reglab/housing_qa huggingface dataset:
215 ILCS 122/5-5
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 122/ - Illinois Health Benefits Exchange Law.|Article 5 - Illinois Health Benefits Exchange

Sec. 5-5. State health benefits exchange.   It is declared that this State, beginning October 1, 2013, in accordance with Section 1311 of the federal Patient Protection and Affordable Care Act, shall establish a State health benefits exchange to be known as the Illinois Health Benefits Exchange in order to help individuals and small employers with no more than 50 employees shop for, select, and enroll in qualified, affordable private health plans that fit their needs at competitive prices.  The Exchange shall separate coverage pools for individuals and small employers and shall supplement and not supplant any existing private health insurance market for individuals and small employers.  (Source: P.A. 97-142, eff. 7-14-11.)
215 ILCS 122/5-10
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 122/ - Illinois Health Benefits Exchange Law.|Article 5 - Illinois Health Benefits Exchange

Sec. 5-10. Exchange functions.(a) The Illinois Health Benefits Exchange shall meet the core functions identified by Section 1311 of the Patient Protection and Affordable Care Act and subsequent federal guidance and regulations.(b) In order to meet the deadline  of October 1, 2013 established by federal law to have operational a State exchange, the Department of Insurance  and the Commission on Government Forecasting and Accountability is authorized to apply for, accept, receive, and use as appropriate  for and on behalf of the State any grant money provided by the  federal government and to share federal grant funding with, give support to,  and coordinate with other agencies of the State and federal government  or third parties as determined by the Governor.  (Source: P.A. 97-142, eff. 7-14-11; 98-756, eff. 7-16-14.)
215 ILCS 122/5-15
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 122/ - Illinois Health Benefits Exchange Law.|Article 5 - Illinois Health Benefits Exchange

Sec. 5-15. Illinois Health Benefits Exchange Legislative Study Committee.(a) There is created an Illinois Health Benefits Exchange Legislative Study Committee to conduct a study regarding State implementation and establishment of the Illinois Health Benefits Exchange.(b) Members of the Legislative Study Committee shall be appointed as follows: 3 members of the Senate shall be appointed by the President of the Senate; 3 members of the Senate shall be appointed by the Minority Leader of the Senate; 3 members of the House of Representatives shall be appointed by the Speaker of the House of Representatives; and 3 members of the House of Representatives shall be appointed by the Minority Leader of the House of Representatives.  Each legislative leader shall select one member to serve as co-chair of the committee.(c) Members of the Legislative Study Committee shall be appointed within 30 days after the effective date of this Law.  The co-chairs shall convene the first meeting of the committee no later than 45 days after the effective date of this Law.  (Source: P.A. 97-142, eff. 7-14-11.)
215 ILCS 122/5-20
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 122/ - Illinois Health Benefits Exchange Law.|Article 5 - Illinois Health Benefits Exchange

Sec. 5-20. Committee study.   No later than September 30, 2011, the Committee shall report all findings concerning the implementation and establishment of the Illinois Health Benefits Exchange to the executive and legislative branches, including, but not limited to, (1) the governance and  structure of the Exchange, (2) financial sustainability of the  Exchange, and (3) stakeholder engagement, including an ongoing role  for the Legislative Study Committee or other legislative oversight of the  Exchange. The Committee shall report its findings with regard to (A) the operating model of  the Exchange, (B) the size of the employers to be offered  coverage through the Exchange, (C) coverage pools for  individuals and businesses within the Exchange, and (D) the development of standards for the coverage of full-time and part-time employees and their dependents.  The Committee study shall also include recommendations concerning prospective action on behalf of the General Assembly as it relates to the establishment of the Exchange in 2011, 2012, 2013, and 2014.  (Source: P.A. 97-142, eff. 7-14-11.)
215 ILCS 122/5-25
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 122/ - Illinois Health Benefits Exchange Law.|Article 5 - Illinois Health Benefits Exchange

