reglab/housing_qa huggingface dataset:
215 ILCS 5/511.104
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/4 - Third Party Administrators

 (from Ch. 73, par. 1065.58-104)(Section scheduled to be repealed on January 1, 2027)Sec. 511.104.     Bond requirements for administrators.(a) Every applicant  for an administrator's license shall file with the application and shall  thereafter maintain in force while so licensed, a fidelity bond in favor  of the people of the State of Illinois executed by a surety company and  payable to any party injured under the terms of the bond.  The bond shall  be continuous in form and in one of the following amounts:(1) For an administrator which maintains an ATF but     does not maintain a CASA, the greater of $50,000 or 5% of contributions and premiums projected to be received or collected in the ATF for the forthcoming plan year from Illinois residents, but not to exceed $1,000,000;(2) For an administrator which maintains a CASA but     does not maintain an ATF, the greater of $50,000 or 5% of the claims and claim expenses projected to be held in the CASA for the forthcoming year to pay claims and claim expenses for Illinois residents, but not to exceed $1,000,000;(3) For an administrator which maintains both an ATF     and a CASA, the greater of the amounts in subparagraphs (1) or (2) above, but not to exceed $1,000,000.Such bond is required of an administrator who maintains or should maintain  funds in a fiduciary capacity as set forth in Section 511.112 of this Code  unless the administrator is contracted with the insurer as an  administrator and if the plan is fully insured by the insurer on whose  behalf the funds are held.(b) Such bond shall remain in force and effect until the surety is  released from liability by the Director or until the bond is cancelled by  the surety. The surety may cancel the bond and be released from further  liability thereunder upon 30 days' written notice in advance to the  Director.  Such cancellation shall not affect any liability incurred or  accrued thereunder before the termination of the 30-day period.  Upon  receipt of any notice of cancellation, the Director shall immediately notify  the licensee.(c) The license required by Section 511.102 shall automatically  terminate if the bond required by this Section is not in force.  Within 30  days thereafter, the administrator shall return the license to the Director  for cancellation.    (Source: P.A. 84-1431.)
215 ILCS 5/511.105
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/4 - Third Party Administrators

 (from Ch. 73, par. 1065.58-105)(Section scheduled to be repealed on January 1, 2027)Sec. 511.105.     License.(a) The Director shall cause a license to be  issued to each applicant that has demonstrated to the Director's satisfaction  compliance with the requirements of this Article.(b) Each administrator license shall remain in effect as long as the holder  of the license maintains in force and effect the bond required by Section  511.104 and pays the annual fee of $200 prior to the anniversary  date of  the license, unless the license is revoked or suspended pursuant to Section  511.107.(c) Each license shall contain the name, business address and  identification number of the licensee, the date the license was issued and  any other information the Director considers proper.    (Source: P.A. 93-32, eff. 7-1-03.)
215 ILCS 5/511.108
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/4 - Third Party Administrators

 (from Ch. 73, par. 1065.58-108)(Section scheduled to be repealed on January 1, 2027)Sec. 511.108. Felony convictions. Any administrator and any individual  listed on the application as required by Section 511.103, who is convicted  of a felony shall report such conviction to the Director within 30 days  of the entry date of the judgment.  Within that 30-day   period, the administrator  shall also provide the Director with a copy of the judgment, the probation  or commitment order and any other relevant documents.  (Source: P.A. 96-328, eff. 8-11-09.)
215 ILCS 5/511.109
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/4 - Third Party Administrators

 (from Ch. 73, par. 1065.58-109)(Section scheduled to be repealed on January 1, 2027)Sec. 511.109.     Examination.(a) The Director or his designee may examine  any applicant for or holder of an administrator's license.(b) Any administrator being examined shall provide to the Director or  his designee convenient and free access, at all reasonable hours at their  offices, to all books, records, documents and other papers relating to such  administrator's business affairs.(c) The Director or his designee may administer oaths and thereafter examine  any individual about the business of the administrator.(d) The examiners designated by the Director pursuant to this Section  may make reports to the Director.  Any report alleging substantive violations  of this Article, any applicable provisions of the Illinois Insurance Code,  or any applicable Part of Title 50 of the Illinois Administrative Code shall  be in writing and be based upon facts obtained by the examiners.  The report  shall be verified by the examiners.(e) If a report is made, the Director shall either deliver a duplicate  thereof to the administrator being examined or send such duplicate by certified  or registered mail to the administrator's address specified in the records  of the Department.  The Director shall afford the administrator an opportunity  to request a hearing to object to the report.  The administrator may request  a hearing within 30 days after receipt of the duplicate of the examination  report by giving the Director written notice of such request together with  written objections to the report.  Any hearing shall be conducted in accordance  with Sections 402 and 403 of this Code.  The right to hearing is waived  if the delivery of the report is refused or the report is otherwise  undeliverable or the administrator does not timely request a hearing.  After the hearing or upon expiration of the time period during which an  administrator may request a hearing, if the examination reveals that the  administrator is operating in violation of any applicable provision of the  Illinois Insurance Code, any applicable Part of Title 50 of the Illinois  Administrative Code or prior order, the Director, in the written order, may  require the administrator to take any action the Director considers  necessary or appropriate in accordance with the report or examination  hearing.  If the Director issues an order, it shall be issued within 90  days after the report is filed, or if there is a hearing, within 90 days  after the conclusion of the hearing.  The order is subject to review under  the Administrative Review Law.    (Source: P.A. 84-887.)
215 ILCS 5/511.110
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/4 - Third Party Administrators

