Illinois 2023-2024 Regular Session

Illinois Senate Bill SB2836 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2836 Introduced 1/19/2024, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 215 ILCS 5/121-2.05 from Ch. 73, par. 733-2.05215 ILCS 5/352c new215 ILCS 5/356z.18215 ILCS 5/367.3 from Ch. 73, par. 979.3215 ILCS 5/367a from Ch. 73, par. 979a215 ILCS 5/368f215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2215 ILCS 130/4003 from Ch. 73, par. 1504-3215 ILCS 190/Act rep. Amends the Illinois Insurance Code. Sets forth provisions concerning short-term, limited-duration insurance. Provides that on and after January 1, 2025, no company shall issue, deliver, amend, or renew short-term, limited-duration insurance to any natural or legal person that is a resident or domiciled in the State. Provides that the Department of Insurance may adopt rules as deemed necessary that prescribe specific standards for or restrictions on policy provisions, benefit design, disclosures, and sales and marketing practices for excepted benefits. Provides that the Director of Insurance's authority under specified provisions is extended to group and blanket excepted benefits. Provides that the language does not apply to limited-scope dental, limited-scope vision, long-term care, Medicare supplement, credit life, credit health, or any excepted benefits that are filed under specified provisions. Provides that nothing in the language shall be construed to limit the Director's authority under other statutes. Makes conforming changes in the Health Maintenance Organization Act and the Limited Health Service Organization Act. Repeals the Short-Term, Limited-Duration Health Insurance Coverage Act. Effective January 1, 2025. LRB103 35223 JAG 65205 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2836 Introduced 1/19/2024, by Sen. Laura Fine SYNOPSIS AS INTRODUCED: 215 ILCS 5/121-2.05 from Ch. 73, par. 733-2.05215 ILCS 5/352c new215 ILCS 5/356z.18215 ILCS 5/367.3 from Ch. 73, par. 979.3215 ILCS 5/367a from Ch. 73, par. 979a215 ILCS 5/368f215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2215 ILCS 130/4003 from Ch. 73, par. 1504-3215 ILCS 190/Act rep. 215 ILCS 5/121-2.05 from Ch. 73, par. 733-2.05 215 ILCS 5/352c new 215 ILCS 5/356z.18 215 ILCS 5/367.3 from Ch. 73, par. 979.3 215 ILCS 5/367a from Ch. 73, par. 979a 215 ILCS 5/368f 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3 215 ILCS 190/Act rep. Amends the Illinois Insurance Code. Sets forth provisions concerning short-term, limited-duration insurance. Provides that on and after January 1, 2025, no company shall issue, deliver, amend, or renew short-term, limited-duration insurance to any natural or legal person that is a resident or domiciled in the State. Provides that the Department of Insurance may adopt rules as deemed necessary that prescribe specific standards for or restrictions on policy provisions, benefit design, disclosures, and sales and marketing practices for excepted benefits. Provides that the Director of Insurance's authority under specified provisions is extended to group and blanket excepted benefits. Provides that the language does not apply to limited-scope dental, limited-scope vision, long-term care, Medicare supplement, credit life, credit health, or any excepted benefits that are filed under specified provisions. Provides that nothing in the language shall be construed to limit the Director's authority under other statutes. Makes conforming changes in the Health Maintenance Organization Act and the Limited Health Service Organization Act. Repeals the Short-Term, Limited-Duration Health Insurance Coverage Act. Effective January 1, 2025. LRB103 35223 JAG 65205 b LRB103 35223 JAG 65205 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2836 Introduced 1/19/2024, by Sen. Laura Fine SYNOPSIS AS INTRODUCED:
3	3	215 ILCS 5/121-2.05 from Ch. 73, par. 733-2.05215 ILCS 5/352c new215 ILCS 5/356z.18215 ILCS 5/367.3 from Ch. 73, par. 979.3215 ILCS 5/367a from Ch. 73, par. 979a215 ILCS 5/368f215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2215 ILCS 130/4003 from Ch. 73, par. 1504-3215 ILCS 190/Act rep. 215 ILCS 5/121-2.05 from Ch. 73, par. 733-2.05 215 ILCS 5/352c new 215 ILCS 5/356z.18 215 ILCS 5/367.3 from Ch. 73, par. 979.3 215 ILCS 5/367a from Ch. 73, par. 979a 215 ILCS 5/368f 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3 215 ILCS 190/Act rep.
4	4	215 ILCS 5/121-2.05 from Ch. 73, par. 733-2.05
5	5	215 ILCS 5/352c new
6	6	215 ILCS 5/356z.18
7	7	215 ILCS 5/367.3 from Ch. 73, par. 979.3
8	8	215 ILCS 5/367a from Ch. 73, par. 979a
9	9	215 ILCS 5/368f
10	10	215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2
11	11	215 ILCS 130/4003 from Ch. 73, par. 1504-3
12	12	215 ILCS 190/Act rep.
13	13	Amends the Illinois Insurance Code. Sets forth provisions concerning short-term, limited-duration insurance. Provides that on and after January 1, 2025, no company shall issue, deliver, amend, or renew short-term, limited-duration insurance to any natural or legal person that is a resident or domiciled in the State. Provides that the Department of Insurance may adopt rules as deemed necessary that prescribe specific standards for or restrictions on policy provisions, benefit design, disclosures, and sales and marketing practices for excepted benefits. Provides that the Director of Insurance's authority under specified provisions is extended to group and blanket excepted benefits. Provides that the language does not apply to limited-scope dental, limited-scope vision, long-term care, Medicare supplement, credit life, credit health, or any excepted benefits that are filed under specified provisions. Provides that nothing in the language shall be construed to limit the Director's authority under other statutes. Makes conforming changes in the Health Maintenance Organization Act and the Limited Health Service Organization Act. Repeals the Short-Term, Limited-Duration Health Insurance Coverage Act. Effective January 1, 2025.
14	14	LRB103 35223 JAG 65205 b LRB103 35223 JAG 65205 b
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16	16	A BILL FOR
17	17	SB2836LRB103 35223 JAG 65205 b SB2836 LRB103 35223 JAG 65205 b
18	18	SB2836 LRB103 35223 JAG 65205 b
19	19	1 AN ACT concerning regulation.
