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94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
HB5448
Introduced 01/27/06, by Rep. Tom Cross SYNOPSIS AS INTRODUCED:
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215 ILCS 130/2005 |
from Ch. 73, par. 1502-5 |
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Amends the Limited Health Service Organization Act. Makes a technical change
in a Section concerning claims liability.
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A BILL FOR
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HB5448 |
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LRB094 17626 LJB 52924 b |
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| AN ACT concerning regulation.
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| Be it enacted by the People of the State of Illinois, |
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| represented in the General Assembly:
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| Section 5. The Limited Health Service Organization Act is |
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| amended by changing Section 2005 as follows:
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| (215 ILCS 130/2005) (from Ch. 73, par. 1502-5)
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| Sec. 2005. Claims Liabilities. (a) Every limited health |
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| service organization shall, at all times, maintain
liabilities |
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| in an amount estimated in the
the aggregate to provide for the
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| payment of all claims incurred and any due and unpaid provider |
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| capitation,
whether reported or unreported, which are unpaid |
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| and for which such
organization is or may be liable, and to |
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| provide for the expense of
adjustment or settlement of such |
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| claims. Such liabilities shall be
computed in accordance with |
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| regulations promulgated by the Director upon
reasonable |
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| consideration of the ascertained experience and character of
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| such business for the purpose of adequately protecting |
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| enrollees and
securing the solvency of such organizations. |
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| (b) Whenever the claim and claim expense experience of any |
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| such organization
shows the liabilities calculated in |
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| accordance with such regulations to be
inadequate, the Director |
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| may require such organization to maintain additional |
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| liabilities.
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| (Source: P.A. 86-600.)
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