reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 50 - INSURANCE › Part 926 - INSURANCE DEPARTMENT CONSUMER COMPLAINTS › Exhibit B - Explanation

Current through Register Vol. 48, No. 28, July 12, 2024
Column
A.
			 Identification Number. As noted, this refers to the identification number of
			 the complaint.
B. Reason Code.
			 Complaints are to be classified by the nature of the complaint within one of
			 the involved company's functions of underwriting, marketing and sales, claims,
			 policyholder service, and miscellaneous. The following is the classification
			 required for each function:
1) Underwriting
a) Company underwriting
b) Individual's application underwriting
			 (this refers to any complaint regarding misrepresentations or declarations in
			 the application for insurance that resulted in company action involved in the
			 complaint)
c)
			 Cancellation
d) Recission
e) Non-renewal
f) Premiums and rating
g) Delays
h) Refusal to insure
i) Miscellaneous (not covered by B(1)(a)
			 through (h))
j) Creditable coverage
			 re: Health Insurance Portability and Accountability Act (HIPAA)
k) Late enrollee (HIPAA)
l) Special enrollment (HIPAA)
m) Renewability (HIPAA)
Illinois Administrative Code › Title 50 - INSURANCE › Part 928 - MEDICAL PROFESSIONAL LIABILITY DATABASE › Section 928.10 - Authority

Current through Register Vol. 48, No. 28, July 12, 2024
This Part is promulgated by the Director of the Department of
				Insurance under Section 401 of the Illinois Insurance Code [215 ILCS
				5/401 ], which empowers the Director to make
				reasonable rules and regulations as may be necessary for making effective the
				insurance laws of this State. The purpose of this Part is to implement Section
				155.19 of the Illinois Insurance Code [215
				ILCS 5/155.19 ].
Illinois Administrative Code › Title 50 - INSURANCE › Part 928 - MEDICAL PROFESSIONAL LIABILITY DATABASE › Section 928.20 - Purpose and Scope

Current through Register Vol. 48, No. 28, July 12, 2024
a) This Part
			 establishes a uniform format for the reporting of information relating to
			 allegations of provider liability. Individual liability data records filed by
			 insurers pursuant to this Part will be held confidential by the Department, to
			 the same extent as is prescribed by Section 155.19 of the Illinois Insurance
			 Code [215
			 ILCS 5/155.19 ].
b) This Part shall apply to all companies
			 licensed to do insurance business in this State that are transacting the kind
			 or kinds of business described as Class 2(c) of Section 4 of the Illinois
			 Insurance Code [215 ILCS 5/4
			 ] and all other entities authorized or permitted by law as identified in
			 Section 155.19 of the Illinois Insurance Code [215
			 ILCS 5/155.19 ] and as defined in Section
			 928.30 of this
			 Part.
Illinois Administrative Code › Title 50 - INSURANCE › Part 928 - MEDICAL PROFESSIONAL LIABILITY DATABASE › Section 928.30 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
"Code" means the Illinois Insurance Code [215 ILCS 5 ].
"Department" means the Illinois Department of Insurance.
"Director" means the Director of the Illinois Department of
				Insurance.
"Insurance Claim" means a formal or written demand for
				compensation under a medical professional liability insurance policy relating
				to allegations of liability on the part of one or more providers, as defined in
				this Section, for any act, error or omission in the rendering of, or failure to
				render, medical services for medically related injuries. Insurance claim
				includes any instance for which benefits or compensation are payable or
				eligible to be paid under any coverage under the policy.
"Insurance Claim Closed" means any insurance claim, as defined
				in this Section, for which all indemnity and/or expense payments have been made
				or for which the loss or loss expense reserve is withdrawn by the
				insurer.
"Insurance Claim Filed" means any insurance claim, as defined
				in this Section, that alleges liability on the part of any provider, as defined
				in this Section, for medically related injuries and/or for which coverage is
				provided, for which a loss or loss expense reserve is established under a
				medical professional liability insurance policy.
"Insurer" means an insurance company that has delivered or
				issued for delivery in this State a medical professional liability insurance
				policy.
"Lawsuit" means a complaint filed in any court in this State
				alleging liability on the part of one or more providers, as defined in this
				Section, for any act, error or omission in the rendering of, or failure to
				render, medical services for medically related injuries.
"Lawsuit Closed" means any lawsuit, as defined in this Section,
				for which final disposition has been reached.
"Lawsuit Filed" means a lawsuit filed in any court of this
				State that alleges liability on the part of any physician, hospital or other
				health care provider for medically related injuries.
"Other Entity" means any stop loss insurer, captive insurer,
				risk retention group, county risk retention trust, religious or charitable risk
				pooling trust or surplus line insurer, or any other entity authorized or
				permitted by law to provide medical professional liability insurance as
				identified in Section 155.19 of the Code [215
				ILCS 5/155.19 ].
"Provider" means any physician, hospital facility, or other
				person that is licensed or otherwise authorized to furnish health care services
				and also includes any other entity that arranges for the delivery or furnishing
				of health care services. [215 ILCS
				125/1-2(12) ].
Illinois Administrative Code › Title 50 - INSURANCE › Part 928 - MEDICAL PROFESSIONAL LIABILITY DATABASE › Section 928.40 - Reports

