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215 Ill. Comp. Stat. § 134/72. Pharmacy providers: Managed Care Reform and Patient Rights Act – Illinois
Status:
Enacted Year Enacted: 2000
A health care plan shall apply the same co-insurance, copayment, and deductible factors to all drug prescriptions filled by a pharmacy provider that participates in the health care plan’s network. A health care plan may …
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215 Ill. Comp. Stat. § 134/80. Quality assessment program: Managed Care Reform and Patient Rights Act – Illinois
Status:
Enacted Year Enacted: 2000
A health care plan shall develop and implement a quality assessment and improvement strategy designed to identify and evaluate accessibility, continuity, and quality of care.
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215 Ill. Comp. Stat. § 134/85. Utilization review program registration: Managed Care Reform and Patient Rights Act – Illinois
Status:
Enacted Year Enacted: 2000
Plans must have utilization review programs filed with the department, and shall comply with these probisions.
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215 Ill. Comp. Stat. § 134/90 – Illinois
Status:
Enacted
Establishes the Office of Consumer Health Insurance within the Department of Insurance to assist consumers in understanding health insurance materials and educate enrollees about their rights within individual plans.
215 Ill. Comp. Stat. § 170/56. Care coordination: Covering All Kids Health Insurance Act – Illinois
Status:
Enacted Year Enacted: 2011
Payment for such coordinated care shall be based on arrangements where the State pays for performance related to health care outcomes, the use of evidence-based practices, the use of primary care delivered through comprehensive medical …
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215 Ill. Comp. Stat. § 5/131.12a. Acquisitions involving companies not otherwise covered: Insurance Holding Company Systems – Illinois
Status:
Enacted Year Enacted: 1937
This section sets out the criteria for mergers and acquisitions of companies not otherwise covered.
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215 Ill. Comp. Stat. § 5/131.4. Acquisition of control of or merger with domestic company: Insurance Holding Company Systems – Illinois
Status:
Enacted Year Enacted: 1937
Mergers and acquisitions of insurance holding companies must be approved by the director.
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215 Ill. Comp. Stat. § 5/131.8. Merger, consolidation or acquisition of control; approval of director; exemption: Insurance Holding Company Systems – Illinois
Status:
Enacted Year Enacted: 1937
This section sets out the criteria by which the director must assess whether to approve an aquisition or merger, such as whether it would substantially lessen competition.
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215 Ill. Comp. Stat. § 5/143.10a. Loss Information: Illinois Insurance Code — Provisions Applicable to All Companies – Illinois
Status:
Enacted Year Enacted: 1937
A consistent failure to provide loss information upon request constitutes an unfair trade practice.
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215 Ill. Comp. Stat. § 5/143.31. Uniform medical claim and billing forms: Illinois Insurance Code — Provisions Applicable to All Companies – Illinois
Status:
Enacted Year Enacted: 1994
When a health insurer sends an explanation of benefits paid statements or claims summary statements to an insured it shall be in a format and written in a manner that promotes understanding by the insured …
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215 Ill. Comp. Stat. § 5/155.01. Interlocking directorates–When prohibited: Provisions Applicable to All Companies – Illinois
Status:
Enacted Year Enacted: 1937
Any person may be a director in two or more companies which are competitors, provided no person at the same time shall be a director in two or more companies where the effect may be …
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215 Ill. Comp. Stat. § 5/155.51. Purpose and Scope: Credit Life and Credit Accident and Health Insurance – Illinois
Status:
Enacted Year Enacted: 1959
Purpose of Article is to promote public welfare by regulating health insurance, and nothing in this Article is intended to prohibit or discourage reasonable competition.
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215 Ill. Comp. Stat. § 5/355 – Illinois
Status:
Enacted
States that no health insurance policy may be issued for delivery in Ohio until a copy of the form and premium rates have been filed and approved by the Director of Insurance.
215 Ill. Comp. Stat. § 5/356a. Form of policy: Accident and Health Insurance – Illinois
Status:
Enacted Year Enacted: 1951
No policy of accident or health insurance is allowed to be delivered or issued in Illinois unless the entire money and other consideration are expressed therein and the exceptions and reductions or indemnity are set …
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215 Ill. Comp. Stat. § 5/356r. Woman’s principal health care provider: Accident and Health Insurance – Illinois
Status:
Enacted Year Enacted: 1997
Women shall have the right to select a female principal health provider. If a female insured or enrollee has designated a woman’s principal health care provider, then the insured or enrollee must be given direct …
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215 Ill. Comp. Stat. § 5/356x.25 – Illinois
Status:
Enacted
Provides that every policy of accident and health insurance amended, delivered, issued, or renewed after the effective date of the amendatory Act that provides coverage for prescription drugs shall provide for synchronization of prescription drug …
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