Illinois General Assembly - Full Text of SB1289
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Full Text of SB1289  103rd General Assembly




SB1289 EngrossedLRB103 05989 BMS 51011 b

1    AN ACT concerning regulation.
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4    Section 5. The Illinois Insurance Code is amended by
5adding Section 355.5 as follows:
6    (215 ILCS 5/355.5 new)
7    Sec. 355.5. Dental coverage reimbursement; prohibitions.
8No insurer, dental service plan corporation, professional
9service corporation, insurance network leasing company, or any
10company that amends, delivers, issues, or renews an individual
11or group policy of accident and health insurance on or after
12the effective date of this amendatory Act of the 103rd General
13Assembly shall require a dental care provider to incur a fee to
14access and obtain payment or reimbursement for services
15provided. A dental plan carrier shall provide a dental care
16provider with 100% of the contracted amount of the payment or
17reimbursement. Fees incurred directly by a dental care
18provider from third parties related to transmitting an
19automated clearing house network claim, transaction
20management, data management, or portal services and other fees
21charged by third parties that are not in the control of the
22dental plan carrier shall not be prohibited by this Section.



SB1289 Engrossed- 2 -LRB103 05989 BMS 51011 b

1    Section 99. Effective date. This Act takes effect upon
2becoming law.