Current through Register Vol. 48, No. 28, July 12, 2024
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) ].
Illinois Administrative Code › Title 50 - INSURANCE › Part 928 - MEDICAL PROFESSIONAL LIABILITY DATABASE › Section 928.43 - Supplement A to Schedule T Reconciliation

Current through Register Vol. 48, No. 28, July 12, 2024
a) To ensure completeness of the data
			 reported by insurers, medical professional liability losses and claim counts
			 shall be reconciled for claims using NAIC Annual Statement Exhibit of
			 Supplement A to Schedule T as seen in Exhibit E of this Part. Specifically, the
			 claims numbers reported under this Section shall correspond to the claims
			 numbers reported in Column "Number of Claims Direct Losses Paid". Also, loss
			 amounts filed under this Section shall correspond to the amounts reported under
			 "Amount Direct Losses Paid". The amounts listed on the reconciliation are the
			 sum of all the Supplement A to Schedule T Exhibits for the State of
			 Illinois.
b) If there are
			 discrepancies in claim counts and/or losses for a particular year, the insurer
			 must provide an explanation of discrepancies to the Department and make any
			 necessary amendments to the effected claims.
Illinois Administrative Code › Title 50 - INSURANCE › Part 928 - MEDICAL PROFESSIONAL LIABILITY DATABASE › Section 928.44 - General Submission Deadlines

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Data Submission
Reports are due on a quarterly basis no later than 45 days
				after the quarter's end. The reports shall be submitted electronically to the
				Illinois Department of Insurance through the following website:
http://insurance2.illinois.gov/applications/IMPLIUCR
.
				Insurers are responsible for contacting the Casualty Actuarial Unit for further
				detail on electronic submissions.
b) Data Reconciliation Submission
Supplement A to Schedule T Data Reconciliation Forms for the
				prior year shall be submitted no later than April 30 of the current year to
				DOI.MedMal@Illinois.gov or through mail addressed to the Illinois Department of
				Insurance, Casualty Actuarial Unit, 320 W. Washington St., Springfield,
				Illinois 62767-0001.
Illinois Administrative Code › Title 50 - INSURANCE › Part 928 - MEDICAL PROFESSIONAL LIABILITY DATABASE › Exhibit E - Supplement A to Schedule T Reconciliation Form

Current through Register Vol. 48, No. 28, July 12, 2024
SCHEDULE T DATA RECONCILIATION
				FORM
Company Name:
Line Number
Line
Loss paid - number of claims
Losses paid - dollar amount
1
Schedule T, Supplement A
2
Part 928 claim report totals
3
Difference (line 1 - line 2)
Adjustments to Schedule T
4
Sch T - payments reported in current year on claims
						  closed in prior years
5
Sch T - claims not reported in Part 928 claims data for
						  other reasons (claim not reportable in this State, etc.; specify in separate
						  explanation)
6
Correction for other discrepancies (occurrence vs.
						  claims reporting, other accounting issues, etc.; specify in separate
						  explanation)
7
Adjustments to Schedule T (line 1 - line 4 - line 5 -
						  line 6)
Adjustments to 928 Claims Data
8
Claims not reported on Schedule T for other reasons
						  (reported for another state, etc.; specify in separate explanation)
9
Other adjustments needed for claims data to reconcile
						  to Schedule T
10
Adjustments to claims data (line 2 - line 8 - line
						  9)
Reconciled Amounts
11
Difference in adjusted amounts (line 7 - line 10) -
						  this line should equal 0.
Explanation for adjustments on line 5:
Explanation for adjustments on line 6:
Explanation for adjustments on line 8:
Explanation for adjustments on line 9:
Illinois Administrative Code › Title 50 - INSURANCE › Part 929 - MEDICAL LIABILITY INSURANCE RULES AND RATE FILINGS › Subpart A - GENERAL PROVISIONS AND REPORTING REQUIREMENTS › Section 929.10 - Authority