20	20	2 Be it enacted by the People of the State of Illinois,
21	21	3 represented in the General Assembly:
22	22	4 Section 5. The Illinois Insurance Code is amended by
23	23	5 changing Sections 121-2.05, 356z.18, 367.3, 367a, and 368f and
24	24	6 by adding Section 352c as follows:
25	25	7 (215 ILCS 5/121-2.05) (from Ch. 73, par. 733-2.05)
26	26	8 Sec. 121-2.05. Group insurance policies issued and
27	27	9 delivered in other State-Transactions in this State. With the
28	28	10 exception of insurance transactions authorized under Sections
29	29	11 230.2 or 367.3 of this Code or transactions described under
30	30	12 Section 352c, transactions in this State involving group
31	31	13 legal, group life and group accident and health or blanket
32	32	14 accident and health insurance or group annuities where the
33	33	15 master policy of such groups was lawfully issued and delivered
34	34	16 in, and under the laws of, a State in which the insurer was
35	35	17 authorized to do an insurance business, to a group properly
36	36	18 established pursuant to law or regulation, and where the
37	37	19 policyholder is domiciled or otherwise has a bona fide situs.
38	38	20 (Source: P.A. 86-753.)
39	39	21 (215 ILCS 5/352c new)
40	40	22 Sec. 352c. Short-term, limited-duration insurance
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44	44	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2836 Introduced 1/19/2024, by Sen. Laura Fine SYNOPSIS AS INTRODUCED:
45	45	215 ILCS 5/121-2.05 from Ch. 73, par. 733-2.05215 ILCS 5/352c new215 ILCS 5/356z.18215 ILCS 5/367.3 from Ch. 73, par. 979.3215 ILCS 5/367a from Ch. 73, par. 979a215 ILCS 5/368f215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2215 ILCS 130/4003 from Ch. 73, par. 1504-3215 ILCS 190/Act rep. 215 ILCS 5/121-2.05 from Ch. 73, par. 733-2.05 215 ILCS 5/352c new 215 ILCS 5/356z.18 215 ILCS 5/367.3 from Ch. 73, par. 979.3 215 ILCS 5/367a from Ch. 73, par. 979a 215 ILCS 5/368f 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3 215 ILCS 190/Act rep.
46	46	215 ILCS 5/121-2.05 from Ch. 73, par. 733-2.05
47	47	215 ILCS 5/352c new
48	48	215 ILCS 5/356z.18
49	49	215 ILCS 5/367.3 from Ch. 73, par. 979.3
50	50	215 ILCS 5/367a from Ch. 73, par. 979a
51	51	215 ILCS 5/368f
52	52	215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2
53	53	215 ILCS 130/4003 from Ch. 73, par. 1504-3
54	54	215 ILCS 190/Act rep.
55	55	Amends the Illinois Insurance Code. Sets forth provisions concerning short-term, limited-duration insurance. Provides that on and after January 1, 2025, no company shall issue, deliver, amend, or renew short-term, limited-duration insurance to any natural or legal person that is a resident or domiciled in the State. Provides that the Department of Insurance may adopt rules as deemed necessary that prescribe specific standards for or restrictions on policy provisions, benefit design, disclosures, and sales and marketing practices for excepted benefits. Provides that the Director of Insurance's authority under specified provisions is extended to group and blanket excepted benefits. Provides that the language does not apply to limited-scope dental, limited-scope vision, long-term care, Medicare supplement, credit life, credit health, or any excepted benefits that are filed under specified provisions. Provides that nothing in the language shall be construed to limit the Director's authority under other statutes. Makes conforming changes in the Health Maintenance Organization Act and the Limited Health Service Organization Act. Repeals the Short-Term, Limited-Duration Health Insurance Coverage Act. Effective January 1, 2025.
56	56	LRB103 35223 JAG 65205 b LRB103 35223 JAG 65205 b
57	57	LRB103 35223 JAG 65205 b
58	58	A BILL FOR
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64	64	215 ILCS 5/121-2.05 from Ch. 73, par. 733-2.05
65	65	215 ILCS 5/352c new
66	66	215 ILCS 5/356z.18
67	67	215 ILCS 5/367.3 from Ch. 73, par. 979.3
68	68	215 ILCS 5/367a from Ch. 73, par. 979a
69	69	215 ILCS 5/368f
70	70	215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2
71	71	215 ILCS 130/4003 from Ch. 73, par. 1504-3
72	72	215 ILCS 190/Act rep.
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91	91	1 prohibited; rules for excepted benefits.
92	92	2 (a) Definitions. As used in this Section:
93	93	3 "Excepted benefits" has the meaning given to that term in
94	94	4 42 U.S.C. 300gg-91 and implementing regulations. "Excepted
95	95	5 benefits" includes individual, group, or blanket coverage.
96	96	6 "Short-term, limited-duration insurance" means any type of
97	97	7 accident and health insurance offered or provided within this
98	98	8 State pursuant to a group or individual policy or individual
99	99	9 certificate by a company, regardless of the situs state of the
100	100	10 delivery of the policy, that has an expiration date specified
101	101	11 in the contract that is fewer than 365 days after the original
102	102	12 effective date. Regardless of the duration of coverage,
103	103	13 "short-term, limited-duration insurance" does not include
104	104	14 excepted benefits or any student health insurance coverage.
105	105	15 "Student health insurance coverage" has the meaning given
106	106	16 to that term in 45 CFR 147.145.
107	107	17 (b) On and after January 1, 2025, no company shall issue,
108	108	18 deliver, amend, or renew short-term, limited-duration
109	109	19 insurance to any natural or legal person that is a resident or
110	110	20 domiciled in this State.
