Full Text of HB1444 95th General Assembly
HB1444 95TH GENERAL ASSEMBLY
|
|
|
95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008 HB1444
Introduced 2/21/2007, by Rep. Frank J. Mautino SYNOPSIS AS INTRODUCED: |
|
215 ILCS 5/352 |
from Ch. 73, par. 964 |
|
Amends the Illinois Insurance Code. Makes a technical change in a Section concerning the scope of the Article.
|
| |
|
|
A BILL FOR
|
|
|
|
|
HB1444 |
|
LRB095 09660 KBJ 29860 b |
|
| 1 |
| AN ACT concerning insurance.
| 2 |
| Be it enacted by the People of the State of Illinois,
| 3 |
| represented in the General Assembly:
| 4 |
| Section 5. The Illinois Insurance Code is amended by | 5 |
| changing Section 352 as follows:
| 6 |
| (215 ILCS 5/352) (from Ch. 73, par. 964)
| 7 |
| Sec. 352. Scope of Article.
| 8 |
| (a) Except as provided in subsections (b), (c), (d), and | 9 |
| (e),
this
this Article shall
apply to all companies transacting | 10 |
| in this State the kinds of business
enumerated in clause (b) of | 11 |
| Class 1 and clause (a) of Class 2 of section 4.
Nothing in this | 12 |
| Article shall apply to, or in any way affect policies or
| 13 |
| contracts described in clause (a) of Class 1 of Section 4; | 14 |
| however, this
Article shall apply to policies and contracts | 15 |
| which contain benefits
providing reimbursement for the | 16 |
| expenses of long term health care which are
certified or | 17 |
| ordered by a physician including but not limited to
| 18 |
| professional nursing care, custodial nursing care, and | 19 |
| non-nursing
custodial care provided in a nursing home or at a | 20 |
| residence of the insured.
| 21 |
| (b) This Article does not apply to policies of accident and | 22 |
| health
insurance issued in compliance with Article XIXB of this | 23 |
| Code.
|
|
|
|
HB1444 |
- 2 - |
LRB095 09660 KBJ 29860 b |
|
| 1 |
| (c) A policy issued and delivered in this State
that | 2 |
| provides coverage under that policy for
certificate holders who | 3 |
| are neither residents of nor employed in this State
does not | 4 |
| need to provide to those nonresident
certificate holders who | 5 |
| are not employed in this State the coverages or
services | 6 |
| mandated by this Article.
| 7 |
| (d) Stop-loss insurance is exempt from all Sections
of this | 8 |
| Article, except this Section and Sections 353a, 354, 357.30, | 9 |
| and
370. For purposes of this exemption, stop-loss insurance is | 10 |
| further defined as
follows:
| 11 |
| (1) The policy must be issued to and insure an | 12 |
| employer, trustee, or other
sponsor of the plan, or the | 13 |
| plan itself, but not employees, members, or
participants.
| 14 |
| (2) Payments by the insurer must be made to the | 15 |
| employer, trustee, or
other sponsors of the plan, or the | 16 |
| plan itself, but not to the employees,
members, | 17 |
| participants, or health care providers.
| 18 |
| (e) A policy issued or delivered in this State to the | 19 |
| Department of Healthcare and Family Services (formerly
| 20 |
| Illinois Department
of Public Aid ) and providing coverage, | 21 |
| under clause (b) of Class 1 or clause (a)
of Class 2 as | 22 |
| described in Section 4, to persons who are enrolled under | 23 |
| Article V of the Illinois
Public Aid Code or under the | 24 |
| Children's Health Insurance Program Act is
exempt from all | 25 |
| restrictions, limitations,
standards, rules, or regulations | 26 |
| respecting benefits imposed by or under
authority of this Code, |
|
|
|
HB1444 |
- 3 - |
LRB095 09660 KBJ 29860 b |
|
| 1 |
| except those specified by subsection (1) of Section
143. | 2 |
| Nothing in this subsection, however, affects the total medical | 3 |
| services
available to persons eligible for medical assistance | 4 |
| under the Illinois Public
Aid Code.
| 5 |
| (Source: P.A. 92-370, eff. 8-15-01; revised 12-15-05.)
|
|