Ill. Admin. Code tit. 50, § 928.40 - Reports
a) All insurance
claims and all lawsuits shall be reported electronically to the Director by the
insurer and contain the information set forth in Exhibit B of this
Part.
b) All insurance claims
closed and all lawsuits closed that were previously reported pursuant to
subsection (a) of this Section shall be reported electronically to the Director
by the insurer and contain the information set forth in Exhibit B of this
Part.
c) All insurance claims and
all lawsuits re-opened that were previously reported pursuant to subsection (b)
of this Section shall be reported electronically to the Director by the insurer
and contain the information set forth in Exhibit B of this Part.
d) All insurance claims and all lawsuits
re-closed that were previously reported pursuant to subsection (c) of this
Section shall be reported electronically to the Director by the insurer and
contain the information set forth in Exhibit B of this Part.
e) All updates to insurance claims and
lawsuits that were previously reported pursuant to subsections (a) through (d)
of this Section shall be reported electronically to the Director by the insurer
and contain the information set forth in Exhibit B of this Part.
f) Beginning January 1, 2013, the reports
required by subsections (a) through (e) of this Section shall be filed with the
Director on a quarterly basis, due 45 days after the end of the quarter, and
shall cover all updates and/or status changes that occurred in that quarter to
all insurance claims and lawsuits filed.
g) Beginning January 1, 2006, insurers shall
only be required to file reports pursuant to subsections (a) through (e) of
this Section upon request of the Director for providers who arrange for the
delivery or furnishing of health care services pursuant to Section 1-2(12) of
the Health Maintenance Organization Act [215 ILCS
125/1-2(12) ].
Notes
Amended at 36 Ill. Reg. 18677, effective December 17, 2012
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