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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 the heading of Article XXIX and Sections 454, 455, | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
6 | 456, 457, 458, 460, 462, 463, 465, 466, 467, 468, 469, 470, and | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
7 | 471 as follows: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
8 | (215 ILCS 5/Art. XXIX heading) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
9 | ARTICLE XXIX. PROPERTY AND CASUALTY
WORKERS' COMPENSATION AND | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
10 | EMPLOYER'S LIABILITY RATES.
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
11 | (215 ILCS 5/454) (from Ch. 73, par. 1065.1)
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
12 | Sec. 454. Purpose of Article. The purpose of this Article | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
13 | is to promote the public welfare by
regulating property and | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
14 | casualty insurance rates, including workers' compensation and | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
15 | employer's liability insurance
rates , to the end that they | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
16 | shall not be excessive, inadequate or
unfairly discriminatory, | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
17 | or erroneously applied and to authorize and
regulate | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
18 | co-operative
action among companies in rate making and in other | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
19 | matters within the
scope of this Article. It is the express | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
20 | intent of the General Assembly pursuant to this Article to | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
21 | permit and encourage competition between companies on a sound | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
22 | financial basis and to establish a mechanism to ensure the | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
23 | provision of adequate insurance at reasonable rates to the | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
24 | citizens of this State.
Nothing in this Article is intended (1) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
25 | to
prohibit or discourage reasonable competition, or (2) to | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
26 | prohibit, or
encourage except to the extent necessary to | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
27 | accomplish the
aforementioned purpose, uniformity in insurance | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
28 | rates, rating systems,
rating plans or practices. This Article | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
29 | shall be liberally interpreted
to carry into effect the | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
30 | provisions of this Section. Section 462b of
this Article is a | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
31 | codification of existing law and practice.
|
| |||||||
| |||||||
1 | (Source: P.A. 83-1002.)
| ||||||
2 | (215 ILCS 5/455) (from Ch. 73, par. 1065.2)
| ||||||
3 | Sec. 455. Scope of article. This Article applies to | ||||||
4 | property and casualty insurance, including workers' | ||||||
5 | compensation and employers'
liability insurance incidental | ||||||
6 | thereto and written in connection
therewith , but shall not | ||||||
7 | apply to reinsurance thereon. As used in this Article, | ||||||
8 | "property and casualty insurance" means the kinds of insurance | ||||||
9 | described in clauses (b), (c), (d), (e), (f), (g), (h), (i), | ||||||
10 | (j), (k), and (l) of Class 2 and clauses (a), (b), (c), (d), | ||||||
11 | (e), (f), (g), (h), and (i) of Class 3 of Section 4 of this | ||||||
12 | Code.
| ||||||
13 | (Source: P.A. 81-992.)
| ||||||
14 | (215 ILCS 5/456) (from Ch. 73, par. 1065.3)
| ||||||
15 | Sec. 456. Making of rates. (1) All rates shall be made in | ||||||
16 | accordance with the following provisions:
| ||||||
17 | (a) Due consideration shall be given to past and | ||||||
18 | prospective loss
experience within and outside this state, to | ||||||
19 | catastrophe hazards, if
any, to a reasonable margin for profit | ||||||
20 | and contingencies,
to dividends, savings or unabsorbed premium | ||||||
21 | deposits allowed or returned
by companies to their | ||||||
22 | policyholders, members or subscribers, to past and
prospective | ||||||
23 | expenses both countrywide and those specially applicable to
| ||||||
24 | this state, to underwriting practice and judgment and to all | ||||||
25 | other
relevant factors within and outside this state;
| ||||||
26 | (b) The systems of expense provisions included in the rates | ||||||
27 | for use
by any company or group of companies may differ from | ||||||
28 | those of other
companies or groups of companies to reflect the | ||||||
29 | requirements of the
operating methods of any such company or | ||||||
30 | group with respect to any kind
of insurance, or with respect to | ||||||
31 | any subdivision or combination thereof
for which subdivision or | ||||||
32 | combination separate expense provisions are
applicable;
| ||||||
33 | (c) Risks may be grouped by classifications for the | ||||||
34 | establishment of
rates and minimum premiums. Classification |
| |||||||
| |||||||
1 | rates may be modified to
produce rates for individual risks in | ||||||
2 | accordance with rating plans which
measure variation in hazards | ||||||
3 | or expense provisions, or both. Such rating
plans may measure | ||||||
4 | any differences among risks that have a probable
effect upon | ||||||
5 | losses or expenses;
| ||||||
6 | (d) Rates shall not be excessive, inadequate or unfairly
| ||||||
7 | discriminatory , nor shall rates be increased more than 15% | ||||||
8 | without adequate justification .