111	111	21 (c) To prevent the use, design, and combination of
112	112	22 excepted benefits to circumvent State or federal requirements
113	113	23 for comprehensive forms of health insurance coverage, to
114	114	24 prevent confusion or misinformation of insureds about
115	115	25 duplicate or distinct types of coverage, and to ensure a
116	116	26 measure of consistency within product lines across the
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127	127	1 individual, group, and blanket markets, the Department may
128	128	2 adopt rules as deemed necessary that prescribe specific
129	129	3 standards for or restrictions on policy provisions, benefit
130	130	4 design, disclosures, and sales and marketing practices for
131	131	5 excepted benefits. For purposes of these rules, the Director's
132	132	6 authority under subsections (3) and (4) of Section 355a is
133	133	7 extended to group and blanket excepted benefits. To ensure
134	134	8 compliance with these rules, the Director may require policy
135	135	9 forms and rates to be filed as provided in Sections 143 and 355
136	136	10 and rules thereunder with respect to excepted benefits
137	137	11 coverage intended to be issued to residents of this State
138	138	12 under a master contract issued to a group domiciled or
139	139	13 otherwise with bona fide situs outside of this State. This
140	140	14 subsection does not apply to limited-scope dental,
141	141	15 limited-scope vision, long-term care, Medicare supplement,
142	142	16 credit life, credit health, or any excepted benefits that are
143	143	17 filed under subsections (b) through (l) of Class 2 or under
144	144	18 Class 3 of Section 4. Nothing in this subsection shall be
145	145	19 construed to limit the Director's authority under other
146	146	20 statutes.
147	147	21 (215 ILCS 5/356z.18)
148	148	22 (Text of Section before amendment by P.A. 103-512)
149	149	23 Sec. 356z.18. Prosthetic and customized orthotic devices.
150	150	24 (a) For the purposes of this Section:
151	151	25 "Customized orthotic device" means a supportive device for
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162	162	1 the body or a part of the body, the head, neck, or extremities,
163	163	2 and includes the replacement or repair of the device based on
164	164	3 the patient's physical condition as medically necessary,
165	165	4 excluding foot orthotics defined as an in-shoe device designed
166	166	5 to support the structural components of the foot during
167	167	6 weight-bearing activities.
168	168	7 "Licensed provider" means a prosthetist, orthotist, or
169	169	8 pedorthist licensed to practice in this State.
170	170	9 "Prosthetic device" means an artificial device to replace,
171	171	10 in whole or in part, an arm or leg and includes accessories
172	172	11 essential to the effective use of the device and the
173	173	12 replacement or repair of the device based on the patient's
174	174	13 physical condition as medically necessary.
175	175	14 (b) This amendatory Act of the 96th General Assembly shall
176	176	15 provide benefits to any person covered thereunder for expenses
177	177	16 incurred in obtaining a prosthetic or custom orthotic device
178	178	17 from any Illinois licensed prosthetist, licensed orthotist, or
179	179	18 licensed pedorthist as required under the Orthotics,
180	180	19 Prosthetics, and Pedorthics Practice Act.
181	181	20 (c) A group or individual major medical policy of accident
182	182	21 or health insurance or managed care plan or medical, health,
183	183	22 or hospital service corporation contract that provides
184	184	23 coverage for prosthetic or custom orthotic care and is
185	185	24 amended, delivered, issued, or renewed 6 months after the
186	186	25 effective date of this amendatory Act of the 96th General
187	187	26 Assembly must provide coverage for prosthetic and orthotic
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198	198	1 devices in accordance with this subsection (c). The coverage
199	199	2 required under this Section shall be subject to the other
200	200	3 general exclusions, limitations, and financial requirements of
201	201	4 the policy, including coordination of benefits, participating
202	202	5 provider requirements, utilization review of health care
203	203	6 services, including review of medical necessity, case
204	204	7 management, and experimental and investigational treatments,
205	205	8 and other managed care provisions under terms and conditions
206	206	9 that are no less favorable than the terms and conditions that
207	207	10 apply to substantially all medical and surgical benefits
208	208	11 provided under the plan or coverage.
209	209	12 (d) The policy or plan or contract may require prior
210	210	13 authorization for the prosthetic or orthotic devices in the
211	211	14 same manner that prior authorization is required for any other
212	212	15 covered benefit.
213	213	16 (e) Repairs and replacements of prosthetic and orthotic
214	214	17 devices are also covered, subject to the co-payments and
215	215	18 deductibles, unless necessitated by misuse or loss.
216	216	19 (f) A policy or plan or contract may require that, if
217	217	20 coverage is provided through a managed care plan, the benefits
218	218	21 mandated pursuant to this Section shall be covered benefits
219	219	22 only if the prosthetic or orthotic devices are provided by a
220	220	23 licensed provider employed by a provider service who contracts
221	221	24 with or is designated by the carrier, to the extent that the
222	222	25 carrier provides in-network and out-of-network service, the
223	223	26 coverage for the prosthetic or orthotic device shall be
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234	234	1 offered no less extensively.
235	235	2 (g) The policy or plan or contract shall also meet
236	236	3 adequacy requirements as established by the Health Care
237	237	4 Reimbursement Reform Act of 1985 of the Illinois Insurance
238	238	5 Code.
239	239	6 (h) This Section shall not apply to accident only,
240	240	7 specified disease, short-term travel hospital or medical,
241	241	8 hospital confinement indemnity, credit, dental, vision,
242	242	9 Medicare supplement, long-term care, basic hospital and
243	243	10 medical-surgical expense coverage, disability income insurance
244	244	11 coverage, coverage issued as a supplement to liability
245	245	12 insurance, workers' compensation insurance, or automobile
246	246	13 medical payment insurance.
247	247	14 (Source: P.A. 96-833, eff. 6-1-10.)
248	248	15 (Text of Section after amendment by P.A. 103-512)
249	249	16 Sec. 356z.18. Prosthetic and customized orthotic devices.
250	250	17 (a) For the purposes of this Section:
251	251	18 "Customized orthotic device" means a supportive device for
252	252	19 the body or a part of the body, the head, neck, or extremities,
253	253	20 and includes the replacement or repair of the device based on
254	254	21 the patient's physical condition as medically necessary,
255	255	22 excluding foot orthotics defined as an in-shoe device designed
256	256	23 to support the structural components of the foot during
257	257	24 weight-bearing activities.
258	258	25 "Licensed provider" means a prosthetist, orthotist, or
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269	269	1 pedorthist licensed to practice in this State.
270	270	2 "Prosthetic device" means an artificial device to replace,
271	271	3 in whole or in part, an arm or leg and includes accessories
272	272	4 essential to the effective use of the device and the
273	273	5 replacement or repair of the device based on the patient's
274	274	6 physical condition as medically necessary.
275	275	7 (b) This amendatory Act of the 96th General Assembly shall
276	276	8 provide benefits to any person covered thereunder for expenses
277	277	9 incurred in obtaining a prosthetic or custom orthotic device
278	278	10 from any Illinois licensed prosthetist, licensed orthotist, or
279	279	11 licensed pedorthist as required under the Orthotics,
280	280	12 Prosthetics, and Pedorthics Practice Act.