Current through Register Vol. 48, No. 28, July 12, 2024
This Part is promulgated by the Director of the Department of
				  Insurance under Section 401 of the Illinois Insurance Code [215 ILCS
				  5/401 ] that empowers the Director
to make
				  reasonable rules and regulations as may be necessary for making
				  effective
the insurance laws of this State. This Part implements
				  Section 155.18 of the Illinois Insurance Code [215
				  ILCS 5/155.18 ].
Illinois Administrative Code › Title 50 - INSURANCE › Part 929 - MEDICAL LIABILITY INSURANCE RULES AND RATE FILINGS › Subpart A - GENERAL PROVISIONS AND REPORTING REQUIREMENTS › Section 929.15 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
"Code" means the Illinois Insurance Code [215 ILCS 5
				  ].
"Department" means the Illinois Department of
				  Insurance.
"Director" means the Director of the Illinois Department of
				  Insurance.
"SERFF" means the National Association of Insurance
				  Commissioners' web based System for Electronic Rate and Form Filing and
				  required by Section 143(2) of the Code that enables insurers and other
				  companies to streamline their rate and form filing process by filing the same
				  electronically at
http://www.serff.com/
.
Illinois Administrative Code › Title 50 - INSURANCE › Part 929 - MEDICAL LIABILITY INSURANCE RULES AND RATE FILINGS › Subpart A - GENERAL PROVISIONS AND REPORTING REQUIREMENTS › Section 929.20 - Purpose and Scope

Current through Register Vol. 48, No. 28, July 12, 2024
The purpose of this Part is to implement Section 155.18 of
				  the Illinois Insurance Code. This Part shall apply to all insurance on risks
				  based upon negligence by a physician, hospital or other health care provider,
				  referred to in the Code and this Part as medical liability insurance, the scope
				  of the implemented legislation.
Illinois Administrative Code › Title 50 - INSURANCE › Part 929 - MEDICAL LIABILITY INSURANCE RULES AND RATE FILINGS › Subpart A - GENERAL PROVISIONS AND REPORTING REQUIREMENTS › Section 929.30 - Filing Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				companies writing medical liability insurance are subject to this Section. Each
				company must file with the Director, in a manner prescribed in this Section,
				under its own name.
b) Rates - A
				company must file on its own behalf all rates for medical liability insurance,
				and:
1) File copies of a Rate Submission
				Letter using System for Electronic Rate and Form Filing (SERFF) or in another
				electronic format approved by the Director. This filing must include:
A) The name of the company making the
				filing;
B) FEIN of the company
				making the filing;
C)
				Identification of the classes of medical liability insurance to which the
				filing applies;
D) Notification of
				whether the filing is new or supersedes a present filing. Identification of all
				changes in superseding filings, as well as identification of all superseded
				filings is required;
E) The
				effective date of use; and
F)
				Certification by an officer of the company and a qualified actuary that the
				company's rates are based on sound actuarial principles and are not
				inconsistent with the company's experience.
Illinois Administrative Code › Title 50 - INSURANCE › Part 929 - MEDICAL LIABILITY INSURANCE RULES AND RATE FILINGS › Subpart A - GENERAL PROVISIONS AND REPORTING REQUIREMENTS › Section 929.50 - Exemption from Filings

Current through Register Vol. 48, No. 28, July 12, 2024
a) A company is
				not required to file under this Part for individual risks in this State that
				cannot be rated in the normal course of business because of special or unusual
				characteristics, as provided in Section 456(1)(c) of the Code and that must be
				rated on the basis of underwriting judgment.
b) A company must maintain documentary
				information regarding rates determined under subsection (a) for review by the
				Director.
Illinois Administrative Code › Title 50 - INSURANCE › Part 930 - LIFE INSURANCE SOLICITATION › Section 930.10 - Authority