 (from Ch. 73, par. 1065.58-110)(Section scheduled to be repealed on January 1, 2027)Sec. 511.110.     Administrative fine.(a) If the Director finds that one  or more grounds exist for the revocation or suspension of a license issued  under this Article, the Director may, in lieu of or in addition to such  suspension or revocation, impose a fine upon the administrator.(b) With respect to any knowing and wilful violation of a lawful order  of the Director, any applicable portion of the Illinois Insurance Code or  Part of Title 50 of the Illinois Administrative Code, or a provision of  this Article, the Director may impose a fine upon the administrator in an  amount not to exceed $10,000 for each such violation.  In no  event shall  such fine exceed an aggregate amount of $50,000 for all knowing  and wilful  violations arising out of the same action.    (Source: P.A. 93-32, eff. 7-1-03.)
215 ILCS 5/511.111
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/4 - Third Party Administrators

 (from Ch. 73, par. 1065.58-111)(Section scheduled to be repealed on January 1, 2027)Sec. 511.111. Insurance Producer Administration Fund. All fees and fines  paid to and collected by the Director under this Article shall be paid promptly  after receipt thereof, together with a detailed statement of such fees,  into a special fund in the State Treasury to be known as the Insurance Producer  Administration Fund.  The monies deposited into the Insurance Producer  Administration Fund shall be used only for payment of the expenses of the  Department and shall be appropriated as otherwise provided by law for the  payment of such expenses. Moneys in the Insurance Producer Administration Fund may be transferred to the Professions Indirect Cost Fund, as authorized under Section 2105-300 of the Department of Professional Regulation Law of the Civil Administrative Code of Illinois.  (Source: P.A. 98-463, eff. 8-16-13.)
215 ILCS 5/511.113
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/4 - Third Party Administrators

 (from Ch. 73, par. 1065.58-113)(Section scheduled to be repealed on January 1, 2027)Sec. 511.113.     Unauthorized Activities.     Nothing in this Article shall  be construed to permit any person or entity to receive, or collect charges,  contributions or premiums for, or adjust or settle claims in connection with  any type of life or accident or health benefit unless such person or entity  is authorized through the insurance laws of a state or the ERISA of 1974, 29  USC par. 1001 et seq. as amended, to provide such benefits.    (Source: P.A. 84-887.)
215 ILCS 5/511.114
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/4 - Third Party Administrators

(Section scheduled to be repealed on January 1, 2027)Sec. 511.114.     Drug formulary; notice.     All administrators must comply  with  Section 155.37 of this Code.    (Source: P.A. 92-440, eff. 8-17-01.)
215 ILCS 5/511.118
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/4 - Third Party Administrators

(215 ILCS 5/511.118)(Section scheduled to be repealed on January 1, 2027)Sec. 511.118.     Managed Care Reform and Patient Rights Act.     All  administrators are  subject to the provisions of Sections 55 and 85 of the Managed Care  Reform and Patient Rights Act.    (Source: P.A. 91-617, eff. 1-1-00.)
215 ILCS 5/Art. XXXI.5 heading
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/2 - Third Party Prescription Programs

 ARTICLE XXXI 1/2.  THIRD PARTY PRESCRIPTION PROGRAMS
215 ILCS 5/512-1
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/2 - Third Party Prescription Programs

 (from Ch. 73, par. 1065.59-1)Sec. 512-1.     Short Title.     This Article shall be known and may be cited  as the "Third Party Prescription Program Act".    (Source: P.A. 82-1005.)
215 ILCS 5/512-2
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/2 - Third Party Prescription Programs

