Bill Text: IL SB1289 | 2023-2024 | 103rd General Assembly | Engrossed
Bill Title: Amends the Illinois Insurance Code. Makes a technical change in a Section concerning the short title.
Spectrum: Partisan Bill (Democrat 4-0)
Status: (Engrossed) 2023-12-08 - Rule 19(a) / Re-referred to Rules Committee [SB1289 Detail]
Download: Illinois-2023-SB1289-Engrossed.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 | adding Section 355.5 as follows:
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6 | (215 ILCS 5/355.5 new) | ||||||
7 | Sec. 355.5. Dental coverage reimbursement; prohibitions. | ||||||
8 | No insurer, dental service plan corporation, professional | ||||||
9 | service corporation, insurance network leasing company, or any | ||||||
10 | company that amends, delivers, issues, or renews an individual | ||||||
11 | or group policy of accident and health insurance on or after | ||||||
12 | the effective date of this amendatory Act of the 103rd General | ||||||
13 | Assembly shall require a dental care provider to incur a fee to | ||||||
14 | access and obtain payment or reimbursement for services | ||||||
15 | provided. A dental plan carrier shall provide a dental care | ||||||
16 | provider with 100% of the contracted amount of the payment or | ||||||
17 | reimbursement. Fees incurred directly by a dental care | ||||||
18 | provider from third parties related to transmitting an | ||||||
19 | automated clearing house network claim, transaction | ||||||
20 | management, data management, or portal services and other fees | ||||||
21 | charged by third parties that are not in the control of the | ||||||
22 | dental plan carrier shall not be prohibited by this Section.
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1 | Section 99. Effective date. This Act takes effect upon | ||||||
2 | becoming law.
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