Current through Register Vol. 48, No. 28, July 12, 2024
This Part is adopted and promulgated by the Director of
				Insurance pursuant to Section 401 and Article XXVI of the Illinois Insurance
				Code [215 ILCS 5/421 and 401 ] relating to unfair methods of competition and
				unfair deceptive acts and practices.
Illinois Administrative Code › Title 50 - INSURANCE › Part 930 - LIFE INSURANCE SOLICITATION › Section 930.20 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
a) The purpose of
			 this Part is to require insurers to deliver to purchasers of life insurance,
			 information which will improve the buyer's ability to select the most
			 appropriate plan of life insurance for his needs, improve the buyer's
			 understanding of the basic features of the policy which has been purchased or
			 which is under consideration and improve the ability of the buyer to evaluate
			 the relative costs of similar plans of life insurance.
b) This Part does not prohibit the use of
			 additional material which is not in violation of this Part or any other statute
			 or regulation.
Illinois Administrative Code › Title 50 - INSURANCE › Part 930 - LIFE INSURANCE SOLICITATION › Section 930.30 - Scope

Current through Register Vol. 48, No. 28, July 12, 2024
a) This Part shall
			 apply to any solicitation, negotiation or procurement of life insurance
			 occurring within this State. This Part shall apply to any issuer of life
			 insurance contracts including fraternal benefit societies.
b) This Part shall not apply to:
1) Annuities.
2) Credit life insurance.
3) Group life insurance (except for
			 disclosures relating to preneed funeral contracts or prearrangements as
			 provided in this Part; these disclosure requirements shall extend to the
			 issuance or delivery of certificates as well as to the master
			 policy).
4) Franchise life
			 insurance as defined in Construction and Filing of Life Insurance and Annuity
			 Forms (50 Ill. Adm. Code 1405).
5)
			 Life insurance policies issued in connection with pension and welfare plans as
			 defined by, and which are subject to, the federal Employee Retirement Income
			 Security Act of 1974 (ERISA) (
			 29 U.S.C.
			 1001 et seq.).
6) Variable life insurance under which the
			 death benefits and cash values vary in accordance with unit values of
			 investments held in a separate account.
Illinois Administrative Code › Title 50 - INSURANCE › Part 930 - LIFE INSURANCE SOLICITATION › Section 930.40 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
For the purposes of this Part, the following definitions shall
				apply:
a) Buyer's Guide. A Buyer's
			 Guide is a document that contains the language contained in Exhibit A or the
			 National Association of Insurance Commissioner's (NAIC) Life Insurance Buyer's
			 Guide contained in Exhibit B, as prescribed by Section
			 930.80
			 of this Part.
b) Cash Dividend. A
			 Cash Dividend is the current illustrated dividend that can be applied toward
			 payment of the gross premium.
c)
			 Equivalent Level Annual Dividend. The Equivalent Level Annual Dividend is
			 calculated by applying the following steps:
1)
			 Accumulate the annual cash dividends at five percent interest compounded
			 annually to the end of the tenth and twentieth policy years.
2) Divide each accumulation of subsection
			 (c)(1) by an interest factor that converts it into one equivalent level annual
			 amount that, if paid at the beginning of each year, would accrue to the values
			 in subsection (c)(1) over the respective periods stipulated in subsection
			 (c)(1). If the period is ten years, the factor is 13.207 and if the period is
			 twenty years, the factor is 34.719.
3) Divide the results of subsection (c)(2) by
			 the number of thousands of the Equivalent Level Death Benefit to arrive at the
			 Equivalent Level Annual Dividend.
Illinois Administrative Code › Title 50 - INSURANCE › Part 930 - LIFE INSURANCE SOLICITATION › Section 930.50 - Disclosure Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Except
			 in the case of a direct response insurance product, the insurer shall provide,
			 to all applicants, a Buyer's Guide prior to accepting the applicant's initial
			 premium or premium deposit. The Buyer's Guide must be delivered with a direct
			 response policy or prior to delivery of a direct response policy. A Policy
			 Summary must be delivered with, or prior to, delivery of either an agent
			 solicited policy or direct response policy.
b) Upon request, the insurer shall provide a
			 Buyer's Guide and a Policy Summary to any prospective purchaser prior to
			 application.
c) In the case of
			 policies whose Equivalent Level Death Benefit does not exceed $5,000, the
			 requirement for providing a Policy Summary will be satisfied by delivery of a
			 written statement containing the information described in Section
			 930.40(i)(1)(B)-(E)(iii), (i)(1)(F), (i)(1)(G), (i)(1)(J), and
			 (i)(1)(K).
d) A policy summary is
			 not required to include information available in the policy form or
			 illustrations. If an illustration subject to the requirements of 50 Ill. Adm.
			 Code
			 1406.50(b)
			 is used in the sale of a policy, a policy summary does not have to be provided.
			 Only "guaranteed elements" may be shown in the policy summary.
Illinois Administrative Code › Title 50 - INSURANCE › Part 930 - LIFE INSURANCE SOLICITATION › Section 930.60 - Preneed Funeral Contracts or Prearrangements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The following information shall be given
			 in writing to the applicant at the time an application is made, prior to
			 accepting the applicant's initial premium or deposit for a preneed funeral
			 contract or prearrangement as defined in Section
			 930.50(j)
			 which is funded or to be funded by a life insurance policy:
1) the fact that a life insurance policy is
			 involved or being used to fund a prearrangement,
2) the nature of the relationship among the
			 soliciting agent or agents, the provider of the funeral or cemetery merchandise
			 or services, and any other person,
3) the relationship of the life insurance
			 policy to the funding of the prearrangement and the nature and existence of any
			 guarantees relating to the prearrangement,
4) the impact on the prearrangement:
A) of any changes in the life insurance
			 policy including but not limited to, changes in the assignment, beneficiary
			 designation or use of the proceeds,
B) of any penalties to be incurred by the
			 policyholder as a result of failure to make premium payments,
C) of any penalties to be incurred or monies
			 to be received as a result of cancellation or surrender of the life insurance
			 policy,
5) the fact that
			 the family or representative of the deceased has the right to change the choice
			 of the provider of the funeral/cemetery merchandise and services upon the
			 demise of the insured,
6) an
			 itemized list of the merchandise and services which are applied or contracted
			 for in the prearrangement and all information concerning the price of the
			 funeral service, including an indication that the purchase price is either
			 guaranteed at the time of purchase or to be determined at the time of
			 need,
7) all information
			 concerning:
A) the disposition of any
			 proceeds from the policy in excess of the amount needed to fund the
			 prearrangement; and
B) any
			 remaining or outstanding obligations of the estate for payment of any
			 difference between the amount actually needed to fund the prearrangement and
			 the life insurance policy proceeds; and
C) payment of proceeds to a secondary
			 beneficiary in the event the policy proceeds exceed the prearranged costs of
			 the funeral/cemetery merchandise and services,
8) any penalties or restrictions, including
			 but not limited to geographic restrictions or the inability of the provider to
			 perform, on the delivery of merchandise, services or the prearrangement
			 guarantee.
Illinois Administrative Code › Title 50 - INSURANCE › Part 930 - LIFE INSURANCE SOLICITATION › Section 930.70 - General Rules

