | health care, assist in the
reduction of the amount of | |||||||||||||||||||||||||
25 | uncompensated care, and reduce the number of
uninsured people | |||||||||||||||||||||||||
26 | in this State.
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27 | (Source: P.A. 86-1407.)
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28 | (215 ILCS 5/351B-3) (from Ch. 73, par. 963B-3)
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29 | Sec. 351B-3. Small employer group accident and health | |||||||||||||||||||||||||
30 | insurance.
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1 | (a) Small employer group accident and health insurance is
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2 | hereby declared to be that form of accident and health | ||||||
3 | insurance that
provides coverage for each person insured under | ||||||
4 | the group policy for the
expenses incurred because of care | ||||||
5 | rendered by a physician or hospital for
the treatment of an | ||||||
6 | injury or sickness and which covers at least 2 but not more | ||||||
7 | than 50
25
employees, members, or employees of members | ||||||
8 | (exclusive of dependents)
written under a master policy issued | ||||||
9 | to any governmental corporation, unit,
agency, or department | ||||||
10 | thereof or to any corporation, copartnership,
or individual | ||||||
11 | employer or to any association upon application of an executive
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12 | officer or trustee of an association having a constitution or | ||||||
13 | bylaws and
formed in good faith for purposes other than that of | ||||||
14 | obtaining insurance,
where officers, members, employees, or | ||||||
15 | employees of members or classes or
departments thereof may be | ||||||
16 | insured for their individual benefit. In
addition, a small | ||||||
17 | employer group accident and health policy may be written
to | ||||||
18 | insure any group that may be insured under a group life | ||||||
19 | insurance
policy as long as the number of employees, members, | ||||||
20 | or employees of members
(exclusive of dependents) is at least 2 | ||||||
21 | but
does not more than 50
exceed 25 . The term "employees" shall
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22 | include the officers, managers, and employees of subsidiary or | ||||||
23 | affiliated
corporations, and the individual proprietors, | ||||||
24 | partners, and employees of
affiliated individuals or firms when | ||||||
25 | the business of the subsidiary or
affiliated corporations or | ||||||
26 | affiliated firms or individuals is controlled by
a common | ||||||
27 | employer through stock ownership, contract, or otherwise.
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28 | (b) For the purpose of providing coverage authorized under | ||||||
29 | this Article
a trust composed of employers or members each of | ||||||
30 | which has at least 2 but no more than 50
25 or fewer
employees | ||||||
31 | (exclusive of dependents) may serve as the master policyholder.
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32 | (Source: P.A. 86-1407.)
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33 | (215 ILCS 5/351B-6) (from Ch. 73, par. 963B-6)
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34 | Sec. 351B-6. The Director shall by rule prescribe a method | ||||||
35 | to collect
data from health insurers and employers relating to |
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1 | the coverage sold under
this Article. The data shall include | ||||||
2 | the number of groups purchasing this
coverage, the extent to | ||||||
3 | which other coverage has been replaced with this
coverage, if | ||||||
4 | any, the number of insureds, and a summary of the types of
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5 | coverage provided by policies authorized by this Article. | ||||||
6 | Statistically
valid survey methods may be used to compile this | ||||||
7 | data.
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8 | Not later than March 31, 2006
1993 , the Director shall | ||||||
9 | provide a written
report of this data to the Governor and to | ||||||
10 | the General Assembly.
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11 | (Source: P.A. 86-1407.)
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12 | Section 99. Effective date. This Act takes effect upon | ||||||
13 | becoming law.
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