 (from Ch. 73, par. 1065.59-2)Sec. 512-2.     Purpose.     It is hereby determined and declared that the  purpose of this Article is to regulate certain practices engaged in by third-party  prescription  program administrators.    (Source: P.A. 82-1005.)
215 ILCS 5/512-3
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/2 - Third Party Prescription Programs

 (from Ch. 73, par. 1065.59-3)Sec. 512-3. Definitions. For the purposes of this Article, unless the  context otherwise requires, the terms defined in this Article have the meanings  ascribed  to them herein:(a) "Third party prescription program" or "program" means any system of  providing for the reimbursement of pharmaceutical services and prescription  drug products offered or operated in this State under a contractual arrangement  or agreement between a provider of such services and another party who is  not the consumer of those services and products.  Such programs may include, but need not be limited to, employee benefit  plans whereby a consumer receives prescription drugs or other pharmaceutical  services and those services are paid for by  an agent of the employer or others.(b) "Third party program administrator" or "administrator" means any person,  partnership or corporation who issues or causes to be issued any payment  or reimbursement to a provider for services rendered pursuant to a third  party prescription program,  but does not include the Director of Healthcare and Family Services or any agent authorized by  the Director to reimburse a provider of services rendered pursuant to a  program of which the Department of Healthcare and Family Services is the third party.       (Source: P.A. 95-331, eff. 8-21-07.)
215 ILCS 5/512-4
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/2 - Third Party Prescription Programs

 (from Ch. 73, par. 1065.59-4)Sec. 512-4.     Registration.     All third party prescription programs and  administrators doing business in the State shall register with the Director  of Insurance.  The Director shall promulgate regulations establishing criteria  for registration in accordance with the terms of this Article. The Director  may by rule establish an annual registration fee for each third party administrator.    (Source: P.A. 82-1005.)
215 ILCS 5/512-5
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/2 - Third Party Prescription Programs

 (from Ch. 73, par. 1065.59-5)Sec. 512-5.     Fiduciary and Bonding Requirements.      A third party prescription program administrator shall (1) establish and  maintain a fiduciary account, separate and apart from any and all other  accounts, for the receipt and disbursement of funds for reimbursement of  providers of services under the program, or (2) post,  or cause to be posted, a bond of indemnity in an amount equal to not less  than 10% of the total estimated annual reimbursements under the program.The establishment of such fiduciary accounts and bonds shall be consistent  with applicable State law.  If a bond of indemnity is posted, it shall be held by the Director of Insurance  for the benefit and indemnification of the providers of services under the  third party prescription program.An administrator who operates more than one third party prescription program  may establish and maintain a separate fiduciary account or bond of indemnity  for each such program, or may operate and maintain a consolidated fiduciary  account or bond of indemnity for all such programs.The requirements of this Section do not apply to any third party prescription  program administered by or on behalf of any insurance company, Health Care  Service Plan Corporation or Pharmaceutical Service Plan Corporation authorized  to do business in the State of Illinois.    (Source: P.A. 82-1005.)
215 ILCS 5/512-6
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/2 - Third Party Prescription Programs

 (from Ch. 73, par. 1065.59-6)Sec. 512-6.     Notice.     Notice of any change in the terms of a third party prescription program,  including but not limited to drugs covered, reimbursement rates, co-payments,  and dosage quantity, shall be given to each enrolled pharmacy at least 30  days prior to the time it becomes effective.    (Source: P.A. 82-1005.)
215 ILCS 5/512-7
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/2 - Third Party Prescription Programs

 (from Ch. 73, par. 1065.59-7)Sec. 512-7. Contractual provisions.(a) Any agreement or contract entered into in this State between the  administrator of a program and a pharmacy shall include a statement of the  method and amount of reimbursement to the pharmacy for services rendered to  persons enrolled in the program, the frequency of payment by the program  administrator to the pharmacy for those services, and a method for the  adjudication of complaints and the settlement of disputes between the  contracting parties.(b)(1) A program shall provide an annual period of at     least 30 days during which any pharmacy licensed under the Pharmacy Practice Act  may elect to participate in the program under the program terms for at least one year.(2) If compliance with the requirements of this     subsection (b) would impair any provision of a contract between a program and any other person, and if the contract provision was in existence before January 1, 1990, then immediately after the expiration of those contract provisions the program shall comply with the requirements of this subsection (b).(3) This subsection (b) does not apply if:(A) the program administrator is a licensed         health maintenance organization that owns or controls a pharmacy and that enters into an agreement or contract with that pharmacy in accordance with subsection (a); or(B) the program administrator is a licensed         health maintenance organization that is owned or controlled by another entity that also owns or controls a pharmacy, and the administrator enters into an agreement or contract with that pharmacy in accordance with subsection (a).(4) This subsection (b) shall be inoperative         after October 31, 1992.(c) The program administrator shall cause to be issued an identification  card to each person enrolled in the program.  The identification card  shall include:(1) the name of the individual enrolled in the     program; and(2) an expiration date if required under the     contractual arrangement or agreement between a provider of pharmaceutical services and prescription drug products and the third party prescription program administrator. (Source: P.A. 95-689, eff. 10-29-07.)
215 ILCS 5/512-8
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/2 - Third Party Prescription Programs