281	281	13 (c) A group or individual major medical policy of accident
282	282	14 or health insurance or managed care plan or medical, health,
283	283	15 or hospital service corporation contract that provides
284	284	16 coverage for prosthetic or custom orthotic care and is
285	285	17 amended, delivered, issued, or renewed 6 months after the
286	286	18 effective date of this amendatory Act of the 96th General
287	287	19 Assembly must provide coverage for prosthetic and orthotic
288	288	20 devices in accordance with this subsection (c). The coverage
289	289	21 required under this Section shall be subject to the other
290	290	22 general exclusions, limitations, and financial requirements of
291	291	23 the policy, including coordination of benefits, participating
292	292	24 provider requirements, utilization review of health care
293	293	25 services, including review of medical necessity, case
294	294	26 management, and experimental and investigational treatments,
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305	305	1 and other managed care provisions under terms and conditions
306	306	2 that are no less favorable than the terms and conditions that
307	307	3 apply to substantially all medical and surgical benefits
308	308	4 provided under the plan or coverage.
309	309	5 (d) With respect to an enrollee at any age, in addition to
310	310	6 coverage of a prosthetic or custom orthotic device required by
311	311	7 this Section, benefits shall be provided for a prosthetic or
312	312	8 custom orthotic device determined by the enrollee's provider
313	313	9 to be the most appropriate model that is medically necessary
314	314	10 for the enrollee to perform physical activities, as
315	315	11 applicable, such as running, biking, swimming, and lifting
316	316	12 weights, and to maximize the enrollee's whole body health and
317	317	13 strengthen the lower and upper limb function.
318	318	14 (e) The requirements of this Section do not constitute an
319	319	15 addition to this State's essential health benefits that
320	320	16 requires defrayal of costs by this State pursuant to 42 U.S.C.
321	321	17 18031(d)(3)(B).
322	322	18 (f) The policy or plan or contract may require prior
323	323	19 authorization for the prosthetic or orthotic devices in the
324	324	20 same manner that prior authorization is required for any other
325	325	21 covered benefit.
326	326	22 (g) Repairs and replacements of prosthetic and orthotic
327	327	23 devices are also covered, subject to the co-payments and
328	328	24 deductibles, unless necessitated by misuse or loss.
329	329	25 (h) A policy or plan or contract may require that, if
330	330	26 coverage is provided through a managed care plan, the benefits
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341	341	1 mandated pursuant to this Section shall be covered benefits
342	342	2 only if the prosthetic or orthotic devices are provided by a
343	343	3 licensed provider employed by a provider service who contracts
344	344	4 with or is designated by the carrier, to the extent that the
345	345	5 carrier provides in-network and out-of-network service, the
346	346	6 coverage for the prosthetic or orthotic device shall be
347	347	7 offered no less extensively.
348	348	8 (i) The policy or plan or contract shall also meet
349	349	9 adequacy requirements as established by the Health Care
350	350	10 Reimbursement Reform Act of 1985 of the Illinois Insurance
351	351	11 Code.
352	352	12 (j) This Section shall not apply to accident only,
353	353	13 specified disease, short-term travel hospital or medical,
354	354	14 hospital confinement indemnity, credit, dental, vision,
355	355	15 Medicare supplement, long-term care, basic hospital and
356	356	16 medical-surgical expense coverage, disability income insurance
357	357	17 coverage, coverage issued as a supplement to liability
358	358	18 insurance, workers' compensation insurance, or automobile
359	359	19 medical payment insurance.
360	360	20 (Source: P.A. 103-512, eff. 1-1-25.)
361	361	21 (215 ILCS 5/367.3) (from Ch. 73, par. 979.3)
362	362	22 Sec. 367.3. Group accident and health insurance;
363	363	23 discretionary groups.
364	364	24 (a) No group health insurance offered to a resident of
365	365	25 this State under a policy issued to a group, other than one
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376	376	1 specifically described in Section 367(1), shall be delivered
377	377	2 or issued for delivery in this State unless the Director
378	378	3 determines that:
379	379	4 (1) the issuance of the policy is not contrary to the
380	380	5 public interest;
381	381	6 (2) the issuance of the policy will result in
382	382	7 economies of acquisition and administration; and
383	383	8 (3) the benefits under the policy are reasonable in
384	384	9 relation to the premium charged.
385	385	10 (b) No such group health insurance may be offered in this
386	386	11 State under a policy issued in another state unless this State
387	387	12 or the state in which the group policy is issued has made a
388	388	13 determination that the requirements of subsection (a) have
389	389	14 been met.
390	390	15 Where insurance is to be offered in this State under a
391	391	16 policy described in this subsection, the insurer shall file
392	392	17 for informational review purposes:
393	393	18 (1) a copy of the group master contract;
394	394	19 (2) a copy of the statute authorizing the issuance of
395	395	20 the group policy in the state of situs, which statute has
396	396	21 the same or similar requirements as this State, or in the
397	397	22 absence of such statute, a certification by an officer of
398	398	23 the company that the policy meets the Illinois minimum
399	399	24 standards required for individual accident and health
400	400	25 policies under authority of Section 401 of this Code, as
401	401	26 now or hereafter amended, as promulgated by rule at 50
402	402
403	403
404	404
405	405
406	406
407	407	SB2836 - 10 - LRB103 35223 JAG 65205 b
408	408
409	409
410	410	SB2836- 11 -LRB103 35223 JAG 65205 b SB2836 - 11 - LRB103 35223 JAG 65205 b
411	411	SB2836 - 11 - LRB103 35223 JAG 65205 b
412	412	1 Illinois Administrative Code, Ch. I, Sec. 2007, et seq.,
413	413	2 as now or hereafter amended, or by a successor rule;
414	414	3 (3) evidence of approval by the state of situs of the
415	415	4 group master policy; and
416	416	5 (4) copies of all supportive material furnished to the
417	417	6 state of situs to satisfy the criteria for approval.
418	418	7 (c) The Director may, at any time after receipt of the
419	419	8 information required under subsection (b) and after finding
420	420	9 that the standards of subsection (a) have not been met, order
421	421	10 the insurer to cease the issuance or marketing of that
422	422	11 coverage in this State.
