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Act

Voluntary Health Services Plans Act

  • 215 ILCS 165/1— This Act may be cited as the Voluntary Health Services Plans Act
  • 215 ILCS 165/2
  • 215 ILCS 165/3— It shall be unlawful for any person, except a health services plan corporation, incorporated under this Act, to establish, maintain or operate a voluntary health services plan
  • 215 ILCS 165/3.1— No new plans may be chartered
  • 215 ILCS 165/4— Five or more persons of legal age all of whom are residents of Illinois and citizens of the United States may incorporate under the provisions of this Act a health services plan corporation for the purpose of establishing and operating a voluntary health services plan
  • 215 ILCS 165/5— The business and affairs of a health services 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 165/6
  • 215 ILCS 165/7
  • 215 ILCS 165/8— Except as otherwise provided by Section 3 of this Act, no person shall offer to the public any voluntary health service plan or otherwise engage in the business of a health service plan corporation without having first received a charter from the Director
  • 215 ILCS 165/9
  • 215 ILCS 165/10— Application of Insurance Code provisions
  • 215 ILCS 165/11— Examination of corporations
  • 215 ILCS 165/12— All rates or formula base for experience rate subscriber contracts shall be submitted to the Director prior to use
  • 215 ILCS 165/13— No subscription certificate shall be issued by any health services 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 165/14
  • 215 ILCS 165/15— Every contract entered into by a health services 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 165/15.1— No contract issued by a voluntary health services plan shall contain any exception or exclusion from coverage which would preclude the payment of expenses incurred for the processing and administration of blood and its components
  • 215 ILCS 165/15.2— No claim shall be denied, under a contract issued or renewed by a voluntary health services plan after the effective date of this amendatory Act, for treatment or services for mental illness rendered in a hospital solely because such hospital lacks surgical facilities
  • 215 ILCS 165/15.3
  • 215 ILCS 165/15.4
  • 215 ILCS 165/15.5— Conversion Privilege-Group Type Contracts
  • 215 ILCS 165/15.6-1— Continuance privilege; group type contracts
  • 215 ILCS 165/15.7
  • 215 ILCS 165/15.8— Sexual assault or abuse victims
  • 215 ILCS 165/15.9— Coverage of services for mental illness
  • 215 ILCS 165/15.9-1
  • 215 ILCS 165/15.10
  • 215 ILCS 165/15.11— To the extent not inconsistent with this Act every health services plan corporation shall be subject to the provisions of Section 356g of the "Illinois Insurance Code", approved June 29, 1937, as amended
  • 215 ILCS 165/15.12— Medical assistance; coverage of child
  • 215 ILCS 165/15.13— (Repealed)
  • 215 ILCS 165/15.14— Coverage for Organ Transplantation Procedures
  • 215 ILCS 165/15.15— All claims payable in the form of indemnities under the terms of a service plan contract shall be paid within 30 days following receipt by the corporation of due proof of loss
  • 215 ILCS 165/15.20— Post-parturition care
  • 215 ILCS 165/15.25— Illinois Health Insurance Portability and Accountability Act
  • 215 ILCS 165/15.30— Managed Care Reform and Patient Rights Act
  • 215 ILCS 165/15a— Dependent Coverage Termination
  • 215 ILCS 165/16
  • 215 ILCS 165/17
  • 215 ILCS 165/18
  • 215 ILCS 165/19— No such corporation shall disburse as administrative expenses during any one year, except upon approval of the Director, a sum greater than 20% of payments received from subscribers during that year
  • 215 ILCS 165/20— The funds of any health services plan corporation shall be handled in accordance with the following rules: (a) All loans made to original capital of the corporation may be repayable only out of earned surplus
  • 215 ILCS 165/21— (Repealed)
  • 215 ILCS 165/22— (Repealed)
  • 215 ILCS 165/23
  • 215 ILCS 165/24— Every health services 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 165/25— A health services 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 health services for needy and other individuals
  • 215 ILCS 165/26
  • 215 ILCS 165/27
  • 215 ILCS 165/28— 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 165/29
  • 215 ILCS 165/30— Every final administrative decision of the Director shall be subject to judicial review only under and in accordance with the Administrative Review Law