| ||||||
9 | A rate in a competitive market is presumed to be not | ||||||
10 | excessive if it has not been increased or decreased by more | ||||||
11 | than 15% without adequate justification . A rate in a | ||||||
12 | noncompetitive
market is excessive if it is likely to produce a | ||||||
13 | long run profit that is
unreasonably high for the insurance | ||||||
14 | provided or if expenses are unreasonably
high in relation to | ||||||
15 | the services rendered.
| ||||||
16 | A rate is not inadequate unless such rate is clearly | ||||||
17 | insufficient to sustain
projected losses and expenses in the | ||||||
18 | class of business to which it applies
and the use of such rate | ||||||
19 | has or, if continued, will have the effect of substantially
| ||||||
20 | lessening competition or the tendency to create monopoly in any | ||||||
21 | market.
| ||||||
22 | Unfair discrimination exists if, after allowing for | ||||||
23 | practical limitations,
price differentials fail to reflect | ||||||
24 | equitably the differences in expected
losses and expenses. A | ||||||
25 | rate is not unfairly discriminatory because different
premiums | ||||||
26 | result for policyholders with like exposures but different | ||||||
27 | expenses,
or like expenses but different loss exposures, so | ||||||
28 | long as the rate reflects
the differences with reasonable | ||||||
29 | accuracy.
| ||||||
30 | (e) A
The rating plan for workers' compensation or | ||||||
31 | employer's liability insurance shall contain a mandatory offer | ||||||
32 | of a deductible applicable
only to the medical benefit under | ||||||
33 | the Workers' Compensation Act.
Such deductible offer shall be | ||||||
34 | in a minimum amount of at least $1,000 per accident.
| ||||||
35 | (f) Any rating plan or program shall include a rule | ||||||
36 | permitting 2 or more
employers with similar risk |
| |||||||
| |||||||
1 | characteristics, who participate in a loss prevention
program | ||||||
2 | or safety group, to pool their premium and loss experience in | ||||||
3 | determining
their rate or premium for such participation in the | ||||||
4 | program.
| ||||||
5 | (g) In making the determination of whether there is | ||||||
6 | adequate justification for a rate increase of more than 15%, | ||||||
7 | the Secretary shall, in accordance with generally accepted and | ||||||
8 | reasonable actuarial techniques, consider the following | ||||||
9 | factors: | ||||||
10 | (A) Past loss experience within and outside this State. | ||||||
11 | (B) Past expenses both allocated and unallocated. | ||||||
12 | (C) The degree of competition among insurers for the | ||||||
13 | risk insured. | ||||||
14 | (D) Investment income reasonably expected by the | ||||||
15 | insurer, consistent with the insurer's investment | ||||||
16 | practices, from investable premiums anticipated in the | ||||||
17 | filing, plus any other expected income from currently | ||||||
18 | invested assets representing the amount expected on | ||||||
19 | unearned premium reserves and loss reserves. the | ||||||
20 | Department may adopt rules utilizing reasonable techniques | ||||||
21 | of actuarial science and economics to specify the manner in | ||||||
22 | which insurers shall calculate investment income | ||||||
23 | attributable to the classes of insurance written in this | ||||||
24 | State and the manner in which the investment income shall | ||||||
25 | be used in the calculation of insurance rates. | ||||||
26 | (E) The reasonableness of the judgment reflected in the | ||||||
27 | filing. | ||||||
28 | (F) Dividends, savings, or unabsorbed premium deposits | ||||||
29 | allowed or returned to Illinois policyholders, members, or | ||||||
30 | subscribers. | ||||||
31 | (G) The adequacy of loss reserves. | ||||||
32 | (H) The cost of reinsurance. | ||||||
33 | (I) Trend factors, including trends in actual losses | ||||||
34 | per insured unit for the insurer making the filing. | ||||||
35 | (J) Conflagration and catastrophe hazards, if | ||||||
36 | applicable. |
| |||||||
| |||||||
1 | (K) A reasonable margin for profit and contingencies. | ||||||
2 | (L) Other relevant factors that impact upon the | ||||||
3 | frequency or severity of claims or upon expenses. | ||||||
4 | (M) In the case of fire insurance rates, consideration | ||||||
5 | shall be given to the experience of the fire insurance | ||||||
6 | business during a period of not less than the most recent 5 | ||||||
7 | year period for which the experience is available.
| ||||||
8 | (2) Except to the extent necessary to meet the provisions | ||||||
9 | of
subdivision (d) of subsection (1) of this Section, | ||||||
10 | uniformity among
companies in any matters within the scope of | ||||||
11 | this Section is neither
required nor prohibited.
| ||||||
12 | (Source: P.A. 82-939.)
| ||||||
13 | (215 ILCS 5/457) (from Ch. 73, par. 1065.4)
| ||||||
14 | Sec. 457. Rate filings. (1) Beginning January 1, 1983, | ||||||
15 | every company
shall file with the Director every manual of | ||||||
16 | classifications, every manual
of rules and rates, every rating | ||||||
17 | plan and every modification of the foregoing
which it intends | ||||||
18 | to use. Such filings shall be made not later than 30 days
after | ||||||
19 | they become effective.
