Illinois General Assembly - Full Text of HB5766
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Full Text of HB5766  96th General Assembly

HB5766eng 96TH GENERAL ASSEMBLY

  
  
  

 


 
HB5766 Engrossed LRB096 19907 RPM 35370 b

1     AN ACT concerning insurance.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The State Employees Group Insurance Act of 1971
5 is amended by changing Section 6.11 as follows:
 
6     (5 ILCS 375/6.11)
7     Sec. 6.11. Required health benefits; Illinois Insurance
8 Code requirements. The program of health benefits shall provide
9 the post-mastectomy care benefits required to be covered by a
10 policy of accident and health insurance under Section 356t of
11 the Illinois Insurance Code. The program of health benefits
12 shall provide the coverage required under Sections 356g,
13 356g.5, 356g.5-1, 356m, 356u, 356w, 356x, 356z.2, 356z.4,
14 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, and
15 356z.13, and 356z.14, 356z.15 and 356z.14, and 356z.17 356z.15 ,
16 and 356z.19 of the Illinois Insurance Code. The program of
17 health benefits must comply with Section 155.37 of the Illinois
18 Insurance Code.
19     Rulemaking authority to implement Public Act 95-1045 this
20 amendatory Act of the 95th General Assembly, if any, is
21 conditioned on the rules being adopted in accordance with all
22 provisions of the Illinois Administrative Procedure Act and all
23 rules and procedures of the Joint Committee on Administrative

 

 

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1 Rules; any purported rule not so adopted, for whatever reason,
2 is unauthorized.
3 (Source: P.A. 95-189, eff. 8-16-07; 95-422, eff. 8-24-07;
4 95-520, eff. 8-28-07; 95-876, eff. 8-21-08; 95-958, eff.
5 6-1-09; 95-978, eff. 1-1-09; 95-1005, eff. 12-12-08; 95-1044,
6 eff. 3-26-09; 95-1045, eff. 3-27-09; 95-1049, eff. 1-1-10;
7 96-139, eff. 1-1-10; 96-328, eff. 8-11-09; 96-639, eff. 1-1-10;
8 revised 10-22-09.)
 
9     Section 10. The Counties Code is amended by changing
10 Section 5-1069.3 as follows:
 
11     (55 ILCS 5/5-1069.3)
12     Sec. 5-1069.3. Required health benefits. If a county,
13 including a home rule county, is a self-insurer for purposes of
14 providing health insurance coverage for its employees, the
15 coverage shall include coverage for the post-mastectomy care
16 benefits required to be covered by a policy of accident and
17 health insurance under Section 356t and the coverage required
18 under Sections 356g, 356g.5, 356g.5-1, 356u, 356w, 356x,
19 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, and
20 356z.13, and 356z.14, and 356z.15 356z.14 , and 356z.19 of the
21 Illinois Insurance Code. The requirement that health benefits
22 be covered as provided in this Section is an exclusive power
23 and function of the State and is a denial and limitation under
24 Article VII, Section 6, subsection (h) of the Illinois

 

 

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1 Constitution. A home rule county to which this Section applies
2 must comply with every provision of this Section.
3     Rulemaking authority to implement Public Act 95-1045 this
4 amendatory Act of the 95th General Assembly, if any, is
5 conditioned on the rules being adopted in accordance with all
6 provisions of the Illinois Administrative Procedure Act and all
7 rules and procedures of the Joint Committee on Administrative
8 Rules; any purported rule not so adopted, for whatever reason,
9 is unauthorized.
10 (Source: P.A. 95-189, eff. 8-16-07; 95-422, eff. 8-24-07;
11 95-520, eff. 8-28-07; 95-876, eff. 8-21-08; 95-958, eff.
12 6-1-09; 95-978, eff. 1-1-09; 95-1005, eff. 12-12-08; 95-1045,
13 eff. 3-27-09; 95-1049, eff. 1-1-10; 96-139, eff. 1-1-10;
14 96-328, eff. 8-11-09; revised 10-22-09.)
 