423	423	12 (d) Notwithstanding subsections (a) and (b), group Group
424	424	13 accident and health insurance subject to the provisions of
425	425	14 this Section is also subject to the provisions of Sections
426	426	15 352c and Section 367i of this Code and rules thereunder.
427	427	16 (Source: P.A. 90-655, eff. 7-30-98.)
428	428	17 (215 ILCS 5/367a) (from Ch. 73, par. 979a)
429	429	18 Sec. 367a. Blanket accident and health insurance.
430	430	19 (1) Blanket accident and health insurance is the that form
431	431	20 of accident and health insurance providing excepted benefits,
432	432	21 as defined in Section 352c, that covers covering special
433	433	22 groups of persons as enumerated in one of the following
434	434	23 paragraphs (a) to (g), inclusive:
435	435	24 (a) Under a policy or contract issued to any carrier for
436	436	25 hire, which shall be deemed the policyholder, covering a group
437	437
438	438
439	439
440	440
441	441
442	442	SB2836 - 11 - LRB103 35223 JAG 65205 b
443	443
444	444
445	445	SB2836- 12 -LRB103 35223 JAG 65205 b SB2836 - 12 - LRB103 35223 JAG 65205 b
446	446	SB2836 - 12 - LRB103 35223 JAG 65205 b
447	447	1 defined as all persons who may become passengers on such
448	448	2 carrier.
449	449	3 (b) Under a policy or contract issued to an employer, who
450	450	4 shall be deemed the policyholder, covering all employees or
451	451	5 any group of employees defined by reference to exceptional
452	452	6 hazards incident to such employment.
453	453	7 (c) Under a policy or contract issued to a college,
454	454	8 school, or other institution of learning or to the head or
455	455	9 principal thereof, who or which shall be deemed the
456	456	10 policyholder, covering students or teachers. However, except
457	457	11 where inconsistent with 45 CFR 147.145, student health
458	458	12 insurance coverage other than excepted benefits that is
459	459	13 provided pursuant to a written agreement with an institution
460	460	14 of higher education for the benefit of its enrolled students
461	461	15 and their dependents shall remain subject to the standards and
462	462	16 requirements for individual coverage.
463	463	17 (d) Under a policy or contract issued in the name of any
464	464	18 volunteer fire department, first aid, or other such volunteer
465	465	19 group, which shall be deemed the policyholder, covering all of
466	466	20 the members of such department or group.
467	467	21 (e) Under a policy or contract issued to a creditor, who
468	468	22 shall be deemed the policyholder, to insure debtors of the
469	469	23 creditors; Provided, however, that in the case of a loan which
470	470	24 is subject to the Small Loans Act, no insurance premium or
471	471	25 other cost shall be directly or indirectly charged or assessed
472	472	26 against, or collected or received from the borrower.
473	473
474	474
475	475
476	476
477	477
478	478	SB2836 - 12 - LRB103 35223 JAG 65205 b
479	479
480	480
481	481	SB2836- 13 -LRB103 35223 JAG 65205 b SB2836 - 13 - LRB103 35223 JAG 65205 b
482	482	SB2836 - 13 - LRB103 35223 JAG 65205 b
483	483	1 (f) Under a policy or contract issued to a sports team or
484	484	2 to a camp, which team or camp sponsor shall be deemed the
485	485	3 policyholder, covering members or campers.
486	486	4 (g) Under a policy or contract issued to any other
487	487	5 substantially similar group which, in the discretion of the
488	488	6 Director, may be subject to the issuance of a blanket accident
489	489	7 and health policy or contract.
490	490	8 (2) Any insurance company authorized to write accident and
491	491	9 health insurance in this state shall have the power to issue
492	492	10 blanket accident and health insurance. No such blanket policy
493	493	11 may be issued or delivered in this State unless a copy of the
494	494	12 form thereof shall have been filed in accordance with Section
495	495	13 355, and it contains in substance such of those provisions
496	496	14 contained in Sections 357.1 through 357.30 as may be
497	497	15 applicable to blanket accident and health insurance and the
498	498	16 following provisions:
499	499	17 (a) A provision that the policy and the application shall
500	500	18 constitute the entire contract between the parties, and that
501	501	19 all statements made by the policyholder shall, in absence of
502	502	20 fraud, be deemed representations and not warranties, and that
503	503	21 no such statements shall be used in defense to a claim under
504	504	22 the policy, unless it is contained in a written application.
505	505	23 (b) A provision that to the group or class thereof
506	506	24 originally insured shall be added from time to time all new
507	507	25 persons or individuals eligible for coverage.
508	508	26 (3) An individual application shall not be required from a
509	509
510	510
511	511
512	512
513	513
514	514	SB2836 - 13 - LRB103 35223 JAG 65205 b
515	515
516	516
517	517	SB2836- 14 -LRB103 35223 JAG 65205 b SB2836 - 14 - LRB103 35223 JAG 65205 b
518	518	SB2836 - 14 - LRB103 35223 JAG 65205 b
519	519	1 person covered under a blanket accident or health policy or
520	520	2 contract, nor shall it be necessary for the insurer to furnish
521	521	3 each person a certificate.
522	522	4 (4) All benefits under any blanket accident and health
523	523	5 policy shall be payable to the person insured, or to his
524	524	6 designated beneficiary or beneficiaries, or to his or her
525	525	7 estate, except that if the person insured be a minor or person
526	526	8 under legal disability, such benefits may be made payable to
527	527	9 his or her parent, guardian, or other person actually
528	528	10 supporting him or her. Provided further, however, that the
529	529	11 policy may provide that all or any portion of any indemnities
530	530	12 provided by any such policy on account of hospital, nursing,
531	531	13 medical or surgical services may, at the insurer's option, be
532	532	14 paid directly to the hospital or person rendering such
533	533	15 services; but the policy may not require that the service be
534	534	16 rendered by a particular hospital or person. Payment so made
535	535	17 shall discharge the insurer's obligation with respect to the
536	536	18 amount of insurance so paid.
537	537	19 (5) Nothing contained in this section shall be deemed to
538	538	20 affect the legal liability of policyholders for the death of
539	539	21 or injury to, any such member of such group.
540	540	22 (Source: P.A. 83-1362.)
541	541	23 (215 ILCS 5/368f)
542	542	24 Sec. 368f. Military service member insurance
543	543	25 reinstatement.