A company may satisfy its obligation to | ||||||
20 | make such filings by adopting the
filing of a licensed rating | ||||||
21 | organization of which it is a member or subscriber,
filed | ||||||
22 | pursuant to subsection (2) of this Section, in total or by | ||||||
23 | notifying
the Director in what respects it intends to deviate | ||||||
24 | from such filing. Any
company adopting a pure premium filed by | ||||||
25 | a rating organization pursuant to subsection
(2) must file with | ||||||
26 | the Director the modification factor it is using for
expenses | ||||||
27 | and profit so that the final rates in use by such company can | ||||||
28 | be determined.
| ||||||
29 | (2) (Blank).
Beginning January 1, 1983, each licensed | ||||||
30 | rating organization must
file with the Director every manual of | ||||||
31 | classification, every manual of rules
and advisory rates, every | ||||||
32 | pure premium which has been fully adjusted and
fully developed, | ||||||
33 | every rating plan and every modification of any of the
| ||||||
34 | foregoing which it intends to recommend for use to its members | ||||||
35 | and subscribers,
not later than 30 days after such manual, |
| |||||||
| |||||||
1 | premium, plan or modification
thereof takes effect. Every | ||||||
2 | licensed rating organization shall also file
with the Director | ||||||
3 | the rate classification system, all rating rules, rating
plans, | ||||||
4 | policy forms, underwriting rules or similar materials, and each | ||||||
5 | modification
of any of the foregoing which it requires its | ||||||
6 | members and subscribers to
adhere to not later than 30 days | ||||||
7 | before such filings or modifications thereof
are to take | ||||||
8 | effect. Every such filing shall state the proposed effective
| ||||||
9 | date thereof and shall indicate the character and extent of the | ||||||
10 | coverage contemplated.
| ||||||
11 | (3) A filing and any supporting information made pursuant | ||||||
12 | to this Section
shall be open to public inspection after the | ||||||
13 | filing becomes effective.
| ||||||
14 | (Source: P.A. 82-939.)
| ||||||
15 | (215 ILCS 5/458) (from Ch. 73, par. 1065.5)
| ||||||
16 | Sec. 458. Disapproval of filings. (1) If within thirty days | ||||||
17 | of any filing the Director
finds that such filing does not meet | ||||||
18 | the requirements of this Article, he
shall send to the company | ||||||
19 | or rating organization which made such filing a
written notice | ||||||
20 | of disapproval of such filing, specifying therein in what
| ||||||
21 | respects he finds that such filing fails to meet the | ||||||
22 | requirements of this
Article and stating when, within a | ||||||
23 | reasonable period thereafter, such
filing shall be deemed no | ||||||
24 | longer effective. If the company or rating
organization making | ||||||
25 | the filing shall, prior to the expiration of the period
| ||||||
26 | prescribed in the notice, request a hearing, such filings shall | ||||||
27 | be
effective until the expiration of a reasonable period | ||||||
28 | specified in any
order entered thereon. If the rate resulting | ||||||
29 | from such filing be unfairly
discriminatory or materially | ||||||
30 | inadequate, and the difference
between such rate and the | ||||||
31 | approved rate equals or exceeds the cost of
making an | ||||||
32 | adjustment, the Director shall in such notice or order direct | ||||||
33 | an
adjustment of the premium to be made with the policyholder | ||||||
34 | either by refund
or collection of additional premium. If the | ||||||
35 | policyholder does not accept
the increased rate, cancellation |
| |||||||
| |||||||
1 | shall be made on a pro rata basis. Any
policy issued pursuant | ||||||
2 | to this subsection shall contain a provision that
the premium | ||||||
3 | thereon shall be subject to adjustment upon the basis of the
| ||||||
4 | filing finally approved.
| ||||||
5 | (2) If at any time subsequent to the applicable review | ||||||
6 | period provided
for in subsection (1) of this Section, the | ||||||
7 | Director finds that a
filing does not meet the requirements of | ||||||
8 | this Article, he shall, after a
hearing held upon not less than | ||||||
9 | ten days written notice, specifying the
matters to be | ||||||
10 | considered at such hearing, to the
every company and rating
| ||||||
11 | organization which made such filing, issue an order specifying | ||||||
12 | in what
respects he finds that such filing fails to meet the | ||||||
13 | requirements of this
Article, and stating when, within a | ||||||
14 | reasonable period thereafter, such
filings shall be deemed no | ||||||
15 | longer effective. Copies of said order shall be
sent to every | ||||||
16 | such company and rating organization . Said order shall not
| ||||||
17 | affect any contract or policy made or issued prior to the | ||||||
18 | expiration of the
period set forth in said order.
