Illinois 2023-2024 Regular Session

Illinois House Bill HB5258 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	Public Act 103-0700
2	1		HB5258 EnrolledLRB103 38992 RPS 69129 b HB5258 Enrolled LRB103 38992 RPS 69129 b
3	2		HB5258 Enrolled LRB103 38992 RPS 69129 b
4		-	AN ACT concerning regulation.
5		-	Be it enacted by the People of the State of Illinois,
6		-	represented in the General Assembly:
7		-	Section 5. The Illinois Insurance Code is amended by
8		-	adding Section 356z.71 as follows:
9		-	(215 ILCS 5/356z.71 new)
10		-	Sec. 356z.71. Insurance coverage for dependent parents.
11		-	(a) A group or individual policy of accident and health
12		-	insurance issued, amended, delivered, or renewed after January
13		-	1, 2026 that provides dependent coverage shall make that
14		-	dependent coverage available to the parent or stepparent of
15		-	the insured if the parent or stepparent meets the definition
16		-	of a qualifying relative under 26 U.S.C. 152(d) and lives or
17		-	resides within the accident and health insurance policy's
18		-	service area.
19		-	(b) This Section does not apply to specialized health care
20		-	service plans, Medicare supplement insurance, hospital-only
21		-	policies, accident-only policies, or specified disease
22		-	insurance policies that reimburse for hospital, medical, or
23		-	surgical expenses.
24		-	Section 10. The Health Maintenance Organization Act is
25		-	amended by changing Section 5-3 as follows:
	3	+	1 AN ACT concerning regulation.
	4	+	2 Be it enacted by the People of the State of Illinois,
	5	+	3 represented in the General Assembly:
	6	+	4 Section 5. The Illinois Insurance Code is amended by
	7	+	5 adding Section 356z.71 as follows:
	8	+	6 (215 ILCS 5/356z.71 new)
	9	+	7 Sec. 356z.71. Insurance coverage for dependent parents.
	10	+	8 (a) A group or individual policy of accident and health
	11	+	9 insurance issued, amended, delivered, or renewed after January
	12	+	10 1, 2026 that provides dependent coverage shall make that
	13	+	11 dependent coverage available to the parent or stepparent of
	14	+	12 the insured if the parent or stepparent meets the definition
	15	+	13 of a qualifying relative under 26 U.S.C. 152(d) and lives or
	16	+	14 resides within the accident and health insurance policy's
	17	+	15 service area.
	18	+	16 (b) This Section does not apply to specialized health care
	19	+	17 service plans, Medicare supplement insurance, hospital-only
	20	+	18 policies, accident-only policies, or specified disease
	21	+	19 insurance policies that reimburse for hospital, medical, or
	22	+	20 surgical expenses.
	23	+	21 Section 10. The Health Maintenance Organization Act is
	24	+	22 amended by changing Section 5-3 as follows:
26	25
27	26
28	27
29	28		HB5258 Enrolled LRB103 38992 RPS 69129 b
30	29
31	30
32		-	(215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
33		-	Sec. 5-3. Insurance Code provisions.
34		-	(a) Health Maintenance Organizations shall be subject to
35		-	the provisions of Sections 133, 134, 136, 137, 139, 140,
36		-	141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
37		-	154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 155.49,
38		-	355.2, 355.3, 355b, 355c, 356f, 356g.5-1, 356m, 356q, 356v,
39		-	356w, 356x, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
40		-	356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
41		-	356z.15, 356z.17, 356z.18, 356z.19, 356z.20, 356z.21, 356z.22,
42		-	356z.23, 356z.24, 356z.25, 356z.26, 356z.28, 356z.29, 356z.30,
43		-	356z.30a, 356z.31, 356z.32, 356z.33, 356z.34, 356z.35,
44		-	356z.36, 356z.37, 356z.38, 356z.39, 356z.40, 356z.41, 356z.44,
45		-	356z.45, 356z.46, 356z.47, 356z.48, 356z.49, 356z.50, 356z.51,
46		-	356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.58, 356z.59,
47		-	356z.60, 356z.61, 356z.62, 356z.64, 356z.65, 356z.67, 356z.68,
48		-	356z.71, 364, 364.01, 364.3, 367.2, 367.2-5, 367i, 368a, 368b,
49		-	368c, 368d, 368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A,
50		-	408, 408.2, 409, 412, 444, and 444.1, paragraph (c) of
51		-	subsection (2) of Section 367, and Articles IIA, VIII 1/2,
52		-	XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and XXXIIB of the
53		-	Illinois Insurance Code.
