(215 ILCS 125/Art. II heading) ARTICLE II. CERTIFICATE OF AUTHORITY, GENERAL CORPORATE AND FINANCIAL REQUIREMENTS (215 ILCS 125/2-1) (from Ch. 111 1/2, par. 1403) Sec. 2-1. Certificate of authority – Exception for corporate employee programs – Applications – Material modification of operation. (a) No organization shall establish or operate a Health Maintenance Organization in […]
(215 ILCS 125/Art. III heading) ARTICLE III. INVESTMENTS (215 ILCS 125/3-1) (from Ch. 111 1/2, par. 1407.3) Sec. 3-1. Investment Regulations. (a) Any health maintenance organization may invest its funds as provided in this Section and not otherwise. A health maintenance organization that is organized as an insurance company may also acquire the investment […]
(215 ILCS 125/Art. IV heading) ARTICLE IV. DELIVERY OF SERVICES – REQUIRED PROVISIONS AND MARKETING. (215 ILCS 125/4-1) (from Ch. 111 1/2, par. 1408) Sec. 4-1. Description and securing of services. Every Health Maintenance Organization shall at the time of enrollment and annually thereafter provide its enrollees a description of the services and information […]
(215 ILCS 125/Art. 4.5 heading) ARTICLE 4.5. POINT-OF-SERVICE PRODUCTS (215 ILCS 125/4.5-1) Sec. 4.5-1. Point-of-service health service contracts. (a) A health maintenance organization that offers a point-of-service contract: (1) must include as in-plan covered services all services required by law to be provided by a health maintenance organization; (2) must provide incentives, which shall […]
(215 ILCS 125/Art. V heading) ARTICLE V. GENERAL PROVISIONS (215 ILCS 125/5-1) (from Ch. 111 1/2, par. 1409A) Sec. 5-1. Section 155 of the Illinois Insurance Code shall apply to Health Maintenance Organizations; except that no action shall be brought for an unreasonable delay in the settling of a claim if the delay is […]