| ||||||
19 | (3) Any person or organization aggrieved with respect to | ||||||
20 | any filing
which is in effect may make written application to | ||||||
21 | the Director for a
hearing thereon, provided, however, that the | ||||||
22 | company or rating organization
that made the filing shall not | ||||||
23 | be authorized to proceed under this
subsection. Such | ||||||
24 | application shall specify the grounds to be relied upon by
the | ||||||
25 | applicant. If the Director shall find that the application is | ||||||
26 | made in
good faith, that the applicant would be so aggrieved if | ||||||
27 | his grounds are
established, and that such grounds otherwise | ||||||
28 | justify holding such a
hearing, he shall, within thirty days | ||||||
29 | after receipt of such application,
hold a hearing upon not less | ||||||
30 | than ten days written notice to the applicant
and to every | ||||||
31 | company and rating organization which made such filing .
| ||||||
32 | If, after such hearing, the Director finds that the filing | ||||||
33 | does not meet
the requirements of this Article, he shall issue | ||||||
34 | an order specifying in
what respects he finds that such filing | ||||||
35 | fails to meet the requirements of
this Article, and stating | ||||||
36 | when, within a reasonable period thereafter, such
filing shall |
| |||||||
| |||||||
1 | be deemed no longer effective. Copies of said order shall be
| ||||||
2 | sent to the applicant and to every such company and rating | ||||||
3 | organization .
Said order shall not affect any contract or | ||||||
4 | policy made or issued prior to
the expiration of the period set | ||||||
5 | forth in said order.
| ||||||
6 | (Source: P.A. 82-939.)
| ||||||
7 | (215 ILCS 5/460) (from Ch. 73, par. 1065.7)
| ||||||
8 | Sec. 460. Competitive Market, Approval of Rates. (a) | ||||||
9 | Beginning January
1, 1983, a competitive market is presumed to | ||||||
10 | exist unless the Director, after a
hearing, determines that a | ||||||
11 | reasonable degree of competition does
not exist in the market | ||||||
12 | and
the Director issues a ruling to that effect. For purposes | ||||||
13 | of this Article
only, market shall mean the statewide workers' | ||||||
14 | compensation and employers'
liability lines of business. In | ||||||
15 | determining whether a reasonable degree of competition
exists, | ||||||
16 | the Director shall consider relevant tests of workable | ||||||
17 | competition
pertaining to market structure, market performance | ||||||
18 | and market conduct. Such
tests may include, but need not be | ||||||
19 | limited to, the following: size and number
of firms actively | ||||||
20 | engaged in the market, market shares and changes in market
| ||||||
21 | shares of firms, ease of entry and exit
from a given market, | ||||||
22 | underwriting restriction, and whether profitability
for | ||||||
23 | companies generally in the market is unreasonably high.
The | ||||||
24 | determination of competition involves the interaction of the | ||||||
25 | various
tests and the weight given to specific tests depends | ||||||
26 | upon the particular
situation and pattern of test results.
| ||||||
27 | In determining whether or not a competitive market exists, | ||||||
28 | the Director
shall monitor the degree of competition in this | ||||||
29 | State. In doing so, he
shall utilize existing relevant | ||||||
30 | information, analytical systems and other
sources; cause or | ||||||
31 | participate in the development of new relevant information,
| ||||||
32 | analytical systems and other sources; or rely on some | ||||||
33 | combination thereof.
Such activities may be conducted | ||||||
34 | internally within the Department of Insurance,
in cooperation | ||||||
35 | with other state insurance departments, through outside |
| |||||||
| |||||||
1 | contractors,
or in any other appropriate manner.
| ||||||
2 | (b) If the Director finds that a reasonable degree of | ||||||
3 | competition does
not exist in a market, he may require that the | ||||||
4 | insurers in that market file
supporting information in support | ||||||
5 | of existing rates. If the Director believes
that such rates may | ||||||
6 | violate any of the requirements of this Article, he
shall call | ||||||
7 | a hearing prior to any disapproval.
If the Director determines | ||||||
8 | that a competitive market does not exist in a
the
workers' | ||||||
9 | compensation market as provided in a ruling pursuant to this | ||||||
10 | Section,
then every company must prefile every manual of | ||||||
11 | classifications, rules,
rates, rating plans, rating schedules, | ||||||
12 | and every modification of the foregoing
covered by such rule. | ||||||
13 | Such filing shall be made at least 30 days prior
to its taking | ||||||
14 | effect, and such prefiling requirement
shall remain in effect | ||||||
15 | as long as there is a ruling in effect pursuant to
this Section | ||||||
16 | that a reasonable degree of competition does not exist.