54		-	(b) For purposes of the Illinois Insurance Code, except
55		-	for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
56		-	Health Maintenance Organizations in the following categories
	31	+	HB5258 Enrolled- 2 -LRB103 38992 RPS 69129 b HB5258 Enrolled - 2 - LRB103 38992 RPS 69129 b
	32	+	HB5258 Enrolled - 2 - LRB103 38992 RPS 69129 b
	33	+	1 (215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
	34	+	2 Sec. 5-3. Insurance Code provisions.
	35	+	3 (a) Health Maintenance Organizations shall be subject to
	36	+	4 the provisions of Sections 133, 134, 136, 137, 139, 140,
	37	+	5 141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
	38	+	6 154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 155.49,
	39	+	7 355.2, 355.3, 355b, 355c, 356f, 356g.5-1, 356m, 356q, 356v,
	40	+	8 356w, 356x, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
	41	+	9 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
	42	+	10 356z.15, 356z.17, 356z.18, 356z.19, 356z.20, 356z.21, 356z.22,
	43	+	11 356z.23, 356z.24, 356z.25, 356z.26, 356z.28, 356z.29, 356z.30,
	44	+	12 356z.30a, 356z.31, 356z.32, 356z.33, 356z.34, 356z.35,
	45	+	13 356z.36, 356z.37, 356z.38, 356z.39, 356z.40, 356z.41, 356z.44,
	46	+	14 356z.45, 356z.46, 356z.47, 356z.48, 356z.49, 356z.50, 356z.51,
	47	+	15 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.58, 356z.59,
	48	+	16 356z.60, 356z.61, 356z.62, 356z.64, 356z.65, 356z.67, 356z.68,
	49	+	17 356z.71, 364, 364.01, 364.3, 367.2, 367.2-5, 367i, 368a, 368b,
	50	+	18 368c, 368d, 368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A,
	51	+	19 408, 408.2, 409, 412, 444, and 444.1, paragraph (c) of
	52	+	20 subsection (2) of Section 367, and Articles IIA, VIII 1/2,
	53	+	21 XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and XXXIIB of the
	54	+	22 Illinois Insurance Code.
	55	+	23 (b) For purposes of the Illinois Insurance Code, except
	56	+	24 for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
	57	+	25 Health Maintenance Organizations in the following categories
57	58
58	59
59		-	are deemed to be "domestic companies":
60		-	(1) a corporation authorized under the Dental Service
61		-	Plan Act or the Voluntary Health Services Plans Act;
62		-	(2) a corporation organized under the laws of this
63		-	State; or
64		-	(3) a corporation organized under the laws of another
65		-	state, 30% or more of the enrollees of which are residents
66		-	of this State, except a corporation subject to
67		-	substantially the same requirements in its state of
68		-	organization as is a "domestic company" under Article VIII
69		-	1/2 of the Illinois Insurance Code.
70		-	(c) In considering the merger, consolidation, or other
71		-	acquisition of control of a Health Maintenance Organization
72		-	pursuant to Article VIII 1/2 of the Illinois Insurance Code,
73		-	(1) the Director shall give primary consideration to
74		-	the continuation of benefits to enrollees and the
75		-	financial conditions of the acquired Health Maintenance
76		-	Organization after the merger, consolidation, or other
77		-	acquisition of control takes effect;
78		-	(2)(i) the criteria specified in subsection (1)(b) of
79		-	Section 131.8 of the Illinois Insurance Code shall not
80		-	apply and (ii) the Director, in making his determination
81		-	with respect to the merger, consolidation, or other
82		-	acquisition of control, need not take into account the
83		-	effect on competition of the merger, consolidation, or
84		-	other acquisition of control;
85	60
86	61
87		-	(3) the Director shall have the power to require the
88		-	following information:
89		-	(A) certification by an independent actuary of the
90		-	adequacy of the reserves of the Health Maintenance
91		-	Organization sought to be acquired;
92		-	(B) pro forma financial statements reflecting the
93		-	combined balance sheets of the acquiring company and
94		-	the Health Maintenance Organization sought to be
95		-	acquired as of the end of the preceding year and as of
96		-	a date 90 days prior to the acquisition, as well as pro
97		-	forma financial statements reflecting projected
98		-	combined operation for a period of 2 years;
99		-	(C) a pro forma business plan detailing an
100		-	acquiring party's plans with respect to the operation
101		-	of the Health Maintenance Organization sought to be
102		-	acquired for a period of not less than 3 years; and
103		-	(D) such other information as the Director shall
104		-	require.