15     Section 15. The Illinois Municipal Code is amended by
16 changing Section 10-4-2.3 as follows:
 
17     (65 ILCS 5/10-4-2.3)
18     Sec. 10-4-2.3. Required health benefits. If a
19 municipality, including a home rule municipality, is a
20 self-insurer for purposes of providing health insurance
21 coverage for its employees, the coverage shall include coverage
22 for the post-mastectomy care benefits required to be covered by
23 a policy of accident and health insurance under Section 356t
24 and the coverage required under Sections 356g, 356g.5,

 

 

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1 356g.5-1, 356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.10,
2 356z.11, 356z.12, and 356z.13, and 356z.14, and 356z.15
3 356z.14 , and 356z.19 of the Illinois Insurance Code. The
4 requirement that health benefits be covered as provided in this
5 is an exclusive power and function of the State and is a denial
6 and limitation under Article VII, Section 6, subsection (h) of
7 the Illinois Constitution. A home rule municipality to which
8 this Section applies must comply with every provision of this
9 Section.
10     Rulemaking authority to implement Public Act 95-1045 this
11 amendatory Act of the 95th General Assembly, if any, is
12 conditioned on the rules being adopted in accordance with all
13 provisions of the Illinois Administrative Procedure Act and all
14 rules and procedures of the Joint Committee on Administrative
15 Rules; any purported rule not so adopted, for whatever reason,
16 is unauthorized.
17 (Source: P.A. 95-189, eff. 8-16-07; 95-422, eff. 8-24-07;
18 95-520, eff. 8-28-07; 95-876, eff. 8-21-08; 95-958, eff.
19 6-1-09; 95-978, eff. 1-1-09; 95-1005, eff. 12-12-08; 95-1045,
20 eff. 3-27-09; 95-1049, eff. 1-1-10; 96-139, eff. 1-1-10;
21 96-328, eff. 8-11-09; revised 10-23-09.)
 
22     Section 20. The School Code is amended by changing Section
23 10-22.3f as follows:
 
24     (105 ILCS 5/10-22.3f)

 

 

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1     Sec. 10-22.3f. Required health benefits. Insurance
2 protection and benefits for employees shall provide the
3 post-mastectomy care benefits required to be covered by a
4 policy of accident and health insurance under Section 356t and
5 the coverage required under Sections 356g, 356g.5, 356g.5-1,
6 356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.11, 356z.12,
7 356z.13, and 356z.14, and 356z.15 356z.14 , and 356z.19 of the
8 Illinois Insurance Code.
9     Rulemaking authority to implement Public Act 95-1045 this
10 amendatory Act of the 95th General Assembly, if any, is
11 conditioned on the rules being adopted in accordance with all
12 provisions of the Illinois Administrative Procedure Act and all
13 rules and procedures of the Joint Committee on Administrative
14 Rules; any purported rule not so adopted, for whatever reason,
15 is unauthorized.
16 (Source: P.A. 95-189, eff. 8-16-07; 95-422, eff. 8-24-07;
17 95-876, eff. 8-21-08; 95-958, eff. 6-1-09; 95-978, eff. 1-1-09;
18 95-1005, 12-12-08; 95-1045, eff. 3-27-09; 95-1049, eff.
19 1-1-10; 96-139, eff. 1-1-10; 96-328, eff. 8-11-09; revised
20 10-23-09.)
 
21     Section 25. The Illinois Insurance Code is amended by
22 adding Section 356z.19 as follows:
 
23     (215 ILCS 5/356z.19 new)
24     Sec. 356z.19. Tobacco use cessation programs.

 

 

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1     (a) This Section may be referred to as the Tobacco
2 Dependence Coverage Law.
3     (b) Tobacco use is the number one cause of preventable
4 disease and death in Illinois, costing $4.1 billion annually in
5 direct health care costs and an additional $4.35 billion in
6 lost productivity. In Illinois, the smoking rates are highest
7 among African Americans (25.8%). Smoking rates among lesbian,
8 gay, and bisexual adults range from 25% to 44%. The U.S. Public
9 Health Service Clinical Practice Guideline 2008 Update found
10 that tobacco dependence treatments are both clinically
11 effective and highly cost effective. A study in the Journal of
12 Preventive Medicine concluded that comprehensive smoking
13 cessation treatment is one of the 3 most important and cost
14 effective preventive services that can be provided in medical
15 practice. Greater efforts are needed to achieve more of this
16 potential value by increasing current low levels of
17 performance.
18     (c) In this Section, "tobacco use cessation program" means
19 a program recommended by a physician that follows
20 evidence-based treatment, such as is outlined in the United
21 States Public Health Service guidelines for tobacco use
22 cessation. "Tobacco use cessation program" includes education
23 and medical treatment components designed to assist a person in
24 ceasing the use of tobacco products. "Tobacco use cessation
25 program" includes education and counseling by physicians or
26 associated medical personnel and all FDA approved medications