| ||||||
17 | (c) The Director shall disapprove a rate if he finds that | ||||||
18 | the rate is
excessive, inadequate or unfairly discriminatory as | ||||||
19 | defined in Section 456 or has been increased by more than 15% | ||||||
20 | without adequate justification . An
insurer whose rates have | ||||||
21 | been disapproved shall be given a hearing upon
a written | ||||||
22 | request made within 30 days after the disapproval order.
| ||||||
23 | If the Director disapproves a rate, he shall issue an order | ||||||
24 | specifying
in what respects it fails to meet the requirements | ||||||
25 | of this Article and stating
when within a reasonable period | ||||||
26 | thereafter such rate shall be
discontinued for any policy | ||||||
27 | issued or renewed after a date specified in
the order. The | ||||||
28 | order shall be issued within 30 days after the close of
the | ||||||
29 | hearing or within such reasonable time extension as the | ||||||
30 | Director may
fix. Such order may include a provision for | ||||||
31 | premium adjustment for the
period after the effective date of | ||||||
32 | the order for policies in effect on such date.
| ||||||
33 | (d) Whenever an insurer has no legally effective rates as a | ||||||
34 | result of
the Director's disapproval of rates or other act, the | ||||||
35 | Director shall on
request of the insurer specify interim rates | ||||||
36 | for the insurer that are high
enough to protect the interest of |
| |||||||
| |||||||
1 | all parties and may order that a specified
portion of the | ||||||
2 | premiums be placed in an escrow account approved by him.
When | ||||||
3 | new rates become legally effective, the Director shall order | ||||||
4 | the escrowed
funds or any overcharge in the interim rates to be | ||||||
5 | distributed appropriately,
except that refunds to | ||||||
6 | policyholders that are de minimus shall not be required.
| ||||||
7 | (Source: P.A. 82-939.)
| ||||||
8 | (215 ILCS 5/462) (from Ch. 73, par. 1065.9)
| ||||||
9 | Sec. 462. Information to be furnished insureds - Hearings | ||||||
10 | and appeals of
insureds. Every rating organization, and every | ||||||
11 | company which does
not adopt the rates of a rating | ||||||
12 | organization,
shall, within a reasonable time after receiving | ||||||
13 | written request therefor, furnish to
any insured affected by a | ||||||
14 | rate made by it, or to the authorized
representative of such | ||||||
15 | insured, in readily understandable language,
all pertinent | ||||||
16 | information as to such rate as specified in rules adopted
by | ||||||
17 | the Department.
| ||||||
18 | Every rating organization, and every company which does not | ||||||
19 | adopt
the rates of a rating organization,
shall provide within | ||||||
20 | this state reasonable means whereby any person
aggrieved by the | ||||||
21 | application of its rating system may be heard, in
person or by | ||||||
22 | his authorized representative, on his written request to
review | ||||||
23 | the manner in which such rating system has been applied in
| ||||||
24 | connection with the insurance afforded him. If the rating | ||||||
25 | organization
or company fails to grant or reject such request | ||||||
26 | within thirty days
after it is made, the applicant may proceed | ||||||
27 | in the same manner as if his
application had been rejected. Any | ||||||
28 | party affected by the action of such
rating organization or | ||||||
29 | such company on such request may, within thirty
days after | ||||||
30 | written notice of such action, appeal to the Director, who,
| ||||||
31 | after a hearing held upon not less than ten days' written | ||||||
32 | notice to the
appellant and to such rating organization or | ||||||
33 | company, may affirm or
reverse such action.
| ||||||
34 | (Source: P.A. 82-939.)
|
| |||||||
| |||||||
1 | (215 ILCS 5/463) (from Ch. 73, par. 1065.10)
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2 | Sec. 463. Advisory organizations. (1) Every group, | ||||||
3 | association or other organization of companies whether
located | ||||||
4 | within or outside this state, which assists companies which | ||||||
5 | make
their own filings or rating organizations in rate making, | ||||||
6 | by the collection
and furnishing of loss or expense statistics, | ||||||
7 | or by the submission of
recommendations, but which does not | ||||||
8 | make filings under this Article, shall
be known as an advisory | ||||||
9 | organization.
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10 | (2) Every advisory organization shall file with the | ||||||
11 | Director (a) a copy
of its constitution, its articles of | ||||||
12 | agreement or association or its
certificate of incorporation | ||||||
13 | and of its by-laws, rules and regulations
governing its | ||||||
14 | activities, (b) a list of its members, (c) the name and
address | ||||||
15 | of a resident of this state upon whom notices or orders of the
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16 | Director or process issued at his direction may be served, and | ||||||
17 | (d) an
agreement that the Director may examine such advisory | ||||||
18 | organization in
accordance with the provisions of Section 465 | ||||||
19 | of this Article.
