Short title
Short title. This Act may be cited as the Health Care Purchasing Group Act. (Source: P.A. 90-337, eff. 1-1-98.)
Illinois · statute · 215 ILCS 123 · 14 active provisions
Short title. This Act may be cited as the Health Care Purchasing Group Act. (Source: P.A. 90-337, eff. 1-1-98.)
Purpose; applicability of Illinois Health Insurance Portability and Accountability Act. (a) The purpose and intent of this Act is to authorize the formation, operation, and regulation of health care purchasing groups (referred to in this Act as "HPGs") as described by this Act, to authorize the sale and regulation of h…
Definitions. Words and phrases used in this Act, unless defined in this Section, have the meanings attributed to them in Section 5 of the Illinois Health Insurance Portability and Accountability Act. "Director" means the Director of Insurance. "Employer" means an individual, sole proprietorship, partnership, firm, corp…
Health care purchasing groups; membership; formation. (a) An HPG may be an organization formed by 2 or more employers with no more than 2,500 covered employees each, an HPG sponsor or a risk-bearer for purposes of contracting for health insurance under this Act to cover employees and dependents of HPG members. An HPG s…
HPG sponsors. Except as provided by Sections 15 and 25 of this Act, only a corporation authorized by the Secretary of State to transact business in Illinois may sponsor one or more HPGs with no more than 100,000 covered individuals by negotiating, soliciting, or servicing health insurance contracts for HPGs and their m…
Risk-bearer. (a) A risk-bearer may issue for delivery in this State any health insurance contracts as provided by this Act. A risk-bearer may also be a sponsor of an HPG. (b) A risk-bearer must also file an annual report in the form and at the time prescribed by the Director in rules that shall require, at minimum, (i)…
Insurance policy requirements. (a) No health insurance contract may be issued or delivered pursuant to this Act unless a copy of the form of the contract has been filed with the Director and approved in accordance with Section 355 of the Illinois Insurance Code. It must also contain, in substance, those provisions cont…
Underwriting provisions. All health insurance contracts issued under this Act shall be subject to the portability and preexisting condition provisions of the Illinois Health Insurance Portability and Accountability Act. (Source: P.A. 90-337, eff. 1-1-98; 90-567, eff. 1-23-98.)
Renewability. All health insurance contracts issued under this Act are subject to the renewability provisions of the Illinois Health Insurance Portability and Accountability Act. (Source: P.A. 90-337, eff. 1-1-98; 90-567, eff. 1-23-98.)
Disclosure requirements. In connection with the offering for sale of any health insurance contract or certificate under the contract to an HPG sponsor, HPG, employer, and employee, a risk-bearer shall make a reasonable disclosure, as part of its solicitation and sales materials of all of the following: (1) the provisio…
Administrative and procedural authority regarding HPGs and HPG sponsors. The Director is authorized to make use of any of the powers established under the Illinois Insurance Code to enforce the laws of this State. This includes but is not limited to, the Director's administrative authority to investigate, issue subpoen…
Fees. (a) The Director shall charge, collect, and give proper acquittance for the payment all fees provided for by this Act, except that any Illinois corporations licensed by the Department of Insurance pursuant to the provisions of the Illinois Insurance Code, the Dental Service Plan Act, the Health Maintenance Organi…
Rules. The Director shall promulgate rules as may be necessary or desirable to carry out the provisions of this Act. (Source: P.A. 90-337, eff. 1-1-98.)
Severability. The provisions of this Act are severable under Section 1.31 of the Statute on Statutes. (Source: P.A. 90-337, eff. 1-1-98.)