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each insurer
			 shall maintain at its home office or principal office, a complete file
			 containing one copy of each document authorized by the insurer for use pursuant
			 to this Part. Such file shall contain one copy of each authorized form for a
			 period of three years following the date of its last authorized use.
b) An agent shall inform the prospective
			 purchaser, prior to commencing a life insurance sales presentation, that he is
			 acting as a life insurance agent and inform the prospective purchaser of the
			 full name of the insurance company which he is representing to the buyer. In
			 sales situations in which an agent is not involved, the insurer shall identify
			 its full name.
c) Terms such as
			 financial planner, investment advisor, financial consultant, or financial
			 counseling shall not be used in such a way as to imply that the insurance agent
			 is generally engaged in an advisory business in which compensation is unrelated
			 to sales unless such is actually the case.
d) Any reference to policy dividends must
			 include a statement that dividends are not guaranteed.
e) A system or presentation which does not
			 recognize the time value of money through the use of appropriate interest
			 adjustments shall not be used for comparing the cost of two or more life
			 insurance policies. Such a system may be used for the purpose of demonstrating
			 the cash-flow pattern of a policy if such presentation is accompanied by a
			 statement disclosing that the presentation does not recognize that, because of
			 interest, a dollar in the future has less value than a dollar today.
f) A presentation of benefits shall not
			 display guaranteed and non-guaranteed benefits as a single sum unless they are
			 shown separately in close proximity thereto.
g) A statement regarding the use of the Life
			 Insurance Cost Indexes shall include an explanation to the effect that the
			 indexes are useful only for the comparison of the relative costs of two or more
			 similar policies.
h) A Life
			 Insurance Code Index which reflects dividends or an Equivalent Level Annual
			 Dividend shall be accompanied by a statement that it is based on the company's
			 current dividend scale and is not guaranteed.
i) For the purposes of this Part, the annual
			 premium for a basic policy or rider, for which the company reserves the right
			 to change the premium, shall be the maximum annual premium.
Illinois Administrative Code › Title 50 - INSURANCE › Part 930 - LIFE INSURANCE SOLICITATION › Section 930.80 - Life Insurance Buyer's Guide, Language and Content