(215 ILCS 122/5-25)Sec. 5-25. Federal action.   This Law shall be null and void if Congress and the President take action to repeal or replace, or both, Section 1311 of the Affordable Care Act.  (Source: P.A. 97-142, eff. 7-14-11.)
215 ILCS 122/Art. 10 heading
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 122/ - Illinois Health Benefits Exchange Law.|Article 10 - Health Savings Account (The State Employee Health Savings Account Law is compiled at 5 ILCS 377/)

(215 ILCS 122/Art. 10 heading)             ARTICLE 10.  HEALTH SAVINGS ACCOUNT (The State Employee Health Savings Account Law  is compiled at 5 ILCS 377/)(Source: P.A. 97-142, eff. 7-14-11.)
215 ILCS 122/Art. 90 heading
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 122/ - Illinois Health Benefits Exchange Law.|Article 90 - Amendatory Provisions

(215 ILCS 122/Art. 90 heading)             ARTICLE 90.  AMENDATORY PROVISIONS (Amendatory provisions; text omitted)(Source: P.A. 97-142, eff. 7-14-11; text omitted.)
215 ILCS 122/Art. 99 heading
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 122/ - Illinois Health Benefits Exchange Law.|Article 99 - Effective Date

             ARTICLE 99.  EFFECTIVE DATE    (Source: P.A. 97-142, eff. 7-14-11.)
215 ILCS 122/99
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 122/ - Illinois Health Benefits Exchange Law.|Article 99 - Effective Date

(215 ILCS 122/99)Section 99. Effective date. This Act takes effect upon becoming law.    (Source: P.A. 97-142, eff. 7-14-11.)
215 ILCS 125/Art. I heading
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article I - Short Title And Definitions

 ARTICLE I.      SHORT TITLE AND DEFINITIONS
215 ILCS 125/1-1
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article I - Short Title And Definitions

 (from Ch. 111 1/2, par. 1401)Sec. 1-1.         This Act shall be known and may be cited as the "Health  Maintenance Organization Act".    (Source: P.A. 85-20.)
215 ILCS 125/1-3
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article I - Short Title And Definitions

(215 ILCS 125/1-3) (from Ch. 111 1/2, par. 1402.1)Sec. 1-3.     Definitions of admitted assets.     "Admitted Assets" includes  the investments authorized or permitted by Section 3-1 of this Act and, in  addition thereto, only the following:(1) Amounts due from affiliates pursuant to     management contracts or service agreements which meet the requirements of Section 141.1 of the Illinois Insurance Code to the extent that the affiliate has liquid assets with which to pay the balance and maintain its accounts on a current basis; provided that the aggregate amount due from affiliates may not exceed the lesser of 10% of the organization's admitted assets or 25% of the organization's net worth as defined in Section 3-1.  Any amount outstanding more than 3 months shall be deemed not current.  For purpose of this subsection "affiliates" are as defined in Article VIII 1/2 of the Illinois Insurance Code.(2) Amounts advanced to providers under contract to     the organization for services to be rendered to enrollees pursuant to the contract.  Amounts advanced must be for period of not more than 3 months and must be based on historical or estimated utilization patterns with the provider and must be reconciled against actual incurred claims at least semi-annually. Amounts due in the aggregate may not exceed 50% of the organization's net worth as defined in Section 3-1.  Amounts due from a single provider may not exceed the lesser of 5% of the organization's admitted assets or 10% of the organization's net worth.(3) Amounts permitted under Section 2-7.    (Source: P.A. 91-357, eff. 7-29-99; 91-549, eff. 8-14-99; 92-16, eff.  6-28-01.)
215 ILCS 125/Art. II heading
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article II - Certificate Of Authority, General Corporate And Financial Requirements

 ARTICLE II.      CERTIFICATE OF AUTHORITY, GENERAL CORPORATE AND FINANCIAL REQUIREMENTS
215 ILCS 125/2-3
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article II - Certificate Of Authority, General Corporate And Financial Requirements

