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1 | AN ACT concerning regulation.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Insurance Code is amended by | |||||||||||||||||||
5 | changing Section 456 as follows:
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6 | (215 ILCS 5/456) (from Ch. 73, par. 1065.3)
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7 | Sec. 456. Making of rates. (1) All rates shall be made in | |||||||||||||||||||
8 | accordance with the following provisions:
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9 | (a) Due consideration shall be given to past and | |||||||||||||||||||
10 | prospective loss
experience within and outside this state, to | |||||||||||||||||||
11 | catastrophe hazards, if
any, to a reasonable margin for profit | |||||||||||||||||||
12 | and contingencies,
to dividends, savings , or unabsorbed | |||||||||||||||||||
13 | premium deposits allowed or returned
by companies to their | |||||||||||||||||||
14 | policyholders, members or subscribers, to past and
prospective | |||||||||||||||||||
15 | expenses both countrywide and those specially applicable to
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16 | this State state , to underwriting practice , and judgment and to | |||||||||||||||||||
17 | all other
relevant factors within and outside this State. | |||||||||||||||||||
18 | state;
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19 | (b) The systems of expense provisions included in the rates | |||||||||||||||||||
20 | for use
by any company or group of companies may differ from | |||||||||||||||||||
21 | those of other
companies or groups of companies to reflect the | |||||||||||||||||||
22 | requirements of the
operating methods of the any such company | |||||||||||||||||||
23 | or group with respect to any kind
of insurance, or with respect |
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1 | to any subdivision or combination thereof
for which subdivision | ||||||
2 | or combination separate expense provisions are
applicable . ;
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3 | (c) Risks may be grouped by classifications for the | ||||||
4 | establishment of
rates and minimum premiums. Classification | ||||||
5 | rates may be modified to
produce rates for individual risks in | ||||||
6 | accordance with rating plans that which
measure variation in | ||||||
7 | hazards or expense provisions, or both. The Such rating
plans | ||||||
8 | may measure any differences among risks that have a probable
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9 | effect upon losses or expenses . ;
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10 | (d) Rates shall not be excessive, inadequate , or unfairly
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11 | discriminatory.
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12 | (i) A rate in a competitive market is not excessive. A rate | ||||||
13 | in a noncompetitive
market is excessive if it is likely to | ||||||
14 | produce a long run profit that is
unreasonably high for the | ||||||
15 | insurance provided or if expenses are unreasonably
high in | ||||||
16 | relation to the services rendered.
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17 | (ii) A rate is not inadequate unless the such rate is | ||||||
18 | clearly insufficient to sustain
projected losses and expenses | ||||||
19 | in the class of business to which it applies
and the use of the | ||||||
20 | such rate has or, if continued, will have the effect of | ||||||
21 | substantially
lessening competition or the tendency to create | ||||||
22 | monopoly in any market.
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23 | (iii) Unfair discrimination exists if, after allowing for | ||||||
24 | practical limitations,
price differentials fail to reflect | ||||||
25 | equitably the differences in expected
losses and expenses. A | ||||||
26 | rate is not unfairly discriminatory because different
premiums |
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1 | result for policyholders with like exposures but different | ||||||
2 | expenses,
or like expenses but different loss exposures, so | ||||||
3 | long as the rate reflects
the differences with reasonable | ||||||
4 | accuracy.
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5 | (e) The rating plan shall contain a mandatory offer of a | ||||||
6 | deductible applicable
only to the medical benefit under the | ||||||
7 | Workers' Compensation Act.
Such deductible offer shall be in a | ||||||
8 | minimum amount of at least $1,000 per accident.
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9 | (f) Any rating plan or program shall include a rule | ||||||
10 | permitting 2 or more
employers with similar risk | ||||||
11 | characteristics, who participate in a loss prevention
program | ||||||
12 | or safety group, to pool their premium and loss experience in | ||||||
13 | determining
their rate or premium for such participation in the | ||||||
14 | program.
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15 | (g) With respect to an employer correctly classified within | ||||||
16 | the construction industry, the amount charged for workers' | ||||||
17 | compensation and employers' liability insurance insuring the | ||||||
18 | employees employed by an employer in any job category or | ||||||
19 | classification shall be based upon hours worked by employees in | ||||||
20 | that job category or classification and shall not be based upon | ||||||
21 | the wages or salaries paid to the employees. | ||||||
22 | (2) Except to the extent necessary to meet the provisions | ||||||
23 | of
subdivision (d) of subsection (1) of this Section, | ||||||
24 | uniformity among
companies in any matters within the scope of | ||||||
25 | this Section is neither
required nor prohibited.
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26 | (Source: P.A. 82-939.)
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1 | Section 99. Effective date. This Act takes effect upon | ||||||
2 | becoming law.
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