544	544
545	545
546	546
547	547
548	548
549	549	SB2836 - 14 - LRB103 35223 JAG 65205 b
550	550
551	551
552	552	SB2836- 15 -LRB103 35223 JAG 65205 b SB2836 - 15 - LRB103 35223 JAG 65205 b
553	553	SB2836 - 15 - LRB103 35223 JAG 65205 b
554	554	1 (a) No Illinois resident activated for military service
555	555	2 and no spouse or dependent of the resident who becomes
556	556	3 eligible for a federal government-sponsored health insurance
557	557	4 program, including the TriCare program providing coverage for
558	558	5 civilian dependents of military personnel, as a result of the
559	559	6 activation shall be denied reinstatement into the same
560	560	7 individual health insurance coverage with the health insurer
561	561	8 that the resident lapsed as a result of activation or becoming
562	562	9 covered by the federal government-sponsored health insurance
563	563	10 program. The resident shall have the right to reinstatement in
564	564	11 the same individual health insurance coverage without medical
565	565	12 underwriting, subject to payment of the current premium
566	566	13 charged to other persons of the same age and gender that are
567	567	14 covered under the same individual health coverage. Except in
568	568	15 the case of birth or adoption that occurs during the period of
569	569	16 activation, reinstatement must be into the same coverage type
570	570	17 as the resident held prior to lapsing the individual health
571	571	18 insurance coverage and at the same or, at the option of the
572	572	19 resident, higher deductible level. The reinstatement rights
573	573	20 provided under this subsection (a) are not available to a
574	574	21 resident or dependents if the activated person is discharged
575	575	22 from the military under other than honorable conditions.
576	576	23 (b) The health insurer with which the reinstatement is
577	577	24 being requested must receive a request for reinstatement no
578	578	25 later than 63 days following the later of (i) deactivation or
579	579	26 (ii) loss of coverage under the federal government-sponsored
580	580
581	581
582	582
583	583
584	584
585	585	SB2836 - 15 - LRB103 35223 JAG 65205 b
586	586
587	587
588	588	SB2836- 16 -LRB103 35223 JAG 65205 b SB2836 - 16 - LRB103 35223 JAG 65205 b
589	589	SB2836 - 16 - LRB103 35223 JAG 65205 b
590	590	1 health insurance program. The health insurer may request proof
591	591	2 of loss of coverage and the timing of the loss of coverage of
592	592	3 the government-sponsored coverage in order to determine
593	593	4 eligibility for reinstatement into the individual coverage.
594	594	5 The effective date of the reinstatement of individual health
595	595	6 coverage shall be the first of the month following receipt of
596	596	7 the notice requesting reinstatement.
597	597	8 (c) All insurers must provide written notice to the
598	598	9 policyholder of individual health coverage of the rights
599	599	10 described in subsection (a) of this Section. In lieu of the
600	600	11 inclusion of the notice in the individual health insurance
601	601	12 policy, an insurance company may satisfy the notification
602	602	13 requirement by providing a single written notice:
603	603	14 (1) in conjunction with the enrollment process for a
604	604	15 policyholder initially enrolling in the individual
605	605	16 coverage on or after the effective date of this amendatory
606	606	17 Act of the 94th General Assembly; or
607	607	18 (2) by mailing written notice to policyholders whose
608	608	19 coverage was effective prior to the effective date of this
609	609	20 amendatory Act of the 94th General Assembly no later than
610	610	21 90 days following the effective date of this amendatory
611	611	22 Act of the 94th General Assembly.
612	612	23 (d) The provisions of subsection (a) of this Section do
613	613	24 not apply to any policy or certificate providing coverage for
614	614	25 any specified disease, specified accident or accident-only
615	615	26 coverage, credit, dental, disability income, hospital
616	616
617	617
618	618
619	619
620	620
621	621	SB2836 - 16 - LRB103 35223 JAG 65205 b
622	622
623	623
624	624	SB2836- 17 -LRB103 35223 JAG 65205 b SB2836 - 17 - LRB103 35223 JAG 65205 b
625	625	SB2836 - 17 - LRB103 35223 JAG 65205 b
626	626	1 indemnity, long-term care, Medicare supplement, vision care,
627	627	2 or short-term travel nonrenewable health policy or other
628	628	3 limited-benefit supplemental insurance, or any coverage issued
629	629	4 as a supplement to any liability insurance, workers'
630	630	5 compensation or similar insurance, or any insurance under
631	631	6 which benefits are payable with or without regard to fault,
632	632	7 whether written on a group, blanket, or individual basis.
633	633	8 (e) Nothing in this Section shall require an insurer to
634	634	9 reinstate the resident if the insurer requires residency in an
635	635	10 enrollment area and those residency requirements are not met
636	636	11 after deactivation or loss of coverage under the
637	637	12 government-sponsored health insurance program.
638	638	13 (f) All terms, conditions, and limitations of the
639	639	14 individual coverage into which reinstatement is made apply
640	640	15 equally to all insureds enrolled in the coverage.
641	641	16 (g) The Secretary may adopt rules as may be necessary to
642	642	17 carry out the provisions of this Section.
643	643	18 (Source: P.A. 94-1037, eff. 7-20-06.)
644	644	19 Section 10. The Health Maintenance Organization Act is
645	645	20 amended by changing Section 5-3 as follows:
646	646	21 (215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
647	647	22 Sec. 5-3. Insurance Code provisions.
