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09600SB3096sam002 |
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LRB096 20150 RPM 38775 a |
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| Illinois Insurance Code. A Medical Sharing Trust shall not |
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| offer any services that are regulated under any provision of |
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| the Illinois Insurance
Code. |
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| (d) No Medical Sharing Trust shall be offered, issued, |
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| sold, or solicited to participants in this State as exempt |
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| under subsection (c) of this Section unless the Medical Sharing |
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| Trust has complied with all requirements set forth in |
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| subsections (b) and (e) of this Section. |
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| (e) The following provisions shall apply concerning the |
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| operation of a Medical Sharing Trust: |
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| (1) A Medical Sharing Trust shall facilitate payments |
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| directly between participants who have present medical |
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| needs and participants with the ability to pay for the |
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| benefit of those participants in need. A Medical Sharing |
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| Trust is prohibited from assuming liability for or |
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| guaranteeing payment of any medical expenses and from |
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| comingling participants' funds. |
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| (2) All participants shall execute a release stating |
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| that no other participants or the Medical Sharing Trust |
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| shall be legally obligated in any way to pay for a medical |
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| need. |
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| (3) A Medical Sharing Trust shall facilitate the |
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| payments provided for in paragraph (1) of this subsection |
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| (e) through payments made directly from one participant to |
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| another without transferring funds to a third party or the |
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| Medical Sharing Trust. |
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09600SB3096sam002 |
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LRB096 20150 RPM 38775 a |
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| (4) A Medical Sharing Trust may cancel the membership |
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| of a participant when that participant indicates their |
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| unwillingness to participate by failing to make a payment |
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| to another participant for a period in excess of 60 days. |
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| (5) A Medical Sharing Trust may establish |
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| qualifications of participation relating to the health of |
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| the prospective participant. |
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| (6) A Medical Sharing Trust may establish |
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| qualifications as to the participants' physical or medical |
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| needs necessary for eligibility for payment among the |
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| participants. |
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| (7) A Medical Sharing Trust shall provide the following |
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| verbatim written disclaimer on all applications for |
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| membership or participation: |
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| "WARNING: This organization is not insurance or an |
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| insurance policy
nor is it offered through an insurance |
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| company. Whether anyone chooses to assist you with your |
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| medical bills will be totally voluntary, as no other |
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| member will be compelled by law to contribute toward |
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| your medical bills. As such, this organization should |
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| never be considered to be providing insurance. Whether |
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| you receive any payments for medical expenses and |
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| whether or not this organization continues to operate, |
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| you are always personally responsible for the payment |
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| of your own medical bills. This organization is not |
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| subject to the regulatory requirements of the Illinois |
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09600SB3096sam002 |
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LRB096 20150 RPM 38775 a |
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| Insurance Code.". |
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| (8) A Medical Sharing Trust shall provide to its |
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| participants, within 30 days after enrollment, a complete |
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| set of its rules for the sharing of needs, appeals of |
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| decisions made by the Medical Sharing Trust, and the filing |
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| of complaints. The rules must be in the participant's |
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| native language if requested by the participant. |
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| (9) A Medical Sharing Trust shall have a Certificate of |
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| Authority to do business in Illinois. |
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| (10) A Medical Sharing Trust shall be controlled by a |
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| board of directors, the majority of which is elected by its |
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| members.".
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