House Sponsors: MAUTINO-GRANBERG-LOPEZ-ACEVEDO-BLACK. Senate Sponsors: LUECHTEFELD-MADIGAN,R-MYERS,J-WALSH,T-MAHAR Short description: INS CD-CLAIM EXCLUDE Synopsis of Bill as introduced: Amends the Illinois Insurance Guaranty Fund provisions of the Illinois Insurance Code. Provides that covered claim does not include certain third party claims against insurers. Repeals certain provisions concerning exhaustion of claims. Provides that an insured or claimant shall be required to first exhaust all coverage provided by any other insurance policy if the claim arises from the same facts, injury, or loss that gave rise to the covered claim against the Fund. Provides that the Fund's obligation shall be reduced by the amount recovered or recoverable, whichever is greater, under the other insurance policy. Provides that to the extent the Fund's obligation is reduced, the liability of the person insured by the insolvent insurer's policy for the claim shall be reduced in the same amount. Makes other changes. Effective immediately. HOUSE AMENDMENT NO. 1. Further amends the Illinois Insurance Code. Makes a technical correction. Provides that the Fund's power to sue includes, but is not limited to, the power and right to intervene as a party rather than that the Fund's power and right to sue includes, but is not limited to, the power to intervene as a party. FISCAL NOTE (Dpt. Insurance) HB1552 will have no fiscal impact on the Department. STATE MANDATES FISCAL NOTE, H-AM 1 HB1552, with H-am 1, fails to create a State mandate. HOUSE AMENDMENT NO. 2. Further amends the Illinois Insurance Code. Provides that the liquidator of an insolvent company shall be bound by determinations of covered claim eligibility under the Act and by settlements of claims made by the Fund or a similar organization in another state only to the extent that those determinations or settlements satisfy obligations of the Fund, but the receiver shall not be bound by those determinations or settlements to the extent that there remains a claim in the estate for amounts in excess of the payments by the Fund. Provides that the Fund has the right to recover the amount of any covered claims and allocated claim expenses from an insured whose net worth on December 31 of the year next preceding the date the company becomes an insolvent company exceeds $25,000,000 (now $50,000,000). FISCAL NOTE, AMENDED (Dpt. Insurance) No change from previous fiscal note. SENATE AMENDMENT NO. 1. Deletes reference to: 215 ILCS 5/534.3 215 ILCS 5/538.4 215 ILCS 5/545 215 ILCS 5/546 Deletes all substantive provisions. Adds a caption to a Section defining the term "insolvent company". SENATE AMENDMENT NO. 2. Deletes reference to: 215 ILCS 5/534.4 Adds reference to: 5 ILCS 375/6.11 30 ILCS 805/8.22 new 55 ILCS 5/5-1069.3 65 ILCS 5/10-4-2.3 105 ILCS 5/10-22.3f 215 ILCS 5/356w new 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/3009 from Ch. 73, par. 1503-9 215 ILCS 165/10 from Ch. 32, par. 604 305 ILCS 5/5-16.8 Amends the Illinois Insurance Code to require that group policies of accident and health insurance provide coverage for diabetes self-management training and education. Requires coverage for necessary pharmaceuticals and supplies and regular foot care. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require that coverage for diabetes self-management and education be provided by health care programs operating under those Acts. Effective January 1, 1999. SENATE AMENDMENT NO. 3. Adds reference to: 215 ILCS 5/356x new Amends the Illinois Insurance Code to require group accident and health insurance policies to provide coverage for colorectal cancer screening. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require that coverage for colorectal cancer screening be provided by health care programs operated under those Acts. SENATE AMENDMENT NO. 4. Amends the Illinois Insurance Code. Provides that a policy that allows payment of a percentage of the face amount of benefits in advance upon a diagnosis that the insured has incurred a medical condition listed in the policy may pay up to 75%, rather than 25%, of the benefits in advance. Provides that total and permanent disability or any condition approved by the Department of Insurance may qualify for advance payments. Provides that the changes concerning advance payment of life insurance benefits take effect upon becoming law. The remainder of the bill takes effect January 1, 1999. Last action on Bill: SESSION SINE DIE Last action date: 99-01-12 Location: House Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 2 SENATE - 4 END OF INQUIRY Full Text Bill Status