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Act

Dental Service Plan Act

  • 215 ILCS 110/1— This Act may be cited as the Dental Service Plan Act
  • 215 ILCS 110/2— For the purpose of this Act, the terms set forth in Sections 3 through 14, inclusive, have the respective meanings specified therein, unless different meanings are plainly indicated by the context
  • 215 ILCS 110/3— "Dental service plan corporation" means a corporation organized under the terms of this Act for the sole and specific purpose of establishing and operating a dental service plan
  • 215 ILCS 110/4
  • 215 ILCS 110/5— "Dental service" means the ordinary and usual professional services rendered by dentists licensed in Illinois to practice dentistry and dental surgery
  • 215 ILCS 110/6— "Subscriber" means a natural person to whom a subscription certificate has been issued by a dental service plan corporation
  • 215 ILCS 110/7— "Beneficiary" means a person designated in a subscription certificate as one entitled to receive dental service
  • 215 ILCS 110/8— "Subscription certificate" means a certificate issued to a subscriber by a dental service plan corporation, setting forth the terms and conditions upon which a dental service plan corporation shall be liable to pay for dental service rendered to a subscriber or beneficiary
  • 215 ILCS 110/9— "Covered dependent" means a subscriber's spouse, or a subscriber's child under the age of 19 years
  • 215 ILCS 110/10— "Participating dentist" means a dentist licensed in Illinois to practice dentistry, and who, by written agreement with a dental service plan corporation undertakes to furnish dental service to the plan's subscribers and their covered dependents and to abide by its by-laws, rules and regulations
  • 215 ILCS 110/11— "Director" means the Director of Insurance of the State of Illinois
  • 215 ILCS 110/12— All masculine pronouns may import the masculine, feminine or neuter gender
  • 215 ILCS 110/13— "Person" means any of the following: natural person, corporation, co-partnership or association of persons
  • 215 ILCS 110/14— "Geographic area" means an area consisting of 2 or more contiguous counties, except that a county having more than 500,000 inhabitants may be a geographic area
  • 215 ILCS 110/15
  • 215 ILCS 110/15.1— No new plans may be chartered
  • 215 ILCS 110/16
  • 215 ILCS 110/17— The business and affairs of a dental service plan corporation shall be managed by a board of trustees, which shall have the power to adopt and to amend, from time to time, by-laws governing the conduct of the corporation's business
  • 215 ILCS 110/18
  • 215 ILCS 110/19
  • 215 ILCS 110/20
  • 215 ILCS 110/21
  • 215 ILCS 110/22— Amendments to a charter shall be made by application to the Director and shall be subject to his approval
  • 215 ILCS 110/23
  • 215 ILCS 110/24
  • 215 ILCS 110/25— Application of Insurance Code provisions
  • 215 ILCS 110/26— Examination of corporations
  • 215 ILCS 110/27— No dental service plan corporation shall enter into any contract with a subscriber until it has filed with the Director a schedule of rates to be paid by a subscriber to each type of contract, and the Director has approved the rate for each type of contract
  • 215 ILCS 110/27.1— Reinsurance agreement; filing
  • 215 ILCS 110/28— No subscription certificate shall be issued by any dental service plan corporation until the form thereof has been filed with and approved by the Director, together with all applications, riders and endorsements for use in connection with the issuance or renewal thereof
  • 215 ILCS 110/29— Every subscription certificate made by a dental service plan corporation shall provide for the payment for dental services as therein specified for a period of 12 months from the date of issue of the subscription certificate
  • 215 ILCS 110/30— Every contract entered into between a dental service plan corporation and a subscriber shall be in writing and a certificate stating the terms and conditions thereof shall be furnished the subscriber
  • 215 ILCS 110/30.1
  • 215 ILCS 110/30.2— Medical Assistance Exclusions Prohibited
  • 215 ILCS 110/30.3— Medical Assistance Exclusions Void
  • 215 ILCS 110/31
  • 215 ILCS 110/32— A dental service plan corporation may enter into agreements with dentists qualified as set forth herein, under which such dentists become participating dentists in a plan operated by the corporation
  • 215 ILCS 110/32.1— All claims payable in the form of indemnities under the terms of a service plan contract or subscription certificate shall be paid within 30 days following receipt by the corporation of due proof of loss
  • 215 ILCS 110/33
  • 215 ILCS 110/34— No such corporation shall disburse during any one year, except upon the approval of the Director, a sum greater than 20% of payments received from subscribers during that year, as administrative expenses
  • 215 ILCS 110/35— Investments; reserves; deficiencies
  • 215 ILCS 110/36— (Repealed)
  • 215 ILCS 110/37— (Repealed)
  • 215 ILCS 110/38
  • 215 ILCS 110/38.1— Illinois Insurance Code provisions
  • 215 ILCS 110/39— Every dental service plan corporation shall pay to the Director the fees and charges set forth in Sections 408 and 408.2 of the Illinois Insurance Code
  • 215 ILCS 110/40— Every dental service plan corporation shall, at the written request of a subscriber, furnish a list of the names and addresses of all of the dentists in the geographic area of the subscriber's residence who have agreements with the corporation to act as participating dentists
  • 215 ILCS 110/41— A dental service plan corporation may receive and accept from governmental or private agencies or from other persons, as defined in this Act, payments covering all or part of the cost of subscriptions to provide dental care for needy and other individuals
  • 215 ILCS 110/42
  • 215 ILCS 110/43
  • 215 ILCS 110/44— Any person, or any agent or officer of the corporation who violates any provisions of this Act or who makes any false statement with respect to any report or statement required by this Act or required by the Director under this Act is guilty of a Class A misdemeanor
  • 215 ILCS 110/45
  • 215 ILCS 110/46— Every final administrative decision of the Director is subject to judicial review only under and in accordance with the Administrative Review Law, as amended
  • 215 ILCS 110/47— Continuance privilege; group type contracts