House Sponsors: SLONE-COULSON-KLINGLER-KRAUSE-MCKEON, SCULLY, CURRY,JULIE, DART, NOVAK, GIGLIO, O'BRIEN, ERWIN, SCHOENBERG, GASH AND RONEN. Senate Sponsors: CRONIN Short description: HEALTH BENEFIT DENIAL NOTICES Synopsis of Bill as introduced: Amends the State Employees Group Insurance Act of 1971, Counties Code, Illinois Municipal Code, School Code, Illinois Insurance Code, Comprehensive Health Insurance Plan Act, Health Maintenance Organization Act, Limited Health Service Organization Act, and Voluntary Health Services Plans Act. Provides that notices of payment and denial of health care benefits subject to those Acts and under managed care plans must provide detailed statements of payment and denial of benefits. Requires notices of denial to be signed by the individual responsible for the denial. Requires the notice to disclose the address and telephone number of the individual responsible for the denial. Provides that appeal procedures must be clearly set forth in the notice. Amends the State Mandates Act to provide that reimbursement is not required under that Act. FISCAL NOTE (Dept. of Insurance) HB 535 will have no fiscal impact on the Department. STATE MANDATES FISCAL NOTE In the opinion of DCCA, HB535 creates a local organization and structure mandate; it also contains an exemption from reim- bursement liability. Last action on Bill: SESSION SINE DIE Last action date: 99-01-12 Location: House Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 0 SENATE - 0 END OF INQUIRY Full Text Bill Status