105		-	(d) The provisions of Article VIII 1/2 of the Illinois
106		-	Insurance Code and this Section 5-3 shall apply to the sale by
107		-	any health maintenance organization of greater than 10% of its
108		-	enrollee population (including, without limitation, the health
109		-	maintenance organization's right, title, and interest in and
110		-	to its health care certificates).
111		-	(e) In considering any management contract or service
112		-	agreement subject to Section 141.1 of the Illinois Insurance
	62	+
	63	+	HB5258 Enrolled - 2 - LRB103 38992 RPS 69129 b
113	64
114	65
115		-	Code, the Director (i) shall, in addition to the criteria
116		-	specified in Section 141.2 of the Illinois Insurance Code,
117		-	take into account the effect of the management contract or
118		-	service agreement on the continuation of benefits to enrollees
119		-	and the financial condition of the health maintenance
120		-	organization to be managed or serviced, and (ii) need not take
121		-	into account the effect of the management contract or service
122		-	agreement on competition.
123		-	(f) Except for small employer groups as defined in the
124		-	Small Employer Rating, Renewability and Portability Health
125		-	Insurance Act and except for medicare supplement policies as
126		-	defined in Section 363 of the Illinois Insurance Code, a
127		-	Health Maintenance Organization may by contract agree with a
128		-	group or other enrollment unit to effect refunds or charge
129		-	additional premiums under the following terms and conditions:
130		-	(i) the amount of, and other terms and conditions with
131		-	respect to, the refund or additional premium are set forth
132		-	in the group or enrollment unit contract agreed in advance
133		-	of the period for which a refund is to be paid or
134		-	additional premium is to be charged (which period shall
135		-	not be less than one year); and
136		-	(ii) the amount of the refund or additional premium
137		-	shall not exceed 20% of the Health Maintenance
138		-	Organization's profitable or unprofitable experience with
139		-	respect to the group or other enrollment unit for the
140		-	period (and, for purposes of a refund or additional
	66	+	HB5258 Enrolled- 3 -LRB103 38992 RPS 69129 b HB5258 Enrolled - 3 - LRB103 38992 RPS 69129 b
	67	+	HB5258 Enrolled - 3 - LRB103 38992 RPS 69129 b
	68	+	1 are deemed to be "domestic companies":
	69	+	2 (1) a corporation authorized under the Dental Service
	70	+	3 Plan Act or the Voluntary Health Services Plans Act;
	71	+	4 (2) a corporation organized under the laws of this
	72	+	5 State; or
	73	+	6 (3) a corporation organized under the laws of another
	74	+	7 state, 30% or more of the enrollees of which are residents
	75	+	8 of this State, except a corporation subject to
	76	+	9 substantially the same requirements in its state of
	77	+	10 organization as is a "domestic company" under Article VIII
	78	+	11 1/2 of the Illinois Insurance Code.
	79	+	12 (c) In considering the merger, consolidation, or other
	80	+	13 acquisition of control of a Health Maintenance Organization
	81	+	14 pursuant to Article VIII 1/2 of the Illinois Insurance Code,
	82	+	15 (1) the Director shall give primary consideration to
	83	+	16 the continuation of benefits to enrollees and the
	84	+	17 financial conditions of the acquired Health Maintenance
	85	+	18 Organization after the merger, consolidation, or other
	86	+	19 acquisition of control takes effect;
	87	+	20 (2)(i) the criteria specified in subsection (1)(b) of
	88	+	21 Section 131.8 of the Illinois Insurance Code shall not
	89	+	22 apply and (ii) the Director, in making his determination
	90	+	23 with respect to the merger, consolidation, or other
	91	+	24 acquisition of control, need not take into account the
	92	+	25 effect on competition of the merger, consolidation, or
	93	+	26 other acquisition of control;
141	94
142	95
143		-	premium, the profitable or unprofitable experience shall
144		-	be calculated taking into account a pro rata share of the
145		-	Health Maintenance Organization's administrative and
146		-	marketing expenses, but shall not include any refund to be
147		-	made or additional premium to be paid pursuant to this
148		-	subsection (f)). The Health Maintenance Organization and
149		-	the group or enrollment unit may agree that the profitable
150		-	or unprofitable experience may be calculated taking into
151		-	account the refund period and the immediately preceding 2
152		-	plan years.