Current through Register Vol. 48, No. 28, July 12, 2024
The form requirements of the Life Insurance Buyer's Guide are
				found in Exhibit A or Exhibit B of this Part. The reproduction of the Buyer's
				Guide should be as specified in Exhibit A or Exhibit B, except that the
				designation "Exhibit A" or "Exhibit B" assigned by the Illinois Department of
				Insurance should not be used.
Illinois Administrative Code › Title 50 - INSURANCE › Part 930 - LIFE INSURANCE SOLICITATION › Section 930.90 - Failure to Comply

Current through Register Vol. 48, No. 28, July 12, 2024
Failure of an insurer to provide or deliver a Buyer's Guide, or
				a Policy Summary as provided in Section
				930.50
				shall constitute an omission which misrepresents the benefits, advantages,
				conditions or terms of an insurance policy.
Illinois Administrative Code › Title 50 - INSURANCE › Part 931 - REQUIRED PROCEDURE FOR CONSUMER COMPLAINT NOTIFICATION › Section 931.10 - Authority

Current through Register Vol. 48, No. 28, July 12, 2024
This Part is promulgated by the Director of Insurance pursuant
				to Section 401 of the Illinois Insurance Code (Ill. Rev. Stat. 1981, ch. 73,
				par. 1013), which empowers the Director "... to make reasonable rules and
				regulations as may be necessary for making effective..." the insurance laws of
				this state. The purpose of this Part is to implement Section 143(c) of the
				Illinois Insurance Code (Ill. Rev. Stat. 1981, ch. 73, par.
				755(c)).
Illinois Administrative Code › Title 50 - INSURANCE › Part 931 - REQUIRED PROCEDURE FOR CONSUMER COMPLAINT NOTIFICATION › Section 931.20 - Scope

Current through Register Vol. 48, No. 28, July 12, 2024
a) This Part shall
			 apply to all companies authorized to transact insurance business as set forth
			 in Classes 1, 2 or 3 of Section 4 of the Illinois Insurance Code, except for
			 those lines of insurance enumerated in Section
			 931.50 of this
			 Part.
b) This Part shall apply to
			 any policy or certificate issued as new business and:
1) The first renewal of a policy or
			 certificate issued after the effective date of this Part;
2) The first continuation of notice of any
			 policy or certificate written on a continuous basis, or with no fixed
			 expiration date, issued after the effective date of this Part;
3) Any binders of insurance issued or
			 delivered in this State.
Illinois Administrative Code › Title 50 - INSURANCE › Part 931 - REQUIRED PROCEDURE FOR CONSUMER COMPLAINT NOTIFICATION › Section 931.30 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
The requirement of providing "Written Notice" shall be
				satisifed by:
a) Any printed notice
			 delivered with a policy or certificate;
b) Any adhering label attached to a policy or
			 certificate;
c) Any computerized
			 notice issued concurrently with a computer issued policy or
			 certificate;
d) Any other form of
			 individual written notice substantially similar to the above.
Illinois Administrative Code › Title 50 - INSURANCE › Part 931 - REQUIRED PROCEDURE FOR CONSUMER COMPLAINT NOTIFICATION › Section 931.40 - Procedures for Notification

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 address to be used for the Department of Insurance should be: Illinois
			 Department of Insurance, Consumer Division or Public Services Section,
			 Springfield, Illinois 62767.
b) The
			 address to be used for the company shall be an office that can service all
			 types of complaints. If one office cannot service all types of complaints, then
			 the additional addresses of each appropriate service office must be
			 given.
c) In addition to providing
			 the required addresses, the notification should set forth the minimum amount of
			 information included in the following suggested wording: "This notice is to
			 advise you that should any complaints arise regarding this insurance, you may
			 contact the following:"
Illinois Administrative Code › Title 50 - INSURANCE › Part 931 - REQUIRED PROCEDURE FOR CONSUMER COMPLAINT NOTIFICATION › Section 931.50 - Exceptions

