Senate Sponsors: COLLINS. Short description: INS POINT OF SERVICE OPTION Synopsis of Bill as introduced: Amends the Illinois Insurance Code, Health Maintenance Organization Act, Limited Health Service Organization Act, and Voluntary Health Services Plans Act. Provides that if a covered individual is a student attending a college or university at a location outside of the service area of a health care plan, the student may obtain services from a provider at the college location at no greater cost than the service would cost from a designated provider. Provides that managed care plans under those Acts must contain a point-of-service option allowing covered individuals the option of obtaining service from providers not included in the health care plan panel of providers. Establishes requirements for disclosure of terms and conditions of health care plans. Provides that health care plans operated under those Acts must cover emergency medical care provided by non-designated providers when designated providers are not reasonably available or accessible. Establishes utilization review appeal requirements for patients and providers. Requires private review agents to provide for dispute resolution. Prohibits an adverse decision with respect to treatment unless the claim has been evaluated by a physician practicing in the same field as the provider whose decision is the subject of the review. Requires the Department of Insurance to issue rules regulating grievance procedures. Last action on Bill: SESSION SINE DIE Last action date: 99-01-12 Location: Senate Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 0 SENATE - 0 END OF INQUIRY Full Text Bill Status