Bill Text: IL HB4499 | 2013-2014 | 98th General Assembly | Introduced
Bill Title: Amends the Illinois Insurance Code to provide that life and accident and health policy forms and casualty, fire, and marine policy forms, including all rate-related information, shall be considered public records and subject to inspection and copying by the public immediately after submission to the Department of Insurance.
Sponsorship: Partisan Bill (Democrat 1)
Status: (Failed) 2014-12-03 - Session Sine Die [HB4499 Detail]
Download: Illinois-2013-HB4499-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 143 as follows:
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| 6 | (215 ILCS 5/143) (from Ch. 73, par. 755)
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| 7 | Sec. 143. Policy forms.
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| 8 | (1) Life, accident and health. No company
transacting the | ||||||||||||||||||||||||
| 9 | kind or kinds of business enumerated in Classes 1 (a), 1
(b) | ||||||||||||||||||||||||
| 10 | and 2 (a) of Section 4 shall issue or deliver in this State a | ||||||||||||||||||||||||
| 11 | policy
or certificate of insurance or evidence of coverage, | ||||||||||||||||||||||||
| 12 | attach an
endorsement or rider thereto,
incorporate by | ||||||||||||||||||||||||
| 13 | reference bylaws or other matter therein or use an
application | ||||||||||||||||||||||||
| 14 | blank in this State until the form and content of such
policy, | ||||||||||||||||||||||||
| 15 | certificate, evidence of coverage, endorsement, rider, bylaw | ||||||||||||||||||||||||
| 16 | or
other matter
incorporated by reference or application blank | ||||||||||||||||||||||||
| 17 | has been filed electronically
with the Director, either through | ||||||||||||||||||||||||
| 18 | the System for Electronic Rate and Form Filing (SERFF) or as | ||||||||||||||||||||||||
| 19 | otherwise prescribed by the Director, and
approved by the | ||||||||||||||||||||||||
| 20 | Director. Any such endorsement or rider
that unilaterally | ||||||||||||||||||||||||
| 21 | reduces benefits and is to be attached to a
policy subsequent | ||||||||||||||||||||||||
| 22 | to the date the policy is
issued must be filed with, reviewed, | ||||||||||||||||||||||||
| 23 | and formally approved by the
Director prior to the date it is | ||||||||||||||||||||||||
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| 1 | attached to a policy issued or
delivered in this State. It | ||||||
| 2 | shall be the duty of the Director to
withhold approval of any | ||||||
| 3 | such policy, certificate, endorsement, rider,
bylaw or other | ||||||
| 4 | matter incorporated by reference or application blank
filed | ||||||
| 5 | with him if it contains provisions which encourage
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| 6 | misrepresentation or are unjust, unfair, inequitable, | ||||||
| 7 | ambiguous,
misleading, inconsistent, deceptive, contrary to | ||||||
| 8 | law or to the public
policy of this State, or contains | ||||||
| 9 | exceptions and conditions that
unreasonably or deceptively | ||||||
| 10 | affect the risk purported to be assumed in
the general coverage | ||||||
| 11 | of the policy. In all cases the Director shall
approve or | ||||||
| 12 | disapprove any such form within 60 days after submission
unless | ||||||
| 13 | the Director extends by not more than an additional 30 days the
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| 14 | period within which he shall approve or disapprove any such | ||||||
| 15 | form by
giving written notice to the insurer of such extension | ||||||
| 16 | before expiration
of the initial 60 days period. The Director | ||||||
| 17 | shall withdraw his approval
of a policy, certificate, evidence | ||||||
| 18 | of coverage, endorsement, rider,
bylaw, or other matter | ||||||
| 19 | incorporated
by reference or application blank if he | ||||||
| 20 | subsequently determines that such
policy, certificate, | ||||||
| 21 | evidence of coverage, endorsement, rider, bylaw,
other matter, | ||||||
| 22 | or application
blank is misrepresentative, unjust, unfair, | ||||||
| 23 | inequitable, ambiguous, misleading,
inconsistent, deceptive, | ||||||
| 24 | contrary to law or public policy of this State,
or contains | ||||||
| 25 | exceptions or conditions which unreasonably or deceptively | ||||||
| 26 | affect
the risk purported to be assumed in the general coverage | ||||||
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| 1 | of the policy or
evidence of coverage.