 

 

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1 for the treatment of tobacco dependence irrespective of whether
2 they are available only over the counter, only by prescription,
3 or both over the counter and by prescription.
4     (d) A group or individual policy of accident and health
5 insurance or managed care plan amended, delivered, issued, or
6 renewed after the effective date of this amendatory Act of the
7 96th General Assembly to a resident of this State must provide
8 coverage or reimbursement of up to $500 annually for a tobacco
9 use cessation program for a person enrolled in the plan who is
10 18 years of age or older.
11     (e) Written notice of the availability of coverage under
12 this Section shall be delivered to the insured upon enrollment
13 and annually thereafter. An insurer may not deny to an insured
14 eligibility or continued eligibility to enroll or to renew
15 coverage under the terms of the plan solely for the purpose of
16 avoiding the requirements of this Section. An insurer may not
17 penalize or reduce or limit the reimbursement of an attending
18 provider or provide incentives, monetary or otherwise, to an
19 attending provider to induce the provider to provide care to an
20 insured in a manner inconsistent with this Section.
 
21     Section 30. The Health Maintenance Organization Act is
22 amended by changing Section 5-3 as follows:
 
23     (215 ILCS 125/5-3)  (from Ch. 111 1/2, par. 1411.2)
24     (Text of Section before amendment by P.A. 96-833)

 

 

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1     Sec. 5-3. Insurance Code provisions.
2     (a) Health Maintenance Organizations shall be subject to
3 the provisions of Sections 133, 134, 137, 140, 141.1, 141.2,
4 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154, 154.5,
5 154.6, 154.7, 154.8, 155.04, 355.2, 356g.5-1, 356m, 356v, 356w,
6 356x, 356y, 356z.2, 356z.4, 356z.5, 356z.6, 356z.8, 356z.9,
7 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15 356z.14,
8 356z.17 356z.15, 356z.19, 364.01, 367.2, 367.2-5, 367i, 368a,
9 368b, 368c, 368d, 368e, 370c, 401, 401.1, 402, 403, 403A, 408,
10 408.2, 409, 412, 444, and 444.1, paragraph (c) of subsection
11 (2) of Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2,
12 XIII, XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
13     (b) For purposes of the Illinois Insurance Code, except for
14 Sections 444 and 444.1 and Articles XIII and XIII 1/2, Health
15 Maintenance Organizations in the following categories are
16 deemed to be "domestic companies":
17         (1) a corporation authorized under the Dental Service
18     Plan Act or the Voluntary Health Services Plans Act;
19         (2) a corporation organized under the laws of this
20     State; or
21         (3) a corporation organized under the laws of another
22     state, 30% or more of the enrollees of which are residents
23     of this State, except a corporation subject to
24     substantially the same requirements in its state of
25     organization as is a "domestic company" under Article VIII
26     1/2 of the Illinois Insurance Code.

 

 

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1     (c) In considering the merger, consolidation, or other
2 acquisition of control of a Health Maintenance Organization
3 pursuant to Article VIII 1/2 of the Illinois Insurance Code,
4         (1) the Director shall give primary consideration to
5     the continuation of benefits to enrollees and the financial
6     conditions of the acquired Health Maintenance Organization
7     after the merger, consolidation, or other acquisition of
8     control takes effect;
9         (2)(i) the criteria specified in subsection (1)(b) of
10     Section 131.8 of the Illinois Insurance Code shall not
11     apply and (ii) the Director, in making his determination
12     with respect to the merger, consolidation, or other
13     acquisition of control, need not take into account the
14     effect on competition of the merger, consolidation, or
15     other acquisition of control;
16         (3) the Director shall have the power to require the
17     following information:
18             (A) certification by an independent actuary of the
19         adequacy of the reserves of the Health Maintenance
20         Organization sought to be acquired;
21             (B) pro forma financial statements reflecting the
22         combined balance sheets of the acquiring company and
23         the Health Maintenance Organization sought to be
24         acquired as of the end of the preceding year and as of
25         a date 90 days prior to the acquisition, as well as pro
26         forma financial statements reflecting projected