 (from Ch. 73, par. 1065.59-8)Sec. 512-8.     Cancellation procedures.     (a) The administrator of a program  shall notify all pharmacies enrolled in the program of any cancellation  of the coverage of benefits of any group enrolled in the program at least  30 days prior to the effective date of such cancellation.    However, if the administrator of a program is not notified at least 45  days prior to the effective date of such cancellation, the administrator  shall notify all pharmacies enrolled in the program of the cancellation  as soon as practicable after having received notice.(b) When a program is terminated, all persons enrolled therein shall be  so notified, and the employer shall make every reasonable effort to gain  possession of any plan identification cards in such persons' possession.(c) Any person who intentionally uses a program identification card to  obtain services from a pharmacy after having received notice of the cancellation  of his benefits shall be guilty of a Class C misdemeanor.  Persons shall  be liable to the program administrator for all monies paid by the program  administrator for any services received pursuant to any improper use of  the identification card.    (Source: P.A. 82-1005.)
215 ILCS 5/512-9
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/2 - Third Party Prescription Programs

 (from Ch. 73, par. 1065.59-9)Sec. 512-9.     Denial of Payment.     (a) No administrator shall deny payment  to any pharmacy for covered pharmaceutical services or prescription drug  products rendered as a result of the misuse, fraudulent or illegal use of  an identification card unless such identification card had expired, been  noticeably altered, or the pharmacy was notified of the cancellation of  such card.  In lieu of notifying pharmacies which have a common ownership,  the administrator may notify a party designated by the pharmacy to receive  such notice, in which case, notification shall not become effective until  5 calendar days after the designee receives notification.(b) No program administrator may withhold any payment to any pharmacy  for covered pharmaceutical services or prescription drug products beyond  the time period specified in the payment schedule provisions of the agreement,  except for individual claims for payment which have been returned to the pharmacy  as incomplete or illegible.  Such returned claims shall be paid if resubmitted  by the pharmacy to the program administrator with the appropriate corrections made.    (Source: P.A. 82-1005.)
215 ILCS 5/512-10
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXI 1/2 - Third Party Prescription Programs

(215 ILCS 5/512-10) (from Ch. 73, par. 1065.59-10)Sec. 512-10.     Failure to Register.     Any third party prescription program  or administrator which operates without a certificate of registration or  fails to register with the Director and pay the fee prescribed by this Article  shall be construed to be an unauthorized insurer as defined in Article VII  of this Code and shall be subject to all penalties contained therein.The provisions of the Article shall apply to all new programs established  on or after January 1, 1983. Existing programs shall comply with the provisions  of this Article on the anniversary date of the programs that occurs on or  after January 1, 1983.    (Source: P.A. 82-1005.)
215 ILCS 5/Art. XXXIIA heading
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXIIA - Premium Finance Regulation

 ARTICLE XXXIIA.      PREMIUM FINANCE REGULATION
215 ILCS 5/513a1
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XXXIIA - Premium Finance Regulation

 (from Ch. 73, par. 1065.60a1)Sec. 513a1.     Scope of Article.(a) Except as provided in subsection (b), this Article applies to all  persons engaged in the business of financing insurance premiums, entering  into premium finance agreements, or otherwise acquiring premium finance  agreements, and insurance companies and insurance producers as defined in  this Code, except in connection with premiums on the kinds of business  described as Class 1(a) or Class 1(b) of Section 4.(b) Except for the provisions of Section 513a11 that apply to all  premium financing agreements in which the right to cancel one or more  policies of insurance on behalf of the named has been assigned to the  lender, this Article does not apply to the following entities:(1) Credit unions, as defined in the Illinois Credit     Union Act.(2) Banks, as defined in the Illinois Banking Act.(3) Savings and loan associations, as defined in the     Illinois Savings and Loan Act of 1985.(4) Persons operating under the provisions of Section     4a of the Interest Act.(5) Persons operating under the Consumer Installment     Loan Act or the Consumer Finance Act.(6) Persons that acquire premium finance agreements     from insurance companies and entities described in paragraphs (1) through (5).   (Source: P.A. 87-811.)