Bill Text: IL HB0317 | 2021-2022 | 102nd General Assembly | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Amends the Illinois Insurance Code to provide that an air ambulance service or other entity that directly or indirectly, whether through an affiliated entity, agreement with a third-party entity, or otherwise, solicits air ambulance membership subscriptions, accepts membership applications, or charges membership fees, is an insurer. Provides that air ambulance memberships shall be considered insurance and an insurance product and may be considered a supplement to any insurance coverage and shall be regulated accordingly by the Department of Insurance. Effective immediately.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Engrossed - Dead) 2023-01-01 - Pursuant to Senate Rule 3-9(b) / Referred to Assignments [HB0317 Detail]
Download: Illinois-2021-HB0317-Introduced.html
Bill Title: Amends the Illinois Insurance Code to provide that an air ambulance service or other entity that directly or indirectly, whether through an affiliated entity, agreement with a third-party entity, or otherwise, solicits air ambulance membership subscriptions, accepts membership applications, or charges membership fees, is an insurer. Provides that air ambulance memberships shall be considered insurance and an insurance product and may be considered a supplement to any insurance coverage and shall be regulated accordingly by the Department of Insurance. Effective immediately.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Engrossed - Dead) 2023-01-01 - Pursuant to Senate Rule 3-9(b) / Referred to Assignments [HB0317 Detail]
Download: Illinois-2021-HB0317-Introduced.html
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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 352 as follows:
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6 | (215 ILCS 5/352) (from Ch. 73, par. 964)
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7 | Sec. 352. Scope of Article.
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8 | (a) Except as provided in subsections (b), (c), (d), and | |||||||||||||||||||
9 | (e),
this Article shall
apply to all companies transacting in | |||||||||||||||||||
10 | 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
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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
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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.
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21 | (a-5) An air ambulance service or other entity that | |||||||||||||||||||
22 | directly or indirectly, whether through an affiliated entity, | |||||||||||||||||||
23 | agreement with a third-party entity, or otherwise, solicits |
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1 | air ambulance membership subscriptions, accepts membership | ||||||
2 | applications, or charges membership fees, is an insurer. An | ||||||
3 | air ambulance membership shall be considered insurance and an | ||||||
4 | insurance product and may be considered secondary insurance | ||||||
5 | coverage or a supplement to any insurance coverage and shall | ||||||
6 | be regulated accordingly by the Department of Insurance. | ||||||
7 | (b) (Blank).
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8 | (c) A policy issued and delivered in this State
that | ||||||
9 | provides coverage under that policy for
certificate holders | ||||||
10 | who are neither residents of nor employed in this State
does | ||||||
11 | not need to provide to those nonresident
certificate holders | ||||||
12 | who are not employed in this State the coverages or
services | ||||||
13 | mandated by this Article.
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14 | (d) Stop-loss insurance is exempt from all Sections
of | ||||||
15 | this Article, except this Section and Sections 353a, 354, | ||||||
16 | 357.30, and
370. For purposes of this exemption, stop-loss | ||||||
17 | insurance is further defined as
follows:
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18 | (1) The policy must be issued to and insure an | ||||||
19 | employer, trustee, or other
sponsor of the plan, or the | ||||||
20 | plan itself, but not employees, members, or
participants.
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21 | (2) Payments by the insurer must be made to the | ||||||
22 | employer, trustee, or
other sponsors of the plan, or the | ||||||
23 | plan itself, but not to the employees,
members, | ||||||
24 | participants, or health care providers.
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25 | (e) A policy issued or delivered in this State to the | ||||||
26 | Department of Healthcare and Family Services (formerly
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1 | Illinois Department
of Public Aid) and providing coverage, | ||||||
2 | under clause (b) of Class 1 or clause (a)
of Class 2 as | ||||||
3 | described in Section 4, to persons who are enrolled under | ||||||
4 | Article V of the Illinois
Public Aid Code or under the | ||||||
5 | Children's Health Insurance Program Act is
exempt from all | ||||||
6 | restrictions, limitations,
standards, rules, or regulations | ||||||
7 | respecting benefits imposed by or under
authority of this | ||||||
8 | Code, except those specified by subsection (1) of Section
143, | ||||||
9 | Section 370c, and Section 370c.1. Nothing in this subsection, | ||||||
10 | however, affects the total medical services
available to | ||||||
11 | persons eligible for medical assistance under the Illinois | ||||||
12 | Public
Aid Code.
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13 | (f) An in-office membership care agreement provided under | ||||||
14 | the In-Office Membership Care Act is not insurance for the | ||||||
15 | purposes of this Code. | ||||||
16 | (Source: P.A. 101-190, eff. 8-2-19.)
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17 | Section 99. Effective date. This Act takes effect upon | ||||||
18 | becoming law.
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