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20 | (3) If, after a hearing, the Director finds that the | ||||||
21 | furnishing of such
information or assistance involves any act | ||||||
22 | or practice which is unfair or
unreasonable or otherwise | ||||||
23 | inconsistent with the provisions of this Article,
he may issue | ||||||
24 | a written order specifying in what respects such act or
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25 | practice is unfair or unreasonable or otherwise inconsistent | ||||||
26 | with the
provisions of this Article, and requiring the | ||||||
27 | discontinuance of such act or
practice.
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28 | (4) No company which makes its own filings nor any rating | ||||||
29 | organization
shall support its filings by statistics or adopt | ||||||
30 | rate making
recommendations, furnished to it by an advisory | ||||||
31 | organization which has not
complied with this Section or with | ||||||
32 | an order of the Director involving such
statistics or | ||||||
33 | recommendations issued under subsection (3) of this Section.
If | ||||||
34 | the Director finds such company or rating organization to be in
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35 | violation of this subsection he may issue an order requiring | ||||||
36 | the
discontinuance of such violation.
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1 | (Source: Laws 1947, p. 1098.)
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2 | (215 ILCS 5/465) (from Ch. 73, par. 1065.12)
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3 | Sec. 465. Examinations. The Director shall, at least once | ||||||
4 | in five years, make or cause to be
made an examination of each | ||||||
5 | rating organization licensed in this state as
provided in | ||||||
6 | Section 459 and he may, as often as he may deem it expedient,
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7 | make or cause to be made an examination of each advisory | ||||||
8 | organization
referred to in Section 463 and of each group, | ||||||
9 | association or other
organization referred to in Section 464. | ||||||
10 | The reasonable costs of any such
examination shall be paid by | ||||||
11 | the rating organization, advisory
organization , or group, | ||||||
12 | association or other organization examined upon
presentation | ||||||
13 | to it of a detailed account of such costs. The officers,
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14 | manager, agents and employees of such rating organization, | ||||||
15 | advisory
organization or group, association or other | ||||||
16 | organization may be examined at
any time under oath and shall | ||||||
17 | exhibit all books, records, accounts,
documents, or agreements | ||||||
18 | governing its method of operation. In lieu of any
such | ||||||
19 | examination the Director may accept the report of an | ||||||
20 | examination made
by the insurance supervisory official of | ||||||
21 | another state, pursuant to the
laws of such state. The | ||||||
22 | provisions of Sections 132 through 132.7, 402,
and 403 shall be
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23 | applicable to the examinations hereunder.
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24 | (Source: P.A. 89-97, eff. 7-7-95.)
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25 | (215 ILCS 5/466) (from Ch. 73, par. 1065.13)
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26 | Sec. 466. Rate administration. (1) Recording and Reporting | ||||||
27 | of Loss and Expense Experience.
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28 | The Director shall promulgate reasonable rules and shall | ||||||
29 | approve statistical
plans, reasonably adapted to each of the | ||||||
30 | rating systems on file with him, which
may be modified from | ||||||
31 | time to time and which shall be used thereafter by
each company | ||||||
32 | in the recording and reporting of its loss and countrywide
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33 | expense experience, in order that the experience of all | ||||||
34 | companies may be
made available at least annually in such form |
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1 | and detail as may be
necessary to aid him in determining | ||||||
2 | whether rating systems comply with the
standards set forth in | ||||||
3 | Section 456. An approved statistical plan need not
be adopted | ||||||
4 | as a rule, but shall be made available for public inspection at
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5 | the Department's principal office and a copy of the plan shall | ||||||
6 | be filed
with the Secretary of State. Such rules and plans may | ||||||
7 | also provide
for the recording and reporting of expense | ||||||
8 | experience items which are
specially applicable to this state | ||||||
9 | and are not susceptible of determination
by a prorating of | ||||||
10 | countrywide expense experience. In promulgating such rules
and | ||||||
11 | approving plans, the Director shall give due consideration to | ||||||
12 | the rating
systems on file with him and in order that such | ||||||
13 | rules and plans may be as
uniform as is practicable among the | ||||||
14 | several states, to the rules and to the
form of the plans used | ||||||
15 | for such rating systems in other states. No company
shall be | ||||||
16 | required to record or report any experience on an experience
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17 | classification which it does not use in the making of its rates | ||||||
18 | or to
record or report its experience on any basis or | ||||||
19 | statistical plan that
differs from that which is regularly | ||||||
20 | employed and used in the usual course
of such company's | ||||||
21 | business, nor shall any company be required to record or
report | ||||||
22 | its loss experience on a classification basis that is | ||||||
23 | inconsistent
with the rating system filed by it, nor shall it | ||||||
24 | be required to report such
experience to any rating | ||||||
25 | organization of which it is not a member or
subscriber, or to | ||||||
26 | an agency operated by or subject to the control of such a
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27 | rating organization, nor shall the Department's rules state | ||||||
28 | that the
insurer must record or report its experience in | ||||||
29 | accordance with a uniform
statistical plan which differs from | ||||||
30 | that which is regularly employed and
used in the usual course | ||||||
31 | of such company's business. All companies
Any
company not | ||||||
32 | reporting such experience to a rating
organization or other | ||||||
33 | agency designated by the Director, shall report such
experience | ||||||
34 | to the Director. The Director may designate one or more rating
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35 | organizations or other agencies to assist him in gathering all | ||||||
36 | such
experience and in making compilations thereof. The |
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1 | experience of any
company filed with the Director shall be | ||||||
2 | deemed confidential and shall not
be revealed by the Director | ||||||
3 | to any other company or other person, provided,
however, that | ||||||
4 | the Director may make compilations of all experience,
including | ||||||
5 | the experience of any such company, or of such experience and | ||||||
6 | the
compilation made by the designated rating organization or | ||||||
7 | other agency or agencies . All
such compilations, whether made | ||||||
8 | by the Director or by a
any designated rating
organization or | ||||||
9 | other agency, shall be made available, subject to
reasonable | ||||||
10 | rules promulgated by the Director, to companies and rating
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11 | organizations .
