State of Illinois
92nd General Assembly
Legislation

   [ Search ]   [ PDF text ]   [ Legislation ]   
[ Home ]   [ Back ]   [ Bottom ]


[ Introduced ][ Engrossed ][ House Amendment 001 ]


92_SB0935enr

SB935 Enrolled                                 LRB9207852JSpc

 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  3.  The  State  Employees Group Insurance Act of
 5    1971 is amended by changing Section 6.11 as follows:

 6        (5 ILCS 375/6.11)
 7        Sec. 6.11.  Required health benefits; Illinois  Insurance
 8    Code  requirements.   The  program  of  health benefits shall
 9    provide the post-mastectomy  care  benefits  required  to  be
10    covered  by  a  policy of accident and health insurance under
11    Section 356t of the Illinois Insurance Code.  The program  of
12    health  benefits  shall  provide  the coverage required under
13    Sections 356u, 356w, and 356x of the Illinois Insurance Code.
14    The program of  health  benefits  must  comply  with  Section
15    155.37 of the Illinois Insurance Code.
16    (Source: P.A.  90-7,  eff.  6-10-97;  90-655,  eff.  7-30-98;
17    90-741, eff. 1-1-99.)

18        Section  5.  The  Illinois  Insurance  Code is amended by
19    adding Sections 155.37, 370t, and 511.114 as follows:

20        (215 ILCS 5/155.37 new)
21        Sec.   155.37.  Drug   formulary;   notice.     Insurance
22    companies  that  transact  the  kinds of insurance authorized
23    under Class 1(b) or Class 2(a) of Section 4 of this Code  and
24    provide  coverage for prescription drugs through the use of a
25    drug formulary must notify insureds  of  any  change  in  the
26    formulary.  A company may comply with this Section by posting
27    changes in the formulary on its website.

28        (215 ILCS 5/370t new)
 
SB935 Enrolled             -2-                 LRB9207852JSpc
 1        Sec.  370t.  Drug  formulary; notice.  All administrators
 2    must comply with Section 155.37 of this Code.

 3        (215 ILCS 5/511.114 new)
 4        Sec. 511.114.  Drug     formulary;      notice.       All
 5    administrators must comply with Section 155.37 of this Code.

 6        Section  10.  The Comprehensive Health Insurance Plan Act
 7    is amended by adding Section 8.7 as follows:

 8        (215 ILCS 105/8.7 new)
 9        Sec. 8.7.  Drug formulary; notice.  The plan must  comply
10    with Section 155.37 of the Illinois Insurance Code.

11        Section  15.  The  Health Maintenance Organization Act is
12    amended by changing Section 4-6.5 as follows:

13        (215 ILCS 125/4-6.5)
14        Sec. 4-6.5.  Required health benefits; Illinois Insurance
15    Code requirements.   A  health  maintenance  organization  is
16    subject  to the provisions of Sections 155.37, 356t, and 356u
17    of the Illinois Insurance Code.
18    (Source: P.A. 90-7, eff. 6-10-97.)

19        Section 20.  The Limited Health Service Organization  Act
20    is amended by changing Section 4003 as follows:

21        (215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
22        Sec.  4003.  Illinois Insurance Code provisions.  Limited
23    health  service  organizations  shall  be  subject   to   the
24    provisions  of  Sections  133,  134,  137, 140, 141.1, 141.2,
25    141.3, 143, 143c, 147, 148, 149, 151, 152, 153,  154,  154.5,
26    154.6,  154.7, 154.8, 155.04, 155.37, 355.2, 356v, 368a, 401,
27    401.1, 402, 403, 403A, 408, 408.2, 409, 412, 444,  and  444.1
 
SB935 Enrolled             -3-                 LRB9207852JSpc
 1    and  Articles  IIA,  VIII  1/2, XII, XII 1/2, XIII, XIII 1/2,
 2    XXV, and XXVI of the Illinois Insurance Code.   For  purposes
 3    of  the  Illinois Insurance Code, except for Sections 444 and
 4    444.1 and Articles XIII and XIII 1/2, limited health  service
 5    organizations  in  the  following categories are deemed to be
 6    domestic companies:
 7             (1)  a corporation under the laws of this State; or
 8             (2)  a  corporation  organized  under  the  laws  of
 9        another state, 30% of more of the enrollees of which  are
10        residents  of this State, except a corporation subject to
11        substantially the  same  requirements  in  its  state  of
12        organization  as is a domestic company under Article VIII
13        1/2 of the Illinois Insurance Code.
14    (Source: P.A.  90-25,  eff.  1-1-98;  90-583,  eff.  5-29-98;
15    90-655, eff. 7-30-98;  91-549,  eff.  8-14-99;  91-605,  eff.
16    12-14-99; 91-788, eff. 6-9-00.)

17        Section  25.  The  Voluntary Health Services Plans Act is
18    amended by changing Section 10 as follows:

19        (215 ILCS 165/10) (from Ch. 32, par. 604)
20        Sec.  10.  Application  of  Insurance  Code   provisions.
21    Health  services plan corporations and all persons interested
22    therein  or  dealing  therewith  shall  be  subject  to   the
23    provisions of Articles IIA and XII 1/2 and Sections 3.1, 133,
24    140,  143,  143c,  149, 155.37, 354, 355.2, 356r, 356t, 356u,
25    356v, 356w, 356x, 356y, 367.2, 368a, 401,  401.1,  402,  403,
26    403A,  408,  408.2,  and  412, and paragraphs (7) and (15) of
27    Section 367 of the Illinois Insurance Code.
28    (Source: P.A. 90-7, eff. 6-10-97; 90-25, eff. 1-1-98; 90-655,
29    eff. 7-30-98;  90-741,  eff.  1-1-99;  91-406,  eff.  1-1-00;
30    91-549,  eff.  8-14-99;  91-605,  eff. 12-14-99; 91-788, eff.
31    6-9-00.)
 
SB935 Enrolled             -4-                 LRB9207852JSpc
 1        Section 99.  Effective date.  This Act takes effect  upon
 2    becoming law.

[ Top ]