215 Ill. Comp. Stat. §§ 124/1 through 124/25: Network Adequacy and Transparency Act – Illinois
Status: Enacted Year Enacted: 2017
Statutes prohibit an insurer from prohibiting a preferred provider from discussing any specific or all treatment options with beneficiaries or from advocating on behalf of beneficiaries within utilization review. If the insurer does not have …
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215 Ill. Comp. Stat. §§ 125/4-10 through 125/4-20: Health Maintenance Organization Act — Delivery of Services – Required Provisions and Marketing – Illinois
Status: Enacted Year Enacted: 1987
Statutes lay out indepenent review process for what constitutes “medically necessary” for a certain patient. Statutes require a health maintenance organization to file with the Director, prior to use, a notice of any change in …
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215 Ill. Comp. Stat. §§ 170/1 through 170/40: Covering All Kids Health Insurance Act – Illinois
Status: Enacted Year Enacted: 2006
The Covering All Kids Health Insurance Act was created to enable all children to access affordable health insurance that offers comprehensive coverage and emphasizes preventive healthcare. The Department shall adopt rules regarding performance standards and …
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215 Ill. Comp. Stat. §§ 170/47 through 170/52: Covering All Kids Health Insurance Act – Illinois
Status: Enacted Year Enacted: 2006
The Department shall report information on the number of professionals serving in the primary care management program and the number of non-primary care providers accepting referrals for counties with a population of 100,000 or greater. …
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215 Ill. Comp. Stat. §§ 180/1 through 180/42: Health Carrier External Review Act – Illinois
Status: Enacted Year Enacted: 2010
The Health Carrier External Review Act’s purpose is to provide uniform standards for the establishment and maintenance of external review procedures. Statutes set out timeline and process for a standard review.
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215 Ill. Comp. Stat. §§ 190/1 through 190/20: Short-Term, Limited-Duration Health Insurance Coverage Act – Illinois
Status: Enacted Year Enacted: 2018
Statutes set out the requirements of short-term, limited-duration health insurance coverage. A health insurance issuer that offers short-term, limited-duration health insurance coverage shall provide the policy, membership booklet, description of appeals and external review rights …
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215 Ill. Comp. Stat. §§ 5/1201 through 5/1203: Illinois Insurance Cost Containment Act – Illinois
Status: Enacted Year Enacted: 1986
The purpose of this Article is to promote public welfare by stabilizing the cost of insurance. The Article intends to permit and encourage competition between companies to ensure the provision of adequate insurance at reasonable …
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215 Ill. Comp. Stat. §§ 5/123C-1, 123C-8 through 123C-14: Domestic Captive Insurance Companies – Illinois
Status: Enacted Year Enacted: 1937
Statutes govern mergers and consolidations fo domestic captive insurance companies. Captive insurance companies are not required to join a rating organization or file its premium rates or policy forms with, or seek approval for such …
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215 Ill. Comp. Stat. §§ 5/155.57 & 5/155.58: Credit Life and Credit Accident and Health Insurance – Illinois
Status: Enacted Year Enacted: 1959
Statutes requires that all policies, certificates of insurance and schedules of premium rates be filed with the Director. The Director shall disapprove any form if the benefits provided are not reasonable in relation to the …
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215 Ill. Comp. Stat. §§ 5/156 through 5/166: Merger Consolidation or Plans of Exchange – Illinois
Status: Enacted Year Enacted: 1937
Statutes govern the mergers, acquisitions and consolidations of domestic insurance companies.
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215 Ill. Comp. Stat. §§ 5/2 through 5/5.5: Illinois Insurance Code — Short Title, Definitions and Classifications – Illinois
Status: Enacted Year Enacted: 1937
Statutes contain general definitions and the public policy for the Illinois Insurance Code, and also contains provisions regarding payment for services through claims submitted by the Department of Healthcare and Family Services.
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215 Ill. Comp. Stat. §§ 5/370g through 5/370o: Health Care Reimbursement Reform Act of 1985 – Illinois
Status: Enacted Year Enacted: 1985
Statutes prohibit an insurer or administrator from refusing to contract with any noninstitutional provider who meets the terms and conditions established by the insurer. Statutes allow an insurer to issue or administer programs or policies …
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215 Ill. Comp. Stat. §§ 5/401 through 5/401.5: Director of Insurance, Hearings and Review – Illinois
Status: Enacted Year Enacted: 1937
Statutes lay out the general powers of the Director of Insurance in Illinois and the procedures when an insurance law is violated.
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215 Ill. Comp. Stat. §§ 5/421 through 5/430: Unfair Methods of Competition and Unfair and Deceptive Acts and Practices – Illinois
Status: Enacted Year Enacted: 1959
No person shall engage in this State in any trade practice which is defined in this Article as, or determined pursuant to this Article to be an unfair method of competition or an unfair or …
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215 Ill. Comp. Stat. §§ 93/1 through 93/35: Small Employer Health Insurance Rating Act – Illinois
Status: Enacted Year Enacted: 2000
The intent of this Act is to improve the efficiency and fairness of the small group health insurance marketplace. Statutes regulate premium rates and require small employer carriers to make its rating practices available to …
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215 Ill. Comp. Stat. §§ 97/1 through 97/60: Illinois Health Insurance Portability and Accountability Act – Illinois
Status: Enacted Year Enacted: 1997
Statutes limit preexisting condition exclusions and govern when health insurance issuers must renew coverage and when issuers may discontinue coverage in connection with a group health plan. Statutes prohibit eligibility and rates from being contingent …
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