Ill. Admin. Code tit. 50, pt. 4521 - HEALTH MAINTENANCE ORGANIZATION

  1. § 4521.10 - Scope
  2. § 4521.20 - Definitions
  3. § 4521.30 - Valuation of Investments
  4. § 4521.40 - Grievance Procedure
  5. § 4521.50 - Contracts, Administrative Arrangements and Material Modifications
  6. § 4521.60 - Rates
  7. § 4521.70 - Subordinated Indebtedness
  8. § 4521.80 - Financial Reporting (Repealed)
  9. § 4521.90 - Conflict of Interest and Required Disclosure
  10. § 4521.100 - Solicitation
  11. § 4521.110 - Requirements for Group Contracts, Evidences of Coverage and Individual Contracts
  12. § 4521.111 - Cancellation
  13. § 4521.112 - Form Filing Requirements
  14. § 4521.113 - Point of Service Plan Requirements
  15. § 4521.120 - Internal Security Standards and Fidelity Bonds
  16. § 4521.130 - Basic Health Care Services
  17. § 4521.131 - Basic Outpatient Preventive and Primary Health Care Services for Children
  18. § 4521.132 - Required Coverage for Reconstructive Surgery Following Mastectomies
  19. § 4521.140 - General Provisions
  20. § 4521.141 - Producer Licensing Requirements
  21. § 4521.142 - Limited Insurance Representative Requirements - Public Aid and Medicare Enrollers
  22. § 4521.150 - Severability

Notes

Ill. Admin. Code tit. 50, pt. 4521
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; amended at 22 ill. reg. 6671, effective march 31, 1998; amended at 23 ill. reg. 5690, effective may 3, 1999; 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 8/26/2019. Amended at 48 Ill. Reg. 7266, effective 4/30/2024.

AUTHORITY: Implementing and authorized by Sections 4-6.1, 4-17, 5-2 and 5-7 of the Health Maintenance Organization Act [215 ILCS 125/4-6.1, 4-17, 5-2 and 5-7]; 42 U.S.C. 300gg-22; and 45 CFR 150.101(b)(2) and 150.201.

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