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12 | (2) Interchange of Rating Plan Data
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13 | Reasonable rules and plans may be promulgated by the | ||||||
14 | Director for the
interchange of data necessary for the | ||||||
15 | application of rating plans.
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16 | (3) Consultation with Other States
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17 | In order to further uniform administration of rate | ||||||
18 | regulatory laws, the
Director and every company and rating | ||||||
19 | organization may exchange information
and experience data with | ||||||
20 | insurance supervisory officials and , companies and
rating | ||||||
21 | organizations in other states and may consult with them with | ||||||
22 | respect
to rate making and the application of rating systems.
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23 | (4) Rules and Regulations
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24 | The Director may make reasonable rules and regulations | ||||||
25 | necessary to
effect the purpose of this Article.
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26 | (Source: P.A. 84-427.)
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27 | (215 ILCS 5/467) (from Ch. 73, par. 1065.14)
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28 | Sec. 467. False or misleading information. No person, | ||||||
29 | company or
organization shall wilfully withhold information
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30 | from, or knowingly give false or misleading information to , the | ||||||
31 | Director,
any statistical agency designated by the Director, | ||||||
32 | any rating organization,
or , any company which will affect the | ||||||
33 | rates or premiums chargeable under
this Article. A violation of | ||||||
34 | this Section shall subject the one guilty of
such violation to | ||||||
35 | the penalties provided in Section 470 of this Article.
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1 | (Source: Laws 1947, p. 1098.)
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2 | (215 ILCS 5/468) (from Ch. 73, par. 1065.15)
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3 | Sec. 468. Residual Market Mechanism. All companies | ||||||
4 | licensed to write
workers' compensation and employers' | ||||||
5 | liability insurance in this State shall
participate in a plan | ||||||
6 | providing for the equitable apportionment among them
of | ||||||
7 | insurance which may be afforded applicants who are in good | ||||||
8 | faith entitled
to but who are unable to procure such insurance | ||||||
9 | through ordinary methods.
Companies must submit such a plan for | ||||||
10 | the Director's approval within 60
days of the effective date of | ||||||
11 | this amendatory Act of 1982. The rates to be used
in such a | ||||||
12 | plan and any future modification thereof must be submitted to
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13 | the Director for approval at least 30 days prior to their | ||||||
14 | effective date.
Such rates shall reflect residual market | ||||||
15 | experience to the extent it is
actuarially appropriate. The | ||||||
16 | Director shall disapprove any filing that
does not meet the | ||||||
17 | requirements
of subparagraph (d) of paragraph (1) of Section | ||||||
18 | 456 of this Article. A
filing shall be deemed to meet such | ||||||
19 | requirements unless disapproved by the
Director within 30 days | ||||||
20 | after the filing is made. In disapproving a filing
made under | ||||||
21 | this Section, the Director shall have the same authority and
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22 | shall follow the same procedure as in disapproving a filing | ||||||
23 | under Section
458. Notwithstanding any other provisions of this | ||||||
24 | Article, rating organizations
may make and file rates under | ||||||
25 | this Section.
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26 | (Source: P.A. 82-939.)
