Illinois Compiled Statutes 215 Insurance: Article XXXI 1/2 - Third Party Prescription Programs

• Illinois Insurance Code. - 215 ILCS 5, Section 512-1
  Short Title. This Article shall be known and may be cited as the "Third Party Prescription Program Act". (Source: P.A. 82-1005.)
• Illinois Insurance Code. - 215 ILCS 5, Section 512-2
  Purpose. It is hereby determined and declared that the purpose of this Article is to regulate certain practices engaged in by third-party prescription program...
• Illinois Insurance Code. - 215 ILCS 5, Section 512-3
  Definitions. For the purposes of this Article, unless the context otherwise requires, the terms defined in this Article have the meanings ascribed to them herein:...
• Illinois Insurance Code. - 215 ILCS 5, Section 512-4
  Registration. All third party prescription programs and administrators doing business in the State shall register with the Director of Insurance. The Director shall promulgate...
• Illinois Insurance Code. - 215 ILCS 5, Section 512-5
  Fiduciary and Bonding Requirements. A third party prescription program administrator shall (1) establish and maintain a fiduciary account, separate and apart from any and...
• Illinois Insurance Code. - 215 ILCS 5, Section 512-6
  Notice. Notice of any change in the terms of a third party prescription program, including but not limited to drugs covered, reimbursement rates, co-payments,...
• Illinois Insurance Code. - 215 ILCS 5, Section 512-7
  Contractual provisions. (a) Any agreement or contract entered into in this State between the administrator of a program and a pharmacy shall include a statement...
• Illinois Insurance Code. - 215 ILCS 5, Section 512-8
  Cancellation procedures. (a) The administrator of a program shall notify all pharmacies enrolled in the program of any cancellation of the coverage of benefits...
• Illinois Insurance Code. - 215 ILCS 5, Section 512-9
  Denial of Payment. (a) No administrator shall deny payment to any pharmacy for covered pharmaceutical services or prescription drug products rendered as a result...
• Illinois Insurance Code. - 215 ILCS 5, Section 512-10
  Failure to Register. Any third party prescription program or administrator which operates without a certificate of registration or fails to register with the Director...

Last modified: February 18, 2015