153		-	The Health Maintenance Organization shall include a
154		-	statement in the evidence of coverage issued to each enrollee
155		-	describing the possibility of a refund or additional premium,
156		-	and upon request of any group or enrollment unit, provide to
157		-	the group or enrollment unit a description of the method used
158		-	to calculate (1) the Health Maintenance Organization's
159		-	profitable experience with respect to the group or enrollment
160		-	unit and the resulting refund to the group or enrollment unit
161		-	or (2) the Health Maintenance Organization's unprofitable
162		-	experience with respect to the group or enrollment unit and
163		-	the resulting additional premium to be paid by the group or
164		-	enrollment unit.
165		-	In no event shall the Illinois Health Maintenance
166		-	Organization Guaranty Association be liable to pay any
167		-	contractual obligation of an insolvent organization to pay any
168		-	refund authorized under this Section.
169	96
170	97
171		-	(g) Rulemaking authority to implement Public Act 95-1045,
172		-	if any, is conditioned on the rules being adopted in
173		-	accordance with all provisions of the Illinois Administrative
174		-	Procedure Act and all rules and procedures of the Joint
175		-	Committee on Administrative Rules; any purported rule not so
176		-	adopted, for whatever reason, is unauthorized.
177		-	(Source: P.A. 102-30, eff. 1-1-22; 102-34, eff. 6-25-21;
178		-	102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
179		-	1-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665,
180		-	eff. 10-8-21; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
181		-	102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff.
182		-	1-1-23; 102-860, eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093,
183		-	eff. 1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24;
184		-	103-91, eff. 1-1-24; 103-123, eff. 1-1-24; 103-154, eff.
185		-	6-30-23; 103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445,
186		-	eff. 1-1-24; 103-551, eff. 8-11-23; revised 8-29-23.)
187		-	Section 15. The Limited Health Service Organization Act is
188		-	amended by changing Section 4003 as follows:
	98	+
	99	+	HB5258 Enrolled - 3 - LRB103 38992 RPS 69129 b
	100	+
	101	+
	102	+	HB5258 Enrolled- 4 -LRB103 38992 RPS 69129 b HB5258 Enrolled - 4 - LRB103 38992 RPS 69129 b
	103	+	HB5258 Enrolled - 4 - LRB103 38992 RPS 69129 b
	104	+	1 (3) the Director shall have the power to require the
	105	+	2 following information:
	106	+	3 (A) certification by an independent actuary of the
	107	+	4 adequacy of the reserves of the Health Maintenance
	108	+	5 Organization sought to be acquired;
	109	+	6 (B) pro forma financial statements reflecting the
	110	+	7 combined balance sheets of the acquiring company and
	111	+	8 the Health Maintenance Organization sought to be
	112	+	9 acquired as of the end of the preceding year and as of
	113	+	10 a date 90 days prior to the acquisition, as well as pro
	114	+	11 forma financial statements reflecting projected
	115	+	12 combined operation for a period of 2 years;
	116	+	13 (C) a pro forma business plan detailing an
	117	+	14 acquiring party's plans with respect to the operation
	118	+	15 of the Health Maintenance Organization sought to be
	119	+	16 acquired for a period of not less than 3 years; and
	120	+	17 (D) such other information as the Director shall
	121	+	18 require.
	122	+	19 (d) The provisions of Article VIII 1/2 of the Illinois
	123	+	20 Insurance Code and this Section 5-3 shall apply to the sale by
	124	+	21 any health maintenance organization of greater than 10% of its
	125	+	22 enrollee population (including, without limitation, the health
	126	+	23 maintenance organization's right, title, and interest in and
	127	+	24 to its health care certificates).