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27 | (215 ILCS 5/469) (from Ch. 73, par. 1065.16)
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28 | Sec. 469. Rebates prohibited. No broker or agent shall | ||||||
29 | knowingly charge, demand or receive a premium
for any policy of | ||||||
30 | insurance except in accordance with the provisions of
this | ||||||
31 | Article. No company or employee thereof, and no broker or agent | ||||||
32 | shall
pay, allow or give, or offer to pay, allow or give, | ||||||
33 | directly or indirectly,
as an inducement to insurance, or after | ||||||
34 | insurance has been effected, any
rebates, discount, abatement, |
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1 | credit or reduction of the premium named in a
policy of | ||||||
2 | insurance, or any special favor or advantage in the dividends | ||||||
3 | or
other benefits to accrue thereon, or any valuable | ||||||
4 | consideration or
inducement whatever, not specified in the | ||||||
5 | policy of insurance, except to
the extent provided for in an | ||||||
6 | applicable filing. No insured named in a
policy of insurance, | ||||||
7 | nor any employee of such insured shall knowingly
receive or | ||||||
8 | accept, directly or indirectly, any such rebate, discount,
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9 | abatement, credit or reduction of premium, or any such special | ||||||
10 | favor or
advantage or valuable consideration or inducement. | ||||||
11 | Nothing in this Section
shall be construed as prohibiting the | ||||||
12 | payment of commissions or other
compensation to duly licensed | ||||||
13 | agents and brokers, nor as prohibiting any
company from | ||||||
14 | allowing or returning to its participating policyholders,
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15 | members or subscribers, dividends, savings or unabsorbed | ||||||
16 | premium deposits.
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17 | Sections 151 and 152 of the Insurance Code shall not apply | ||||||
18 | to any kind
of insurance subject to this Article.
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19 | (Source: P.A. 76-943.)
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20 | (215 ILCS 5/470) (from Ch. 73, par. 1065.17)
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21 | Sec. 470. Penalties. Any person, company or organization | ||||||
22 | violating any provision of this
Article shall be guilty of a | ||||||
23 | petty offense for each such violation,
provided that a series | ||||||
24 | of acts or events based upon the same alleged
violation shall | ||||||
25 | be treated and considered as a single violation.
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26 | The Director may suspend the license of any rating | ||||||
27 | organization or
company which fails to comply with an order of | ||||||
28 | the Director within the time
limited by such order, or any | ||||||
29 | extension thereof which the Director may
grant. The Director | ||||||
30 | shall not suspend the license of any rating
organization or | ||||||
31 | company for failure to comply with an order until the time
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32 | prescribed for filing a petition for review thereof as provided | ||||||
33 | in Section
471 has expired or if such petition for review has | ||||||
34 | been filed until such
order has been affirmed. The Director may | ||||||
35 | determine when a suspension of
license shall become effective |
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1 | and it shall remain in effect for the period
fixed by him, | ||||||
2 | unless he modifies or rescinds such suspension, or until the
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3 | order upon which such suspension is based is modified, | ||||||
4 | rescinded or
reversed.
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5 | No license shall be suspended or revoked except upon a | ||||||
6 | written order of
the Director, stating his findings, made after | ||||||
7 | a hearing held upon not less
than ten days' written notice to | ||||||
8 | such person or organization specifying the
alleged violation.
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9 | (Source: P.A. 77-2699.)
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10 | (215 ILCS 5/471) (from Ch. 73, par. 1065.18)
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11 | Sec. 471. Hearing procedure and judicial review. (1) Any | ||||||
12 | company or rating
organization aggrieved by any order or
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13 | decision of the Director made without a hearing, may, within 30 | ||||||
14 | days
after notice of the order to the company or organization , | ||||||
15 | make written
request to the Director for a hearing thereon. The | ||||||
16 | Director shall hear
such party or parties within 20 days after | ||||||
17 | receipt of such request
and shall give not less than 10 days' | ||||||
18 | written notice of the time and
place of the hearing. Within 15 | ||||||
19 | days after such hearing the
Director shall affirm, reverse or | ||||||
20 | modify his previous action, specifying
his reasons therefor. | ||||||
21 | Pending such hearing and decision thereon the
Director may | ||||||
22 | suspend or postpone the effective date of his previous
action.
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23 | (2) Nothing contained in this Article shall require the | ||||||
24 | observance
at any hearing of formal rules of pleading or | ||||||
25 | evidence.
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26 | (3) The Administrative Review Law shall apply to and govern | ||||||
27 | all
proceedings for the judicial review of orders and decisions | ||||||
28 | of the
Director under this Article. Provided, however, that, in | ||||||
29 | the review of
any order or decision of the Director under this | ||||||
30 | Article, such order or
decision shall not be deemed prima facie | ||||||
31 | to be correct and proper , and
provided further that a rating | ||||||
32 | organization aggrieved by an order or
decision under this | ||||||
33 | Article may initiate such proceedings for its
review .
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34 | (Source: P.A. 82-783.)
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1 | (215 ILCS 5/459 rep.)
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2 | (215 ILCS 5/461 rep.)
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3 | Section 10. The Illinois Insurance Code is amended by | ||||||
4 | repealing Sections 459 and 461.
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5 | Section 99. Effective date. This Act takes effect upon | ||||||
6 | becoming law.
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