(215 ILCS 130/2006) (from Ch. 73, par. 1502-6)
Sec. 2006.
Statutory deposits.
(a) An organization subject to the provisions of this Act
shall make and
maintain with the Director, for the protection of enrollees of the
organization, a deposit of securities that are in the form authorized under
Section 2-6 of the Health Maintenance Organization Act having a fair market
value equal to the minimum net worth required under subsection (a) of Section
2004. The amount on deposit shall remain as an admitted asset of the
organization in the determination of its net worth. The Director may release
the required deposit of securities required by this Section
upon receipt of
an order of a court having proper jurisdiction or
upon: (i)
certification by the organization that it has no outstanding
enrollee creditors, enrollees, certificate holders, or enrollee obligations
in effect and no plans to engage in the
business of insurance as a limited health service organization; (ii) receipt of
a lawful resolution of the
organization's governing body effecting the surrender of
its certificate of authority, articles of incorporation, or other
organizational documents to their issuing governmental officer for voluntary or
administrative dissolution; and (iii) receipt of the name and
forwarding address for each of the final officers and directors of the
organization,
together with a plan of dissolution approved by the Director.
(b) An LHSO that offers a POS contract shall, in addition to the
deposit required by subsection (a), deposit and maintain with the Director
cash or securities that are authorized investments under Section 1003
having a fair market value equal to the greater of:
(1) $50,000 if the LHSO's expenditures for out-of-plan covered services do not exceed |
| 10% of its total limited health expenditures in any calendar quarter; or
|
|
(2) $100,000 if the LHSO's expenditures for out-of-plan covered services exceeds 10% but
|
| are less than 20% of its total limited health services expenditure in any calendar quarter; or
|
|
(3) 120% of its current actual monthly out-of-plan covered service claims expense plus
|
| incurred but not reported balances for out-of-plan covered services.
|
|
(c) The combined deposit amount required in subsections (a) and (b) shall
not exceed $200,000.
(Source: P.A. 92-75, eff. 7-12-01.)
|