	128	+	25 (e) In considering any management contract or service
	129	+	26 agreement subject to Section 141.1 of the Illinois Insurance
	130	+
	131	+
	132	+
	133	+
	134	+
	135	+	HB5258 Enrolled - 4 - LRB103 38992 RPS 69129 b
	136	+
	137	+
	138	+	HB5258 Enrolled- 5 -LRB103 38992 RPS 69129 b HB5258 Enrolled - 5 - LRB103 38992 RPS 69129 b
	139	+	HB5258 Enrolled - 5 - LRB103 38992 RPS 69129 b
	140	+	1 Code, the Director (i) shall, in addition to the criteria
	141	+	2 specified in Section 141.2 of the Illinois Insurance Code,
	142	+	3 take into account the effect of the management contract or
	143	+	4 service agreement on the continuation of benefits to enrollees
	144	+	5 and the financial condition of the health maintenance
	145	+	6 organization to be managed or serviced, and (ii) need not take
	146	+	7 into account the effect of the management contract or service
	147	+	8 agreement on competition.
	148	+	9 (f) Except for small employer groups as defined in the
	149	+	10 Small Employer Rating, Renewability and Portability Health
	150	+	11 Insurance Act and except for medicare supplement policies as
	151	+	12 defined in Section 363 of the Illinois Insurance Code, a
	152	+	13 Health Maintenance Organization may by contract agree with a
	153	+	14 group or other enrollment unit to effect refunds or charge
	154	+	15 additional premiums under the following terms and conditions:
	155	+	16 (i) the amount of, and other terms and conditions with
	156	+	17 respect to, the refund or additional premium are set forth
	157	+	18 in the group or enrollment unit contract agreed in advance
	158	+	19 of the period for which a refund is to be paid or
	159	+	20 additional premium is to be charged (which period shall
	160	+	21 not be less than one year); and
	161	+	22 (ii) the amount of the refund or additional premium
	162	+	23 shall not exceed 20% of the Health Maintenance
	163	+	24 Organization's profitable or unprofitable experience with
	164	+	25 respect to the group or other enrollment unit for the
	165	+	26 period (and, for purposes of a refund or additional
	166	+
	167	+
	168	+
	169	+
	170	+
	171	+	HB5258 Enrolled - 5 - LRB103 38992 RPS 69129 b
	172	+
	173	+
	174	+	HB5258 Enrolled- 6 -LRB103 38992 RPS 69129 b HB5258 Enrolled - 6 - LRB103 38992 RPS 69129 b
	175	+	HB5258 Enrolled - 6 - LRB103 38992 RPS 69129 b
	176	+	1 premium, the profitable or unprofitable experience shall
	177	+	2 be calculated taking into account a pro rata share of the
	178	+	3 Health Maintenance Organization's administrative and
	179	+	4 marketing expenses, but shall not include any refund to be
	180	+	5 made or additional premium to be paid pursuant to this
	181	+	6 subsection (f)). The Health Maintenance Organization and
	182	+	7 the group or enrollment unit may agree that the profitable
	183	+	8 or unprofitable experience may be calculated taking into
	184	+	9 account the refund period and the immediately preceding 2
	185	+	10 plan years.
	186	+	11 The Health Maintenance Organization shall include a
	187	+	12 statement in the evidence of coverage issued to each enrollee
	188	+	13 describing the possibility of a refund or additional premium,
	189	+	14 and upon request of any group or enrollment unit, provide to
	190	+	15 the group or enrollment unit a description of the method used
	191	+	16 to calculate (1) the Health Maintenance Organization's
	192	+	17 profitable experience with respect to the group or enrollment
	193	+	18 unit and the resulting refund to the group or enrollment unit
	194	+	19 or (2) the Health Maintenance Organization's unprofitable
	195	+	20 experience with respect to the group or enrollment unit and
	196	+	21 the resulting additional premium to be paid by the group or
	197	+	22 enrollment unit.
	198	+	23 In no event shall the Illinois Health Maintenance
	199	+	24 Organization Guaranty Association be liable to pay any
	200	+	25 contractual obligation of an insolvent organization to pay any
	201	+	26 refund authorized under this Section.