648	648	23 (a) Health Maintenance Organizations shall be subject to
649	649	24 the provisions of Sections 133, 134, 136, 137, 139, 140,
650	650
651	651
652	652
653	653
654	654
655	655	SB2836 - 17 - LRB103 35223 JAG 65205 b
656	656
657	657
658	658	SB2836- 18 -LRB103 35223 JAG 65205 b SB2836 - 18 - LRB103 35223 JAG 65205 b
659	659	SB2836 - 18 - LRB103 35223 JAG 65205 b
660	660	1 141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
661	661	2 154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 155.49,
662	662	3 352c, 355.2, 355.3, 355b, 355c, 356f, 356g.5-1, 356m, 356q,
663	663	4 356v, 356w, 356x, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5,
664	664	5 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
665	665	6 356z.14, 356z.15, 356z.17, 356z.18, 356z.19, 356z.20, 356z.21,
666	666	7 356z.22, 356z.23, 356z.24, 356z.25, 356z.26, 356z.28, 356z.29,
667	667	8 356z.30, 356z.30a, 356z.31, 356z.32, 356z.33, 356z.34,
668	668	9 356z.35, 356z.36, 356z.37, 356z.38, 356z.39, 356z.40, 356z.41,
669	669	10 356z.44, 356z.45, 356z.46, 356z.47, 356z.48, 356z.49, 356z.50,
670	670	11 356z.51, 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.58,
671	671	12 356z.59, 356z.60, 356z.61, 356z.62, 356z.64, 356z.65, 356z.67,
672	672	13 356z.68, 364, 364.01, 364.3, 367.2, 367.2-5, 367i, 368a, 368b,
673	673	14 368c, 368d, 368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A,
674	674	15 408, 408.2, 409, 412, 444, and 444.1, paragraph (c) of
675	675	16 subsection (2) of Section 367, and Articles IIA, VIII 1/2,
676	676	17 XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and XXXIIB of the
677	677	18 Illinois Insurance Code.
678	678	19 (b) For purposes of the Illinois Insurance Code, except
679	679	20 for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
680	680	21 Health Maintenance Organizations in the following categories
681	681	22 are deemed to be "domestic companies":
682	682	23 (1) a corporation authorized under the Dental Service
683	683	24 Plan Act or the Voluntary Health Services Plans Act;
684	684	25 (2) a corporation organized under the laws of this
685	685	26 State; or
686	686
687	687
688	688
689	689
690	690
691	691	SB2836 - 18 - LRB103 35223 JAG 65205 b
692	692
693	693
694	694	SB2836- 19 -LRB103 35223 JAG 65205 b SB2836 - 19 - LRB103 35223 JAG 65205 b
695	695	SB2836 - 19 - LRB103 35223 JAG 65205 b
696	696	1 (3) a corporation organized under the laws of another
697	697	2 state, 30% or more of the enrollees of which are residents
698	698	3 of this State, except a corporation subject to
699	699	4 substantially the same requirements in its state of
700	700	5 organization as is a "domestic company" under Article VIII
701	701	6 1/2 of the Illinois Insurance Code.
702	702	7 (c) In considering the merger, consolidation, or other
703	703	8 acquisition of control of a Health Maintenance Organization
704	704	9 pursuant to Article VIII 1/2 of the Illinois Insurance Code,
705	705	10 (1) the Director shall give primary consideration to
706	706	11 the continuation of benefits to enrollees and the
707	707	12 financial conditions of the acquired Health Maintenance
708	708	13 Organization after the merger, consolidation, or other
709	709	14 acquisition of control takes effect;
710	710	15 (2)(i) the criteria specified in subsection (1)(b) of
711	711	16 Section 131.8 of the Illinois Insurance Code shall not
712	712	17 apply and (ii) the Director, in making his determination
713	713	18 with respect to the merger, consolidation, or other
714	714	19 acquisition of control, need not take into account the
715	715	20 effect on competition of the merger, consolidation, or
716	716	21 other acquisition of control;
717	717	22 (3) the Director shall have the power to require the
718	718	23 following information:
719	719	24 (A) certification by an independent actuary of the
720	720	25 adequacy of the reserves of the Health Maintenance
721	721	26 Organization sought to be acquired;
722	722
723	723
724	724
725	725
726	726
727	727	SB2836 - 19 - LRB103 35223 JAG 65205 b
728	728
729	729
730	730	SB2836- 20 -LRB103 35223 JAG 65205 b SB2836 - 20 - LRB103 35223 JAG 65205 b
731	731	SB2836 - 20 - LRB103 35223 JAG 65205 b
732	732	1 (B) pro forma financial statements reflecting the
733	733	2 combined balance sheets of the acquiring company and
734	734	3 the Health Maintenance Organization sought to be
735	735	4 acquired as of the end of the preceding year and as of
736	736	5 a date 90 days prior to the acquisition, as well as pro
737	737	6 forma financial statements reflecting projected
738	738	7 combined operation for a period of 2 years;
739	739	8 (C) a pro forma business plan detailing an
740	740	9 acquiring party's plans with respect to the operation
741	741	10 of the Health Maintenance Organization sought to be
742	742	11 acquired for a period of not less than 3 years; and
743	743	12 (D) such other information as the Director shall
744	744	13 require.
745	745	14 (d) The provisions of Article VIII 1/2 of the Illinois
746	746	15 Insurance Code and this Section 5-3 shall apply to the sale by
747	747	16 any health maintenance organization of greater than 10% of its
748	748	17 enrollee population (including, without limitation, the health
749	749	18 maintenance organization's right, title, and interest in and
750	750	19 to its health care certificates).
751	751	20 (e) In considering any management contract or service
752	752	21 agreement subject to Section 141.1 of the Illinois Insurance
753	753	22 Code, the Director (i) shall, in addition to the criteria
754	754	23 specified in Section 141.2 of the Illinois Insurance Code,
755	755	24 take into account the effect of the management contract or
756	756	25 service agreement on the continuation of benefits to enrollees
757	757	26 and the financial condition of the health maintenance
758	758
759	759
760	760
761	761
762	762
763	763	SB2836 - 20 - LRB103 35223 JAG 65205 b
764	764
765	765
766	766	SB2836- 21 -LRB103 35223 JAG 65205 b SB2836 - 21 - LRB103 35223 JAG 65205 b
767	767	SB2836 - 21 - LRB103 35223 JAG 65205 b
768	768	1 organization to be managed or serviced, and (ii) need not take
769	769	2 into account the effect of the management contract or service
770	770	3 agreement on competition.