 (from Ch. 111 1/2, par. 1405)Sec. 2-3.     Powers of health maintenance organizations.     The powers of a health maintenance organization include, but are not  limited to the following:(a) The purchase, lease, construction, renovation, operation, or  maintenance of hospitals, medical facilities or both, and their ancillary  equipment, and such property as may reasonably be required for its  principal office or for such other purposes as may be necessary in the  transaction of the business of the organization.(b) The making of loans to a medical group under contract with it and in  furtherance of its program or the making of loans to a corporation or  corporations under its control for the purpose of acquiring or constructing  medical facilities at hospitals or in furtherance of a program providing  health care services for enrollees.(c) The furnishing of health care services through providers which are  under contract with or employed by the health maintenance  organization.(d) The contracting with any person for the performance on its behalf of  certain functions such as marketing, enrollment and administration.(e) The contracting with an insurance company licensed in this State, or  with a hospital, medical, dental, vision or pharmaceutical service  corporation authorized to do business in this State, for the provision of  insurance, indemnity, or reimbursement against the cost of health care  service provided by the health maintenance organization.(f) The offering, in addition to basic health care services, of (1)  health care services, (2) indemnity benefits covering out of area or  emergency services, (3) indemnity benefits provided through insurers or  hospital, medical, dental, vision, or pharmaceutical service  corporations, and (4) health maintenance organization point-of-service  benefits as authorized under Article 4.5.(g) Rendering services related to the functions involved in the  operating of its health maintenance organization business including but not  limited to providing health services, data processing, accounting, or  claims.(g-5) Indemnification for services provided to a child as required under  subdivision (e)(3) of Section 4-2.(h) Any other business activity reasonably complementary or  supplementary to its health maintenance organization business to the extent  approved by the Director.    (Source: P.A. 92-135, eff. 1-1-02.)
215 ILCS 125/2-3.1
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article II - Certificate Of Authority, General Corporate And Financial Requirements

 (from Ch. 111 1/2, par. 1405.1)Sec. 2-3.1. (a) No health maintenance organization shall cause to be  dispensed any drug other than that prescribed by a physician.  Nothing  herein shall prohibit drug product selection under Section 3.14 of the  "Illinois Food, Drug  and Cosmetic Act", approved June 29, 1967, as amended, and in accordance  with the requirements of Section 25 of the "Pharmacy Practice Act",  approved September 24, 1987, as amended.(b) No health maintenance organization shall include in any contract  with any physician providing for health care services any provision  requiring such physician to prescribe any particular drug product to any  enrollee unless the enrollee is a hospital in-patient where such drug product  may be permitted pursuant  to written guidelines or procedures previously established by a  pharmaceutical or therapeutics committee of a hospital, approved by the  medical staff of such hospital and specifically approved, in writing, by  the prescribing physician for his or her patients in such hospital, and  unless it is compounded, dispensed or sold by a  pharmacy located in a hospital, as defined in Section 3 of the Hospital  Licensing Act or a hospital organized under "An Act in relation to the  founding and operation of the University of Illinois Hospital and the  conduct of University of Illinois health care programs", approved July 3,  1931, as amended.  (Source: P.A. 95-689, eff. 10-29-07.)
215 ILCS 125/2-5
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article II - Certificate Of Authority, General Corporate And Financial Requirements

 (from Ch. 111 1/2, par. 1406.1)Sec. 2-5.     Claims Liabilities.     Every Health  Maintenance Organization shall, at all times,  maintain liabilities in an amount estimated in the aggregate to provide for  the payment of all claims incurred and any due and unpaid provider  capitation, whether reported or unreported, which  are unpaid and for which such organization is or may be liable, and to  provide for the expense of adjustment or settlement of such claims.  Such  liabilities shall be computed in accordance with regulations promulgated by  the Director upon reasonable consideration of the ascertained experience  and character of such business for the purpose of adequately protecting  enrollees and securing the solvency of such organizations.Whenever the claim and claim expense experience of any such organization  shows the liabilities calculated in accordance with such regulations to be  inadequate, the Director may require such organization to maintain  additional liabilities.    (Source: P.A. 86-620.)
215 ILCS 125/2-6
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article II - Certificate Of Authority, General Corporate And Financial Requirements