Current through Register Vol. 48, No. 28, July 12, 2024
The following types of insurance are exempted from this
				Part:
a) Ocean Marine;
b) Fidelity and Surety;
c) Other Inland Marine risks which, by
			 general custom, are not written according to manual rates or rating
			 plans;
d) Single Premium Short Term
			 Travel Accident policies.
Illinois Administrative Code › Title 50 - INSURANCE › Part 931 - REQUIRED PROCEDURE FOR CONSUMER COMPLAINT NOTIFICATION › Section 931.60 - Severability

Current through Register Vol. 48, No. 28, July 12, 2024
If any Section or portion of a Section of this Part, or
				applicability thereof to any person or circumstance, is held invalid by a
				court, the remainder of the Part, or the applicability of such provision or
				circumstance, shall not be affected thereby.
Illinois Administrative Code › Title 50 - INSURANCE › Part 932 - AUTOMOBILE ANTI-THEFT MECHANISMS › Section 932.10 - Authority

Current through Register Vol. 48, No. 28, July 12, 2024
This Part is issued by the Director of Insurance pursuant to
				Section 401 of the Illinois Insurance Code, which empowers the Director to make
				reasonable Rules and Regulations as may be necessary for making effective the
				insurance laws of this State. This Part implements Section 143.28 of the
				Illinois Insurance Code by establishing guidelines and procedures for the
				approval of anti-theft mechanisms for purposes of obtaining automobile
				insurance premium reductions requiring all insurance companies to allow
				appropriate reductions for rates and premium charges for insured automobiles
				that are equipped with anti-theft mechanisms or devices approved by the
				Director.
Illinois Administrative Code › Title 50 - INSURANCE › Part 932 - AUTOMOBILE ANTI-THEFT MECHANISMS › Section 932.20 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
Anti-Theft Mechanism means any passive or active anti-theft
				system and passive or active anti-theft devices permanently installed, either
				as original equipment from the manufacturer or as after market equipment on the
				vehicle, that is designed to inhibit the theft of the vehicle or its
				components.
Illinois Administrative Code › Title 50 - INSURANCE › Part 932 - AUTOMOBILE ANTI-THEFT MECHANISMS › Section 932.30 - Scope

Current through Register Vol. 48, No. 28, July 12, 2024
This Part applies to all private passenger motor vehicles and
				to pick-up trucks rated as private passenger automobiles, and policies of
				automobile insurance as described in Section 143.13(a) of the Illinois
				Insurance Code [215
				ILCS 5/143.13(a) ].
Illinois Administrative Code › Title 50 - INSURANCE › Part 932 - AUTOMOBILE ANTI-THEFT MECHANISMS › Section 932.40 - Discounts to Qualified Motor Vehicles

Current through Register Vol. 48, No. 28, July 12, 2024
All insurance companies issuing policies of automobile
				insurance, as defined in Section 143.13(a) of the Illinois Insurance Code
				[215
				ILCS 5/143.13(a) ], that insure
				automobiles that are equipped with anti-theft mechanisms shall allow a discount
				on comprehensive coverage to qualifying automobiles in an amount deemed
				appropriate by the insurer. The discount shall not be less than 5% on
				comprehensive coverage.
Illinois Administrative Code › Title 50 - INSURANCE › Part 932 - AUTOMOBILE ANTI-THEFT MECHANISMS › Section 932.50 - General Rules Applicable To All Anti-Theft Mechanisms

Current through Register Vol. 48, No. 28, July 12, 2024
a) Unless otherwise specified, if two or more
			 anti-theft mechanisms are installed to the same vehicle, the total discounts
			 shall be that applicable to the anti-theft mechanism for the highest
			 discount.
b) Insurers may require
			 reasonable evidence of installation of any anti-theft mechanism but the insurer
			 may not make requests so onerous as to effectually discourage the owner from
			 seeking the applicable discount.
Illinois Administrative Code › Title 50 - INSURANCE › Part 932 - AUTOMOBILE ANTI-THEFT MECHANISMS › Section 932.70 - Severability Provision

Current through Register Vol. 48, No. 28, July 12, 2024
If any Section or portion of a Section of this Part or the
				applicability thereof to any person or circumstance is held invalid by a court,
				the remainder of the Part or the applicability of such provision to other
				persons or circumstances shall not be affected thereby.
Illinois Administrative Code › Title 50 - INSURANCE › Part 934 - USAGE OF SMOKER/NONSMOKER MORTALITY TABLES IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS › Section 934.10 - Authority