 

 

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1         combined operation for a period of 2 years;
2             (C) a pro forma business plan detailing an
3         acquiring party's plans with respect to the operation
4         of the Health Maintenance Organization sought to be
5         acquired for a period of not less than 3 years; and
6             (D) such other information as the Director shall
7         require.
8     (d) The provisions of Article VIII 1/2 of the Illinois
9 Insurance Code and this Section 5-3 shall apply to the sale by
10 any health maintenance organization of greater than 10% of its
11 enrollee population (including without limitation the health
12 maintenance organization's right, title, and interest in and to
13 its health care certificates).
14     (e) In considering any management contract or service
15 agreement subject to Section 141.1 of the Illinois Insurance
16 Code, the Director (i) shall, in addition to the criteria
17 specified in Section 141.2 of the Illinois Insurance Code, take
18 into account the effect of the management contract or service
19 agreement on the continuation of benefits to enrollees and the
20 financial condition of the health maintenance organization to
21 be managed or serviced, and (ii) need not take into account the
22 effect of the management contract or service agreement on
23 competition.
24     (f) Except for small employer groups as defined in the
25 Small Employer Rating, Renewability and Portability Health
26 Insurance Act and except for medicare supplement policies as

 

 

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1 defined in Section 363 of the Illinois Insurance Code, a Health
2 Maintenance Organization may by contract agree with a group or
3 other enrollment unit to effect refunds or charge additional
4 premiums under the following terms and conditions:
5         (i) the amount of, and other terms and conditions with
6     respect to, the refund or additional premium are set forth
7     in the group or enrollment unit contract agreed in advance
8     of the period for which a refund is to be paid or
9     additional premium is to be charged (which period shall not
10     be less than one year); and
11         (ii) the amount of the refund or additional premium
12     shall not exceed 20% of the Health Maintenance
13     Organization's profitable or unprofitable experience with
14     respect to the group or other enrollment unit for the
15     period (and, for purposes of a refund or additional
16     premium, the profitable or unprofitable experience shall
17     be calculated taking into account a pro rata share of the
18     Health Maintenance Organization's administrative and
19     marketing expenses, but shall not include any refund to be
20     made or additional premium to be paid pursuant to this
21     subsection (f)). The Health Maintenance Organization and
22     the group or enrollment unit may agree that the profitable
23     or unprofitable experience may be calculated taking into
24     account the refund period and the immediately preceding 2
25     plan years.
26     The Health Maintenance Organization shall include a

 

 

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1 statement in the evidence of coverage issued to each enrollee
2 describing the possibility of a refund or additional premium,
3 and upon request of any group or enrollment unit, provide to
4 the group or enrollment unit a description of the method used
5 to calculate (1) the Health Maintenance Organization's
6 profitable experience with respect to the group or enrollment
7 unit and the resulting refund to the group or enrollment unit
8 or (2) the Health Maintenance Organization's unprofitable
9 experience with respect to the group or enrollment unit and the
10 resulting additional premium to be paid by the group or
11 enrollment unit.
12     In no event shall the Illinois Health Maintenance
13 Organization Guaranty Association be liable to pay any
14 contractual obligation of an insolvent organization to pay any
15 refund authorized under this Section.
16     (g) Rulemaking authority to implement Public Act 95-1045
17 this amendatory Act of the 95th General Assembly, if any, is
18 conditioned on the rules being adopted in accordance with all
19 provisions of the Illinois Administrative Procedure Act and all
20 rules and procedures of the Joint Committee on Administrative
21 Rules; any purported rule not so adopted, for whatever reason,
22 is unauthorized.
23 (Source: P.A. 95-422, eff. 8-24-07; 95-520, eff. 8-28-07;
24 95-876, eff. 8-21-08; 95-958, eff. 6-1-09; 95-978, eff. 1-1-09;
25 95-1005, eff. 12-12-08; 95-1045, eff. 3-27-09; 95-1049, eff.
26 1-1-10; 96-328, eff. 8-11-09; 96-639, eff. 1-1-10; revised

 

 

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1 10-23-09.)
 