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| 2 | If a previously approved policy, certificate, evidence of
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| 3 | coverage, endorsement, rider, bylaw
or other matter | ||||||
| 4 | incorporated by reference or application blank is withdrawn
for | ||||||
| 5 | use, the Director shall serve upon the company an order of | ||||||
| 6 | withdrawal
of use, either personally or by mail, and if by | ||||||
| 7 | mail, such service shall
be completed if such notice be | ||||||
| 8 | deposited in the post office, postage prepaid,
addressed to the | ||||||
| 9 | company's last known address specified in the records
of the | ||||||
| 10 | Department of Insurance. The order of withdrawal of use shall | ||||||
| 11 | take
effect 30 days from the date of mailing but shall be | ||||||
| 12 | stayed if within the
30-day period a written request for | ||||||
| 13 | hearing is filed with the Director.
Such hearing shall be held | ||||||
| 14 | at such time and place as designated in the order
given by the | ||||||
| 15 | Director. The hearing may be held either in the City of | ||||||
| 16 | Springfield,
the City of Chicago or in the county where the | ||||||
| 17 | principal business address
of the company is located.
The | ||||||
| 18 | action of the Director in
disapproving or withdrawing such form | ||||||
| 19 | shall be subject to judicial review under
the
Administrative | ||||||
| 20 | Review Law.
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| 21 | This subsection shall not apply to riders or endorsements | ||||||
| 22 | issued or
made at the request of the individual policyholder | ||||||
| 23 | relating to the
manner of distribution of benefits or to the | ||||||
| 24 | reservation of rights and
benefits under his life insurance | ||||||
| 25 | policy.
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| 26 | (2) Casualty, fire, and marine. The Director shall require | ||||||
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| 1 | the
filing of all policy forms issued or delivered by any | ||||||
| 2 | company transacting
the kind or
kinds of business enumerated in | ||||||
| 3 | Classes 2 (except Class 2 (a)) and 3 of
Section 4 in an | ||||||
| 4 | electronic format either through the System for Electronic Rate | ||||||
| 5 | and Form Filing (SERFF) or as otherwise prescribed and approved | ||||||
| 6 | by the Director. In addition, he may require the filing of any
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| 7 | generally used riders, endorsements, certificates, application | ||||||
| 8 | blanks, and
other matter
incorporated by reference in any such | ||||||
| 9 | policy or contract of insurance.
Companies that are members of | ||||||
| 10 | an organization, bureau, or association may
have the same filed | ||||||
| 11 | for them by the organization, bureau, or association. If
the | ||||||
| 12 | Director shall find from an examination of any such policy | ||||||
| 13 | form,
rider, endorsement, certificate, application blank, or | ||||||
| 14 | other matter
incorporated by
reference in any such policy so | ||||||
| 15 | filed that it (i) violates any provision of
this Code, (ii) | ||||||
| 16 | contains inconsistent, ambiguous, or misleading clauses, or
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| 17 | (iii) contains exceptions and conditions that will | ||||||
| 18 | unreasonably or deceptively
affect the risks that are purported | ||||||
| 19 | to be assumed by the policy, he
shall order the company or | ||||||
| 20 | companies issuing these forms to discontinue
their use. Nothing | ||||||
| 21 | in this subsection shall require a company
transacting the kind | ||||||
| 22 | or kinds of business enumerated in Classes 2
(except Class 2 | ||||||
| 23 | (a)) and 3 of Section 4 to obtain approval of these forms
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| 24 | before they are issued nor in any way affect the legality of | ||||||
| 25 | any
policy that has been issued and found to be in conflict | ||||||
| 26 | with this
subsection, but such policies shall be subject to the | ||||||
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| 1 | provisions of
Section 442.
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| 2 | (3) This Section shall not apply (i) to surety contracts or | ||||||
| 3 | fidelity
bonds, (ii) to policies issued to an industrial | ||||||
| 4 | insured as defined in Section
121-2.08 except for workers' | ||||||
| 5 | compensation policies, nor (iii) to riders
or
endorsements | ||||||
| 6 | prepared to meet special, unusual,
peculiar, or extraordinary | ||||||
| 7 | conditions applying to an individual risk.
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| 8 | (4) All policy forms referenced in subsections (1) and (2) | ||||||
| 9 | of this Section, including all rate-related information, shall | ||||||
| 10 | be considered public records and subject to inspection and | ||||||
| 11 | copying by the public immediately after submission to the | ||||||
| 12 | Department. | ||||||
| 13 | (Source: P.A. 97-486, eff. 1-1-12; 98-226, eff. 1-1-14.)
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