	202	+
	203	+
	204	+
	205	+
	206	+
	207	+	HB5258 Enrolled - 6 - LRB103 38992 RPS 69129 b
	208	+
	209	+
	210	+	HB5258 Enrolled- 7 -LRB103 38992 RPS 69129 b HB5258 Enrolled - 7 - LRB103 38992 RPS 69129 b
	211	+	HB5258 Enrolled - 7 - LRB103 38992 RPS 69129 b
	212	+	1 (g) Rulemaking authority to implement Public Act 95-1045,
	213	+	2 if any, is conditioned on the rules being adopted in
	214	+	3 accordance with all provisions of the Illinois Administrative
	215	+	4 Procedure Act and all rules and procedures of the Joint
	216	+	5 Committee on Administrative Rules; any purported rule not so
	217	+	6 adopted, for whatever reason, is unauthorized.
	218	+	7 (Source: P.A. 102-30, eff. 1-1-22; 102-34, eff. 6-25-21;
	219	+	8 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
	220	+	9 1-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665,
	221	+	10 eff. 10-8-21; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
	222	+	11 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff.
	223	+	12 1-1-23; 102-860, eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093,
	224	+	13 eff. 1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24;
	225	+	14 103-91, eff. 1-1-24; 103-123, eff. 1-1-24; 103-154, eff.
	226	+	15 6-30-23; 103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445,
	227	+	16 eff. 1-1-24; 103-551, eff. 8-11-23; revised 8-29-23.)
	228	+	17 Section 15. The Limited Health Service Organization Act is
	229	+	18 amended by changing Section 4003 as follows:
	230	+	19 (215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
	231	+	20 Sec. 4003. Illinois Insurance Code provisions. Limited
	232	+	21 health service organizations shall be subject to the
	233	+	22 provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
	234	+	23 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154,
	235	+	24 154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 155.49, 355.2,
	236	+
	237	+
	238	+
	239	+
	240	+
	241	+	HB5258 Enrolled - 7 - LRB103 38992 RPS 69129 b
	242	+
	243	+
	244	+	HB5258 Enrolled- 8 -LRB103 38992 RPS 69129 b HB5258 Enrolled - 8 - LRB103 38992 RPS 69129 b
	245	+	HB5258 Enrolled - 8 - LRB103 38992 RPS 69129 b
	246	+	1 355.3, 355b, 356q, 356v, 356z.4, 356z.4a, 356z.10, 356z.21,
	247	+	2 356z.22, 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32,
	248	+	3 356z.33, 356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54,
	249	+	4 356z.57, 356z.59, 356z.61, 356z.64, 356z.67, 356z.68, 356z.71,
	250	+	5 364.3, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, 409, 412,
	251	+	6 444, and 444.1 and Articles IIA, VIII 1/2, XII, XII 1/2, XIII,
	252	+	7 XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
	253	+	8 Nothing in this Section shall require a limited health care
	254	+	9 plan to cover any service that is not a limited health service.
	255	+	10 For purposes of the Illinois Insurance Code, except for
	256	+	11 Sections 444 and 444.1 and Articles XIII and XIII 1/2, limited
	257	+	12 health service organizations in the following categories are
	258	+	13 deemed to be domestic companies:
	259	+	14 (1) a corporation under the laws of this State; or
	260	+	15 (2) a corporation organized under the laws of another
	261	+	16 state, 30% or more of the enrollees of which are residents
	262	+	17 of this State, except a corporation subject to
	263	+	18 substantially the same requirements in its state of
	264	+	19 organization as is a domestic company under Article VIII
	265	+	20 1/2 of the Illinois Insurance Code.
	266	+	21 (Source: P.A. 102-30, eff. 1-1-22; 102-203, eff. 1-1-22;
	267	+	22 102-306, eff. 1-1-22; 102-642, eff. 1-1-22; 102-731, eff.
	268	+	23 1-1-23; 102-775, eff. 5-13-22; 102-813, eff. 5-13-22; 102-816,
	269	+	24 eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23;
	270	+	25 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24; 103-91, eff.
	271	+	26 1-1-24; 103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445,
	272	+
	273	+
	274	+
	275	+
	276	+
	277	+	HB5258 Enrolled - 8 - LRB103 38992 RPS 69129 b
	278	+
	279	+
	280	+	HB5258 Enrolled- 9 -LRB103 38992 RPS 69129 b HB5258 Enrolled - 9 - LRB103 38992 RPS 69129 b
	281	+	HB5258 Enrolled - 9 - LRB103 38992 RPS 69129 b
	282	+
	283	+
	284	+
	285	+
	286	+
	287	+	HB5258 Enrolled - 9 - LRB103 38992 RPS 69129 b