771	771	4 (f) Except for small employer groups as defined in the
772	772	5 Small Employer Rating, Renewability and Portability Health
773	773	6 Insurance Act and except for medicare supplement policies as
774	774	7 defined in Section 363 of the Illinois Insurance Code, a
775	775	8 Health Maintenance Organization may by contract agree with a
776	776	9 group or other enrollment unit to effect refunds or charge
777	777	10 additional premiums under the following terms and conditions:
778	778	11 (i) the amount of, and other terms and conditions with
779	779	12 respect to, the refund or additional premium are set forth
780	780	13 in the group or enrollment unit contract agreed in advance
781	781	14 of the period for which a refund is to be paid or
782	782	15 additional premium is to be charged (which period shall
783	783	16 not be less than one year); and
784	784	17 (ii) the amount of the refund or additional premium
785	785	18 shall not exceed 20% of the Health Maintenance
786	786	19 Organization's profitable or unprofitable experience with
787	787	20 respect to the group or other enrollment unit for the
788	788	21 period (and, for purposes of a refund or additional
789	789	22 premium, the profitable or unprofitable experience shall
790	790	23 be calculated taking into account a pro rata share of the
791	791	24 Health Maintenance Organization's administrative and
792	792	25 marketing expenses, but shall not include any refund to be
793	793	26 made or additional premium to be paid pursuant to this
794	794
795	795
796	796
797	797
798	798
799	799	SB2836 - 21 - LRB103 35223 JAG 65205 b
800	800
801	801
802	802	SB2836- 22 -LRB103 35223 JAG 65205 b SB2836 - 22 - LRB103 35223 JAG 65205 b
803	803	SB2836 - 22 - LRB103 35223 JAG 65205 b
804	804	1 subsection (f)). The Health Maintenance Organization and
805	805	2 the group or enrollment unit may agree that the profitable
806	806	3 or unprofitable experience may be calculated taking into
807	807	4 account the refund period and the immediately preceding 2
808	808	5 plan years.
809	809	6 The Health Maintenance Organization shall include a
810	810	7 statement in the evidence of coverage issued to each enrollee
811	811	8 describing the possibility of a refund or additional premium,
812	812	9 and upon request of any group or enrollment unit, provide to
813	813	10 the group or enrollment unit a description of the method used
814	814	11 to calculate (1) the Health Maintenance Organization's
815	815	12 profitable experience with respect to the group or enrollment
816	816	13 unit and the resulting refund to the group or enrollment unit
817	817	14 or (2) the Health Maintenance Organization's unprofitable
818	818	15 experience with respect to the group or enrollment unit and
819	819	16 the resulting additional premium to be paid by the group or
820	820	17 enrollment unit.
821	821	18 In no event shall the Illinois Health Maintenance
822	822	19 Organization Guaranty Association be liable to pay any
823	823	20 contractual obligation of an insolvent organization to pay any
824	824	21 refund authorized under this Section.
825	825	22 (g) Rulemaking authority to implement Public Act 95-1045,
826	826	23 if any, is conditioned on the rules being adopted in
827	827	24 accordance with all provisions of the Illinois Administrative
828	828	25 Procedure Act and all rules and procedures of the Joint
829	829	26 Committee on Administrative Rules; any purported rule not so
830	830
831	831
832	832
833	833
834	834
835	835	SB2836 - 22 - LRB103 35223 JAG 65205 b
836	836
837	837
838	838	SB2836- 23 -LRB103 35223 JAG 65205 b SB2836 - 23 - LRB103 35223 JAG 65205 b
839	839	SB2836 - 23 - LRB103 35223 JAG 65205 b
840	840	1 adopted, for whatever reason, is unauthorized.
841	841	2 (Source: P.A. 102-30, eff. 1-1-22; 102-34, eff. 6-25-21;
842	842	3 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
843	843	4 1-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665,
844	844	5 eff. 10-8-21; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
845	845	6 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff.
846	846	7 1-1-23; 102-860, eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093,
847	847	8 eff. 1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24;
848	848	9 103-91, eff. 1-1-24; 103-123, eff. 1-1-24; 103-154, eff.
849	849	10 6-30-23; 103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445,
850	850	11 eff. 1-1-24; 103-551, eff. 8-11-23; revised 8-29-23.)
851	851	12 Section 15. The Limited Health Service Organization Act is
852	852	13 amended by changing Section 4003 as follows:
853	853	14 (215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
854	854	15 Sec. 4003. Illinois Insurance Code provisions. Limited
855	855	16 health service organizations shall be subject to the
856	856	17 provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
857	857	18 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154,
858	858	19 154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 155.49, 352c,
859	859	20 355.2, 355.3, 355b, 356q, 356v, 356z.4, 356z.4a, 356z.10,
860	860	21 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30a,
861	861	22 356z.32, 356z.33, 356z.41, 356z.46, 356z.47, 356z.51, 356z.53,
862	862	23 356z.54, 356z.57, 356z.59, 356z.61, 356z.64, 356z.67, 356z.68,
863	863	24 364.3, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, 409, 412,
864	864
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874	874	1 444, and 444.1 and Articles IIA, VIII 1/2, XII, XII 1/2, XIII,
875	875	2 XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
876	876	3 Nothing in this Section shall require a limited health care
877	877	4 plan to cover any service that is not a limited health service.
878	878	5 For purposes of the Illinois Insurance Code, except for
879	879	6 Sections 444 and 444.1 and Articles XIII and XIII 1/2, limited
880	880	7 health service organizations in the following categories are
881	881	8 deemed to be domestic companies:
882	882	9 (1) a corporation under the laws of this State; or
883	883	10 (2) a corporation organized under the laws of another
884	884	11 state, 30% or more of the enrollees of which are residents
885	885	12 of this State, except a corporation subject to
886	886	13 substantially the same requirements in its state of
887	887	14 organization as is a domestic company under Article VIII
888	888	15 1/2 of the Illinois Insurance Code.
889	889	16 (Source: P.A. 102-30, eff. 1-1-22; 102-203, eff. 1-1-22;
890	890	17 102-306, eff. 1-1-22; 102-642, eff. 1-1-22; 102-731, eff.
891	891	18 1-1-23; 102-775, eff. 5-13-22; 102-813, eff. 5-13-22; 102-816,
892	892	19 eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23;
893	893	20 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24; 103-91, eff.
894	894	21 1-1-24; 103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445,
895	895	22 eff. 1-1-24; revised 8-29-23.)
896	896	23 (215 ILCS 190/Act rep.)
897	897	24 Section 20. The Short-Term, Limited-Duration Health
898	898	25 Insurance Coverage Act is repealed.
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909	909	1 Section 95. No acceleration or delay. Where this Act makes
910	910	2 changes in a statute that is represented in this Act by text
911	911	3 that is not yet or no longer in effect (for example, a Section
912	912	4 represented by multiple versions), the use of that text does
913	913	5 not accelerate or delay the taking effect of (i) the changes
914	914	6 made by this Act or (ii) provisions derived from any other
915	915	7 Public Act.
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