Bill Text: IL SB0328 | 2017-2018 | 100th General Assembly | Introduced

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Bill Title: Amends the Health Maintenance Organization Act. Makes a technical change in a Section concerning claims liability.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2019-01-09 - Session Sine Die [SB0328 Detail]

Download: Illinois-2017-SB0328-Introduced.html

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100TH GENERAL ASSEMBLY State of Illinois 2017 and 2018 SB0328 Introduced 1/24/2017, by Sen. John J. Cullerton SYNOPSIS AS INTRODUCED:
215 ILCS 125/2-5 from Ch. 111 1/2, par. 1406.1
Amends the Health Maintenance Organization Act. Makes a technical change in a Section concerning claims liability.
LRB100 05110 SMS 15120 b
A BILL FOR
SB0328 LRB100 05110 SMS 15120 b
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Health Maintenance Organization Act is
amended by changing Section 2-5 as follows:
(215 ILCS 125/2-5) (from Ch. 111 1/2, par. 1406.1)
Sec. 2-5. Claims Liabilities. Every Health Maintenance
Organization shall, at all times, maintain liabilities in an
amount estimated in the the aggregate to provide for the
payment of all claims incurred and any due and unpaid provider
capitation, whether reported or unreported, which are unpaid
and for which such organization is or may be liable, and to
provide for the expense of adjustment or settlement of such
claims. Such liabilities shall be computed in accordance with
regulations promulgated by the Director upon reasonable
consideration of the ascertained experience and character of
such business for the purpose of adequately protecting
enrollees and securing the solvency of such organizations.
Whenever the claim and claim expense experience of any such
organization shows the liabilities calculated in accordance
with such regulations to be inadequate, the Director may
require such organization to maintain additional liabilities.
(Source: P.A. 86-620.)