2     (Text of Section after amendment by P.A. 96-833)
3     Sec. 5-3. Insurance Code provisions.
4     (a) Health Maintenance Organizations shall be subject to
5 the provisions of Sections 133, 134, 137, 140, 141.1, 141.2,
6 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154, 154.5,
7 154.6, 154.7, 154.8, 155.04, 355.2, 356g.5-1, 356m, 356v, 356w,
8 356x, 356y, 356z.2, 356z.4, 356z.5, 356z.6, 356z.8, 356z.9,
9 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17,
10 356z.18, 356z.19, 364.01, 367.2, 367.2-5, 367i, 368a, 368b,
11 368c, 368d, 368e, 370c, 401, 401.1, 402, 403, 403A, 408, 408.2,
12 409, 412, 444, and 444.1, paragraph (c) of subsection (2) of
13 Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2, XIII,
14 XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
15     (b) For purposes of the Illinois Insurance Code, except for
16 Sections 444 and 444.1 and Articles XIII and XIII 1/2, Health
17 Maintenance Organizations in the following categories are
18 deemed to be "domestic companies":
19         (1) a corporation authorized under the Dental Service
20     Plan Act or the Voluntary Health Services Plans Act;
21         (2) a corporation organized under the laws of this
22     State; or
23         (3) a corporation organized under the laws of another
24     state, 30% or more of the enrollees of which are residents
25     of this State, except a corporation subject to

 

 

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1     substantially the same requirements in its state of
2     organization as is a "domestic company" under Article VIII
3     1/2 of the Illinois Insurance Code.
4     (c) In considering the merger, consolidation, or other
5 acquisition of control of a Health Maintenance Organization
6 pursuant to Article VIII 1/2 of the Illinois Insurance Code,
7         (1) the Director shall give primary consideration to
8     the continuation of benefits to enrollees and the financial
9     conditions of the acquired Health Maintenance Organization
10     after the merger, consolidation, or other acquisition of
11     control takes effect;
12         (2)(i) the criteria specified in subsection (1)(b) of
13     Section 131.8 of the Illinois Insurance Code shall not
14     apply and (ii) the Director, in making his determination
15     with respect to the merger, consolidation, or other
16     acquisition of control, need not take into account the
17     effect on competition of the merger, consolidation, or
18     other acquisition of control;
19         (3) the Director shall have the power to require the
20     following information:
21             (A) certification by an independent actuary of the
22         adequacy of the reserves of the Health Maintenance
23         Organization sought to be acquired;
24             (B) pro forma financial statements reflecting the
25         combined balance sheets of the acquiring company and
26         the Health Maintenance Organization sought to be

 

 

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1         acquired as of the end of the preceding year and as of
2         a date 90 days prior to the acquisition, as well as pro
3         forma financial statements reflecting projected
4         combined operation for a period of 2 years;
5             (C) a pro forma business plan detailing an
6         acquiring party's plans with respect to the operation
7         of the Health Maintenance Organization sought to be
8         acquired for a period of not less than 3 years; and
9             (D) such other information as the Director shall
10         require.
11     (d) The provisions of Article VIII 1/2 of the Illinois
12 Insurance Code and this Section 5-3 shall apply to the sale by
13 any health maintenance organization of greater than 10% of its
14 enrollee population (including without limitation the health
15 maintenance organization's right, title, and interest in and to
16 its health care certificates).
17     (e) In considering any management contract or service
18 agreement subject to Section 141.1 of the Illinois Insurance
19 Code, the Director (i) shall, in addition to the criteria
20 specified in Section 141.2 of the Illinois Insurance Code, take
21 into account the effect of the management contract or service
22 agreement on the continuation of benefits to enrollees and the
23 financial condition of the health maintenance organization to
24 be managed or serviced, and (ii) need not take into account the
25 effect of the management contract or service agreement on
26 competition.

