State of Illinois
92nd General Assembly
Legislation

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92_SB0935ham001

 










                                             LRB9207852JSpcam

 1                    AMENDMENT TO SENATE BILL 935

 2        AMENDMENT NO.     .  Amend Senate Bill 935 on page  1  by
 3    inserting immediately below line 3 the following:

 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.)"; and

18    on  page 1, line 5, by changing "Section 155.37" to "Sections
19    155.37, 370t, and 511.114"; and

20    on  page  1  by  inserting  immediately  below  line  13  the
21    following:
 
                            -2-              LRB9207852JSpcam
 1        "(215 ILCS 5/370t new)
 2        Sec. 370t.  Drug formulary; notice.   All  administrators
 3    must comply with Section 155.37 of this Code.

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

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

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

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

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

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

22        (215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
23        Sec. 4003.  Illinois Insurance Code provisions.   Limited
24    health   service   organizations  shall  be  subject  to  the
25    provisions of Sections 133,  134,  137,  140,  141.1,  141.2,
26    141.3,  143,  143c, 147, 148, 149, 151, 152, 153, 154, 154.5,
27    154.6, 154.7, 154.8, 155.04, 155.37, 355.2, 356v, 368a,  401,
 
                            -3-              LRB9207852JSpcam
 1    401.1,  402,  403, 403A, 408, 408.2, 409, 412, 444, and 444.1
 2    and Articles IIA, VIII 1/2, XII, XII  1/2,  XIII,  XIII  1/2,
 3    XXV,  and  XXVI of the Illinois Insurance Code.  For purposes
 4    of the Illinois Insurance Code, except for Sections  444  and
 5    444.1  and Articles XIII and XIII 1/2, limited health service
 6    organizations in the following categories are  deemed  to  be
 7    domestic companies:
 8             (1)  a corporation under the laws of this State; or
 9             (2)  a  corporation  organized  under  the  laws  of
10        another  state, 30% of more of the enrollees of which are
11        residents of this State, except a corporation subject  to
12        substantially  the  same  requirements  in  its  state of
13        organization as is a domestic company under Article  VIII
14        1/2 of the Illinois Insurance Code.
15    (Source: P.A.  90-25,  eff.  1-1-98;  90-583,  eff.  5-29-98;
16    90-655,  eff.  7-30-98;  91-549,  eff.  8-14-99; 91-605, eff.
17    12-14-99; 91-788, eff. 6-9-00.)

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

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

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