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Illinois Administrative Code (Last Updated: March 27, 2024) |
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TITLE50. INSURANCE |
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PART4521. HEALTH MAINTENANCE ORGANIZATION |
| § 4521.10. Scope |
| § 4521.20. Definitions |
| § 4521.30. Valuation of Investments |
| § 4521.40. Grievance Procedure |
| § 4521.50. Contracts, Administrative Arrangements and Material Modifications |
| § 4521.60. Rates |
| § 4521.70. Subordinated Indebtedness |
| § 4521.80. Financial Reporting [Repealed] |
| § 4521.90. Conflict of Interest and Required Disclosure |
| § 4521.100. Solicitation |
| § 4521.110. Requirements for Group Contracts, Evidences of Coverage and Individual Contracts |
| § 4521.111. Cancellation |
| § 4521.112. Form Filing Requirements |
| § 4521.113. Point of Service Plan Requirements |
| § 4521.120. Internal Security Standards and Fidelity Bonds |
| § 4521.130. Basic Health Care Services |
| § 4521.131. Basic Outpatient Preventive and Primary Health Care Services for Children |
| § 4521.132. Required Coverage for Reconstructive Surgery Following Mastectomies |
| § 4521.140. General Provisions |
| § 4521.141. HMO Producer Licensing Requirements |
| § 4521.142. Limited Insurance Representative Requirements - Public Aid and Medicare Enrollers |
| § 4521.150. Severability |
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SOURCE: Filed June 16, 1976, effective July 1, 1976; codified at 7 Ill. Reg. 3016; amended at 15 Ill. Reg. 199, effective December 28, 1990; amended at 20 Ill. Reg. 10639, effective July 25, 1996; recodified at 21 Ill. Reg. 1729; emergency amendment at 21 Ill. Reg. 15262, effective November 18, 1997, for a maximum of 150 days; amended at 22 Ill. Reg. 6671, effective March 31, 1998; amended at 23 Ill. Reg. 5690, effective May 3, 1999; emergency amendment at 26 Ill. Reg. 5146, effective March 25, 2002, for a maximum of 150 days; amended at 26 Ill. Reg. 13088, effective August 19, 2002; transferred from the Department of Insurance to the Department of Financial and Professional Regulation pursuant to Executive Order 2004-6 on July 1, 2004; amended at 28 Ill. Reg. 14412, effective October 19, 2004; amended at 30 Ill. Reg. 4732, effective March 2, 2006; transferred from the Department of Financial and Professional Regulation to the Department of Insurance pursuant to Executive Order 2009-4 on June 1, 2009; amended at 37 Ill. Reg. 14032, effective August 26, 2013; amended at 38 Ill. Reg. 2272, effective January 2, 2014; amended at 38 Ill. Reg. 23437, effective November 25, 2014; amended at 39 Ill. Reg. 6505, effective April 24, 2015; recodified from 50 Ill. Adm. Code 5421 to 50 Ill. Adm. Code 4521 at 41 Ill. Reg. 4985; amended at 43 Ill. Reg. 9386, effective August 26, 2019.
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Notation
AUTHORITY: Implementing and authorized by Sections 4-6.1, 4-17, 5-2 and 5-7 of the Health Maintenance Organization Act [215 ILCS 125]; 42 USC 300gg-22; and 45 CFR 150.101(b)(2) and 150.201.