Bill Text: IL HB3848 | 2009-2010 | 96th General Assembly | Introduced
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: (Introduced - Dead) 2009-03-13 - Rule 19(a) / Re-referred to Rules Committee [HB3848 Detail]
Download: Illinois-2009-HB3848-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, | |||||||||||||||||||
3 | represented in the General Assembly:
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4 | Section 5. The Health Maintenance Organization Act is | |||||||||||||||||||
5 | amended by changing Section 2-5 as follows:
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6 | (215 ILCS 125/2-5) (from Ch. 111 1/2, par. 1406.1)
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7 | Sec. 2-5. Claims Liabilities. Every Health
Maintenance | |||||||||||||||||||
8 | Organization shall, at all times,
maintain liabilities in an | |||||||||||||||||||
9 | amount estimated in the
the aggregate to provide for
the | |||||||||||||||||||
10 | payment of all claims incurred and any due and unpaid provider
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11 | capitation, whether reported or unreported, which
are unpaid | |||||||||||||||||||
12 | and for which such organization is or may be liable, and to
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13 | provide for the expense of adjustment or settlement of such | |||||||||||||||||||
14 | claims. Such
liabilities shall be computed in accordance with | |||||||||||||||||||
15 | regulations promulgated by
the Director upon reasonable | |||||||||||||||||||
16 | consideration of the ascertained experience
and character of | |||||||||||||||||||
17 | such business for the purpose of adequately protecting
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18 | enrollees and securing the solvency of such organizations. | |||||||||||||||||||
19 | Whenever the claim and claim expense experience of any such | |||||||||||||||||||
20 | organization
shows the liabilities calculated in accordance | |||||||||||||||||||
21 | with such regulations to be
inadequate, the Director may | |||||||||||||||||||
22 | require such organization to maintain
additional liabilities.
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23 | (Source: P.A. 86-620.)
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