(215 ILCS 130/2002) (from Ch. 73, par. 1502-2)
Sec. 2002. Issuance of certificate of authority.
(a) Issuance of a certificate of authority shall be granted if the following conditions are met:
(1) The requirements of subsection (c) of Section
2001 have been fulfilled.
(2) The persons responsible for conducting the
applicant's affairs are competent and trustworthy, possess good reputations and have had appropriate experience, training or education.
(3) The applicant has demonstrated the willingness
and potential ability to assure that such limited health service will be provided in a manner to insure both availability and accessibility of adequate personnel and facilities and in a manner enhancing availability, accessibility, and continuity of service.
(4) The applicant has arrangements for an ongoing
quality of health care assessment program concerning health care processes and outcomes.
(5) The applicant is financially responsible and may
reasonably be expected to meet its obligations to enrollees and to prospective enrollees. In making this determination, the Director shall consider:
(A) the financial soundness of the applicant's
arrangements for limited health services and the minimum standard rates, copayments and other patient charges used in connection therewith.
(B) the adequacy of working capital, other
sources of funding, and provisions for contingencies.
(6) The limited health care plan furnishes limited
health services on a prepaid basis, through insurance or otherwise, except to the extent of reasonable requirements for copayments of a fixed amount.
(7) The agreements with providers for the provision
of limited health services contain the provisions required by Section 2008 of this Act.
(8) Any deficiencies identified by the Director have
(b) No certificate of authority shall be issued if the initial minimum net worth of the applicant is less than $100,000. The initial net worth shall be provided in cash and securities in combination and form acceptable to the Director.
(Source: P.A. 86-600.)
Last modified: February 18, 2015