 (from Ch. 111 1/2, par. 1406.2)Sec. 2-6.     Statutory deposits.(a) An organization subject to the provisions  of this Act shall make and maintain with the Director through December 30,  1993, for the protection of enrollees of the organization, a deposit of  securities which are authorized investments under paragraphs (1)  and (2) of subsection (h) of Section 3-1 having a fair market value equal to  at least $100,000.  Effective December 31, 1993 and through December 30,  1994, the deposit shall have a fair market value at least equal to $200,000.  Effective December 31, 1994 and thereafter, the deposit shall have a fair  market value at least equal to $300,000.  An organization issued a certificate  of authority on or after the effective date of this Amendatory Act of 1993,  shall make and maintain with the Director; for the protection of enrollees of  the organization, a deposit of securities which are authorized investments  under paragraphs (1) and (2) of subsection (h) of Section 3-1 having a fair  market value equal to at least $300,000.  The amount on deposit shall remain  as an admitted asset of the organization in the determination of its net  worth.  The Director may release the required deposit of securities  upon receipt of  an order of a court having proper jurisdiction or  upon: (i)  certification by the organization that it has no outstanding  enrollee creditors, enrollees, certificate holders, or enrollee obligations  in effect and no plans to engage in the  business of insurance as a health maintenance organization; (ii)  receipt of  a lawful resolution of the  organization's governing body effecting the surrender of  its certificate of authority, articles of incorporation, or other  organizational documents to their issuing governmental officer for voluntary or  administrative dissolution; and (iii) receipt of the name and  forwarding address for each of the final officers and directors of the  organization,  together with a plan of dissolution approved by the Director.(b) An organization that offers a point-of-service product, as permitted  by Article 4.5, must maintain an additional deposit in an amount that is not  less than the greater of 125% of the organization's annual projected  point-of-service claims or $300,000.    (Source: P.A. 92-75, eff. 7-12-01; 92-135, eff. 1-1-02; 92-651, eff.  7-11-02.)
215 ILCS 125/2-7
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article II - Certificate Of Authority, General Corporate And Financial Requirements

Sec. 2-7. (Repealed).        (Source: P.A. 92-16, eff. 6-28-01. Repealed by P.A. 97-486, eff. 1-1-12.)
215 ILCS 125/2-8
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article II - Certificate Of Authority, General Corporate And Financial Requirements