 

 

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1     (f) Except for small employer groups as defined in the
2 Small Employer Rating, Renewability and Portability Health
3 Insurance Act and except for medicare supplement policies as
4 defined in Section 363 of the Illinois Insurance Code, a Health
5 Maintenance Organization may by contract agree with a group or
6 other enrollment unit to effect refunds or charge additional
7 premiums under the following terms and conditions:
8         (i) the amount of, and other terms and conditions with
9     respect to, the refund or additional premium are set forth
10     in the group or enrollment unit contract agreed in advance
11     of the period for which a refund is to be paid or
12     additional premium is to be charged (which period shall not
13     be less than one year); and
14         (ii) the amount of the refund or additional premium
15     shall not exceed 20% of the Health Maintenance
16     Organization's profitable or unprofitable experience with
17     respect to the group or other enrollment unit for the
18     period (and, for purposes of a refund or additional
19     premium, the profitable or unprofitable experience shall
20     be calculated taking into account a pro rata share of the
21     Health Maintenance Organization's administrative and
22     marketing expenses, but shall not include any refund to be
23     made or additional premium to be paid pursuant to this
24     subsection (f)). The Health Maintenance Organization and
25     the group or enrollment unit may agree that the profitable
26     or unprofitable experience may be calculated taking into

 

 

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1     account the refund period and the immediately preceding 2
2     plan years.
3     The Health Maintenance Organization shall include a
4 statement in the evidence of coverage issued to each enrollee
5 describing the possibility of a refund or additional premium,
6 and upon request of any group or enrollment unit, provide to
7 the group or enrollment unit a description of the method used
8 to calculate (1) the Health Maintenance Organization's
9 profitable experience with respect to the group or enrollment
10 unit and the resulting refund to the group or enrollment unit
11 or (2) the Health Maintenance Organization's unprofitable
12 experience with respect to the group or enrollment unit and the
13 resulting additional premium to be paid by the group or
14 enrollment unit.
15     In no event shall the Illinois Health Maintenance
16 Organization Guaranty Association be liable to pay any
17 contractual obligation of an insolvent organization to pay any
18 refund authorized under this Section.
19     (g) Rulemaking authority to implement Public Act 95-1045,
20 if any, is conditioned on the rules being adopted in accordance
21 with all provisions of the Illinois Administrative Procedure
22 Act and all rules and procedures of the Joint Committee on
23 Administrative Rules; any purported rule not so adopted, for
24 whatever reason, is unauthorized.
25 (Source: P.A. 95-422, eff. 8-24-07; 95-520, eff. 8-28-07;
26 95-876, eff. 8-21-08; 95-958, eff. 6-1-09; 95-978, eff. 1-1-09;

 

 

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1 95-1005, eff. 12-12-08; 95-1045, eff. 3-27-09; 95-1049, eff.
2 1-1-10; 96-328, eff. 8-11-09; 96-639, eff. 1-1-10; 96-833, eff.
3 6-1-10.)
 
4     Section 35. The Limited Health Service Organization Act is
5 amended by changing Section 4003 as follows:
 
6     (215 ILCS 130/4003)  (from Ch. 73, par. 1504-3)
7     Sec. 4003. Illinois Insurance Code provisions. Limited
8 health service organizations shall be subject to the provisions
9 of Sections 133, 134, 137, 140, 141.1, 141.2, 141.3, 143, 143c,
10 147, 148, 149, 151, 152, 153, 154, 154.5, 154.6, 154.7, 154.8,
11 155.04, 155.37, 355.2, 356v, 356z.10, 356z.19, 368a, 401,
12 401.1, 402, 403, 403A, 408, 408.2, 409, 412, 444, and 444.1 and
13 Articles IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, and
14 XXVI of the Illinois Insurance Code. For purposes of the
15 Illinois Insurance Code, except for Sections 444 and 444.1 and
16 Articles XIII and XIII 1/2, limited health service
17 organizations in the following categories are deemed to be
18 domestic companies:
19         (1) a corporation under the laws of this State; or
20         (2) a corporation organized under the laws of another
21     state, 30% of more of the enrollees of which are residents
22     of this State, except a corporation subject to
23     substantially the same requirements in its state of
24     organization as is a domestic company under Article VIII

 

 

HB5766 Engrossed - 19 - LRB096 19907 RPM 35370 b

1     1/2 of the Illinois Insurance Code.
2 (Source: P.A. 95-520, eff. 8-28-07; 95-876, eff. 8-21-08.)
 
