Illinois Compiled Statutes 215 Insurance: Article XX-1/2 - Health Care Reimbursement

• Illinois Insurance Code. - 215 ILCS 5, Section 370f
  Short Title. This Article may be cited as the "Health Care Reimbursement Reform Act of 1985". (Source: P.A. 84-618.)
• Illinois Insurance Code. - 215 ILCS 5, Section 370g
  Definitions. As used in this Article, the following definitions apply: (a) "Health care services" means health care services or products rendered or sold by...
• Illinois Insurance Code. - 215 ILCS 5, Section 370h
  Noninstitutional providers. Before entering into any agreement under this Article an insurer or administrator shall establish terms and conditions that must be met by...
• Illinois Insurance Code. - 215 ILCS 5, Section 370i
  Policies, agreements or arrangements with incentives or limits on reimbursement authorized. (a) Policies, agreements or arrangements issued under this Article may not contain terms...
• Illinois Insurance Code. - 215 ILCS 5, Section 370j
  Requirements not applicable to insurers. Except as otherwise provided, no insurer authorized to do business in this State shall be subject to any of...
• Illinois Insurance Code. - 215 ILCS 5, Section 370k
  Registration. (a) All administrators of a preferred provider program subject to this Article shall register with the Department of Insurance, which shall by rule...
• Illinois Insurance Code. - 215 ILCS 5, Section 370l
  Fiduciary and bonding requirements. Each administrator who handles money for purposes of payment for providers services subject to this Article shall (1) establish and...
• Illinois Insurance Code. - 215 ILCS 5, Section 370m
  Program Requirements. Each administrator shall provide to each beneficiary of any program subject to this Article a document which (1) sets forth those providers...
• Illinois Insurance Code. - 215 ILCS 5, Section 370n
  Utilization Review Requirements: Any preferred provider organization providing hospital, medical or dental services must include a program of utilization review. This Section applies to...
• Illinois Insurance Code. - 215 ILCS 5, Section 370o
  Emergency Care. Any preferred provider contract, subject to this Article shall provide the beneficiary or insured emergency care coverage such that payment for this...
• Illinois Insurance Code. - 215 ILCS 5, Section 370p
  Failure to register. Any administrator subject to this Article who fails to register or pay the fee required by this Article shall be construed...
• Illinois Insurance Code. - 215 ILCS 5, Section 370q
  To the extent of any conflict between this Article and any other statutory provision, this Article prevails over the conflicting provision. Agreements may be...
• Illinois Insurance Code. - 215 ILCS 5, Section 370r
  (Renumbered). (Source: Renumbered by P.A. 95-331, eff. 8-21-07.)
• Illinois Insurance Code. - 215 ILCS 5, Section 370s
  Managed Care Reform and Patient Rights Act. All administrators shall comply with Sections 55 and 85 of the Managed Care Reform and Patient Rights...
• Illinois Insurance Code. - 215 ILCS 5, Section 370t
  Drug formulary; notice. All administrators must comply with Section 155.37 of this Code. (Source: P.A. 92-440, eff. 8-17-01.)

Last modified: February 18, 2015