 (from Ch. 111 1/2, par. 1407.01)Sec. 2-8.     Provider agreements.     (a) All provider contracts currently in  existence between any organization and any hospital which are renewed on  or after 180 days following the effective date of this amendatory Act of  1987, and all contracts between any organization and any hospital executed  on or after 180 days after such effective date, shall contain the following  "hold-harmless" clause: "The provider agrees that in no event, including  but not limited to nonpayment by the organization of amounts due the  hospital provider under this contract, insolvency of the organization or  any breach of this contract by the organization, shall the hospital  provider or its assignees or subcontractors have a right to seek any type  of payment from, bill, charge, collect a deposit from, or have any recourse  against, the enrollee, persons acting on the enrollee's behalf (other than  the organization), the employer or group contract holder for services  provided pursuant to this contract except for the payment of applicable  co-payments or deductibles for services covered by the organization or fees  for services not covered by the organization.  The requirements of this  clause shall survive any termination of this contract for services rendered  prior to such termination, regardless of the cause of such termination. The  organization's enrollees, the persons acting on the enrollee's behalf  (other than the organization) and the employer or group contract holder  shall be third party beneficiaries of this clause.  This clause supersedes  any oral or written agreement now existing or hereafter entered into  between the provider and the enrollee, persons acting on the enrollee's  behalf (other than the organization) and the employer or group contract  holder." To the extent that any hospital provider contract, which is  renewed or entered into on or after 180 days following the effective date  of this amendatory Act of 1987, fails to incorporate such provisions, such  provisions shall be deemed incorporated into such contracts by operation of  law as of the date of such renewal or execution.(b) All provider and subcontractor contracts must contain provisions  whereby the provider or subcontractor shall provide, arrange for, or  participate in the quality assurance programs mandated by this Act, unless  the Illinois Department of Public Health certifies that such programs will  be fully implemented without any participation or action from such contracting provider.(c) The Director may promulgate rules requiring that provider contracts  contain provisions concerning reasonable notices to be given between the  parties and for the organization to provide reasonable notice to its  enrollees and to the Director.  Notice shall be given for such events as,  but not limited to, termination of insurance protection, quality assurance  or availability of medical care.    (Source: P.A. 86-620.)
215 ILCS 125/2-9
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article II - Certificate Of Authority, General Corporate And Financial Requirements

 (from Ch. 111 1/2, par. 1407.02)Sec. 2-9.     Subordinated Indebtedness.     An organization having a  certificate of authority under this Act may borrow or assume a liability  for the repayment of a sum of money upon a written agreement that the loan  or advance with interest thereon not exceeding a reasonable rate shall be  repaid only out of net worth of the organization in excess of such minimum  net worth as is stipulated in and by the agreement.  The agreement form  shall first be submitted to and approved by the appropriate authoritative  body of the organization and the Director.  Repayment of principal or  payment of interest may be made only with the approval of the Director when  he is satisfied that the financial condition of the organization warrants  such action, but such approval may not be withheld if the organization  shall have and submit satisfactory evidence of net worth of not less than  the amount stipulated in the repayment of principal or interest payment  clause of the agreement. No loan or advance made under this Section or  interest accruing thereon shall form a part of the legal liabilities of the  organization until authorized for payment by the Director, but, until such  authorization, all statements published by the organization or filed with  the Director shall show the amount thereof then remaining unpaid as a  special surplus account. Nothing in this Section shall be construed to mean  that an organization may not otherwise borrow money, but the amount so  borrowed with accrued interest thereon shall be carried by the organization  as a liability.    (Source: P.A. 86-620.)
215 ILCS 125/2-10
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article II - Certificate Of Authority, General Corporate And Financial Requirements

(215 ILCS 125/2-10)Sec. 2-10.     Directors.(a) After June 30, 2002, the corporate powers for domestic organizations  issued a certificate of authority under this Act must be exercised by, and its  business and affairs must be under the control of, a board of directors  composed of not less than 3 nor more than 21 natural persons who are at least  18  years of age.  At least 3 of the directors must be residents and citizens of  this State.  A person convicted of a felony may not be a director.  A  director must be of good character and known professional, administrative, or  business ability.  The requisite ability must include a practical knowledge of  managed health care, insurance, finance, or investment.(b) After June 30, 2002, not less than one-third of the directors of a  domestic organization that is not a controlled insurer for purposes of Section  131.20b of the Illinois Insurance Code must be persons who are not officers or  employees of the organization.  At least one of those persons must be included  in  any quorum for the transaction of business at any meeting of the board of  directors or any committee thereof.    (Source: P.A. 92-140, eff. 7-24-01.)
215 ILCS 125/Art. III heading
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article III - Investments

 ARTICLE III.      INVESTMENTS
215 ILCS 125/Art. IV heading
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 125/ - Health Maintenance Organization Act.|Article IV - Delivery Of Services - Required Provisions And Marketing

 ARTICLE IV.      DELIVERY OF SERVICES - REQUIRED PROVISIONS AND MARKETING.