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93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004
HB6307
Introduced 02/06/04, by Tom Cross SYNOPSIS AS INTRODUCED:
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215 ILCS 125/2-5 |
from Ch. 111 1/2, par. 1406.1 |
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Amends the Health Maintenance Organization Act. Makes a technical change in
a
Section concerning claims liability.
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A BILL FOR
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HB6307 |
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LRB093 15120 SAS 40715 b |
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| AN ACT in relation to insurance.
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| Be it enacted by the People of the State of Illinois, |
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| represented in the General Assembly:
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| Section 5. The Health Maintenance Organization Act is |
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| amended by changing
Section 2-5 as follows:
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| (215 ILCS 125/2-5) (from Ch. 111 1/2, par. 1406.1)
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| Sec. 2-5. Claims Liabilities.
A
Every Health
Maintenance |
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| Organization shall, at all times,
maintain liabilities in an |
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| amount estimated in the aggregate to provide for
the payment of |
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| all claims incurred and any due and unpaid provider
capitation, |
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| whether reported or unreported, which
are unpaid and for which |
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| such organization is or may be liable, and to
provide for the |
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| expense of adjustment or settlement of such claims. Such
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| liabilities shall be computed in accordance with regulations |
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| promulgated by
the Director upon reasonable consideration of |
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| the ascertained experience
and character of such business for |
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| the purpose of adequately protecting
enrollees and securing the |
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| solvency of such organizations.
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| Whenever the claim and claim expense experience of any such |
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| organization
shows the liabilities calculated in accordance |
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| with such regulations to be
inadequate, the Director may |
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| require such organization to maintain
additional liabilities.
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| (Source: P.A. 86-620.)
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