3     Section 40. The Voluntary Health Services Plans Act is
4 amended by changing Section 10 as follows:
 
5     (215 ILCS 165/10)  (from Ch. 32, par. 604)
6     (Text of Section before amendment by P.A. 96-833)
7     Sec. 10. Application of Insurance Code provisions. Health
8 services plan corporations and all persons interested therein
9 or dealing therewith shall be subject to the provisions of
10 Articles IIA and XII 1/2 and Sections 3.1, 133, 140, 143, 143c,
11 149, 155.37, 354, 355.2, 356g, 356g.5, 356g.5-1, 356r, 356t,
12 356u, 356v, 356w, 356x, 356y, 356z.1, 356z.2, 356z.4, 356z.5,
13 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
14 356z.14, 356z.15 356z.14, 356z.19, 364.01, 367.2, 368a, 401,
15 401.1, 402, 403, 403A, 408, 408.2, and 412, and paragraphs (7)
16 and (15) of Section 367 of the Illinois Insurance Code.
17     Rulemaking authority to implement Public Act 95-1045 this
18 amendatory Act of the 95th General Assembly, if any, is
19 conditioned on the rules being adopted in accordance with all
20 provisions of the Illinois Administrative Procedure Act and all
21 rules and procedures of the Joint Committee on Administrative
22 Rules; any purported rule not so adopted, for whatever reason,
23 is unauthorized.
24 (Source: P.A. 95-189, eff. 8-16-07; 95-331, eff. 8-21-07;

 

 

HB5766 Engrossed - 20 - LRB096 19907 RPM 35370 b

1 95-422, eff. 8-24-07; 95-520, eff. 8-28-07; 95-876, eff.
2 8-21-08; 95-958, eff. 6-1-09; 95-978, eff. 1-1-09; 95-1005,
3 eff. 12-12-08; 95-1045, eff. 3-27-09; 95-1049, eff. 1-1-10;
4 96-328, eff. 8-11-09; revised 9-25-09.)
 
5     (Text of Section after amendment by P.A. 96-833)
6     Sec. 10. Application of Insurance Code provisions. Health
7 services plan corporations and all persons interested therein
8 or dealing therewith shall be subject to the provisions of
9 Articles IIA and XII 1/2 and Sections 3.1, 133, 140, 143, 143c,
10 149, 155.37, 354, 355.2, 356g, 356g.5, 356g.5-1, 356r, 356t,
11 356u, 356v, 356w, 356x, 356y, 356z.1, 356z.2, 356z.4, 356z.5,
12 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
13 356z.14, 356z.15, 356z.18, 356z.19, 364.01, 367.2, 368a, 401,
14 401.1, 402, 403, 403A, 408, 408.2, and 412, and paragraphs (7)
15 and (15) of Section 367 of the Illinois Insurance Code.
16     Rulemaking authority to implement Public Act 95-1045, if
17 any, is conditioned on the rules being adopted in accordance
18 with all provisions of the Illinois Administrative Procedure
19 Act and all rules and procedures of the Joint Committee on
20 Administrative Rules; any purported rule not so adopted, for
21 whatever reason, is unauthorized.
22 (Source: P.A. 95-189, eff. 8-16-07; 95-331, eff. 8-21-07;
23 95-422, eff. 8-24-07; 95-520, eff. 8-28-07; 95-876, eff.
24 8-21-08; 95-958, eff. 6-1-09; 95-978, eff. 1-1-09; 95-1005,
25 eff. 12-12-08; 95-1045, eff. 3-27-09; 95-1049, eff. 1-1-10;

 

 

HB5766 Engrossed - 21 - LRB096 19907 RPM 35370 b

1 96-328, eff. 8-11-09; 96-833, eff. 6-1-10.)
 
2     Section 95. No acceleration or delay. Where this Act makes
3 changes in a statute that is represented in this Act by text
4 that is not yet or no longer in effect (for example, a Section
5 represented by multiple versions), the use of that text does
6 not accelerate or delay the taking effect of (i) the changes
7 made by this Act or (ii) provisions derived from any other
8 Public Act.