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95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008
HB3180
Introduced 2/26/2007, by Rep. Tom Cross SYNOPSIS AS INTRODUCED:
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215 ILCS 130/2005 |
from Ch. 73, par. 1502-5 |
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Amends the Limited Health Service Organization Act. Makes a technical change
in a Section concerning claims liability.
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A BILL FOR
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HB3180 |
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LRB095 09183 KBJ 29376 b |
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| AN ACT concerning regulation.
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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 Limited Health Service Organization Act is |
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| amended by changing Section 2005 as follows:
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| (215 ILCS 130/2005) (from Ch. 73, par. 1502-5)
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| Sec. 2005. Claims Liabilities. |
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| (a) Every limited health service organization shall, at all |
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| times, maintain
liabilities in an amount estimated in the
the
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| aggregate to provide for the
payment of all claims incurred and |
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| any due and unpaid provider capitation,
whether reported or |
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| unreported, which are unpaid and for which such
organization is |
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| or may be liable, and to provide for the expense of
adjustment |
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| or settlement of such claims. Such liabilities shall be
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| computed in accordance with regulations promulgated by the |
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| Director upon
reasonable consideration of the ascertained |
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| experience and character of
such business for the purpose of |
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| adequately protecting enrollees and
securing the solvency of |
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| such organizations. |
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| (b) Whenever the claim and claim expense experience of any |
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| such organization
shows the liabilities calculated in |
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| accordance with such regulations to be
inadequate, the Director |
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| may require such organization to maintain additional |