94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
HB3179

 

Introduced 2/22/2005, by Rep. Tom Cross

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 130/2005   from Ch. 73, par. 1502-5

    Amends the Limited Health Service Organization Act. Makes a technical change in a Section concerning claims liability.


LRB094 07748 LJB 37926 b

 

 

A BILL FOR

 

HB3179 LRB094 07748 LJB 37926 b

1     AN ACT concerning regulation.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Limited Health Service Organization Act is
5 amended by changing Section 2005 as follows:
 
6     (215 ILCS 130/2005)  (from Ch. 73, par. 1502-5)
7     Sec. 2005. Claims Liabilities. (a) Every limited health
8 service organization shall, at all times, maintain liabilities
9 in an amount estimated in the the aggregate to provide for the
10 payment of all claims incurred and any due and unpaid provider
11 capitation, whether reported or unreported, which are unpaid
12 and for which such organization is or may be liable, and to
13 provide for the expense of adjustment or settlement of such
14 claims. Such liabilities shall be computed in accordance with
15 regulations promulgated by the Director upon reasonable
16 consideration of the ascertained experience and character of
17 such business for the purpose of adequately protecting
18 enrollees and securing the solvency of such organizations.
19     (b) Whenever the claim and claim expense experience of any
20 such organization shows the liabilities calculated in
21 accordance with such regulations to be inadequate, the Director
22 may require such organization to maintain additional
23 liabilities.
24 (Source: P.A. 86-600.)