Current through Register Vol. 48, No. 28, July 12, 2024
This Part is promulgated by the Director of Insurance pursuant
				to Sections 223, 229.2 and 401 of the Illinois Insurance Code (Ill. Rev. Stat.
				1983 and 1984 Supp., ch. 73, pars. 835, 841.2 and 1013).
Illinois Administrative Code › Title 50 - INSURANCE › Part 934 - USAGE OF SMOKER/NONSMOKER MORTALITY TABLES IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS › Section 934.20 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
The purpose of the Part is to permit the use of mortality
				tables that reflect differences in mortality between smokers and nonsmokers in
				determining minimum reserve liabilities and minimum cash surrender values and
				amounts of paid-up nonforfeiture benefits for plans of insurance with separate
				premium rates for smokers and nonsmokers. This Part shall apply to any ordinary
				life insurance policy delivered or issued for delivery in this State after the
				operative date chosen by the company for the policy form pursuant to Section
				229.2 of the Illinois Insurance Code.
Illinois Administrative Code › Title 50 - INSURANCE › Part 934 - USAGE OF SMOKER/NONSMOKER MORTALITY TABLES IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS › Section 934.30 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
a) "1980 CSO Table,
			 with or without Ten-Year Select Mortality Factor" means that mortality table,
			 consisting of separate rates of mortality for male and female lives, developed
			 by the Society of Actuaries Committee to Recommend New Mortality Tables for
			 Valuation of Standard Individual Ordinary Life Insurance, incorporated in the
			 1980 NAIC Amendments to the Model Standard Valuation Law and Standard
			 Nonforfeiture Law for Life Insurance, and referred to in those models as the
			 Commissioners 1980 Standard Ordinary Mortality Table, with or without Ten-Year
			 Select Mortality Factors. The same select factors as published in the 1981
			 Proceedings for the NAIC, vol. II, pp. 842-844 will be used for both smokers
			 and nonsmokers tables. No later amendments or editions to these Select Factors
			 shall be included.
b) "1980 CET
			 Table" means that mortality table consisting of separate rates of mortality for
			 male and female lives, developed by the Society of Actuaries Committee to
			 Recommend New Mortality Tables for Valuation of Standard Individual Ordinary
			 Life Insurance, incorporated in the 1980 NAIC Amendments to the Model Standard
			 Nonforfeiture Law for Life Insurance, and referred to in those models as the
			 Commissioners 1980 Extended Term Insurance Table.
c) "1958 CSO Table" means that mortality
			 table developed by the Society of Actuaries Special Committee on New Mortality
			 Tables, incorporated in the NAIC Model Standard Nonforfeiture Law for Life
			 Insurance, and referred to in that model as the Commissioners 1958 Standard
			 Ordinary Mortality Table.
d) "1958
			 CET Table" means that mortality table developed by the Society of Actuaries
			 Special Committee on New Mortality Tables, incorporated in the NAIC Model
			 Standard Nonforfeiture Law for Life Insurance, and referred to in that model as
			 the Commissioners 1958 Extended Term Insurance Table.
e) "Smoker and Nonsmoker Mortality Tables"
			 refers to mortality tables with separate rates of mortality for smokers and
			 nonsmokers derived from the 1980 and 1958 CSO and CET mortality tables, which
			 were developed by the Society of Actuaries Task Force on Smoker/Nonsmoker
			 Mortality and the California Insurance Department and which were adopted by the
			 NAIC in December, 1983.
f)
			 "Composite Mortality Tables" refers to the 1980 and 1958 CSO and CET mortality
			 tables as they were originally published with rates of mortality that do not
			 distinguish between smokers and nonsmokers.
g) "NAIC" means the National Association of
			 Insurance Commissioners.
h) The
			 Tables defined in subsections (a) through (f) of this Section shall not include
			 any subsequent amendments or editions.
Illinois Administrative Code › Title 50 - INSURANCE › Part 934 - USAGE OF SMOKER/NONSMOKER MORTALITY TABLES IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS › Section 934.40 - Utilization of the 1958 CSO and CET Smoker and Nonsmoker Mortality Tables

Current through Register Vol. 48, No. 28, July 12, 2024
a) In determining
			 minimum reserve liabilities, minimum cash surrender values and amounts of
			 paid-up nonforfeiture benefits the 1958 CSO and CET Smoker and Nonsmoker
			 Mortality Tables may only be used as set forth in this Section. The
			 requirements of this Section shall apply to any insurance policy to be
			 delivered or issued for delivery in this State after the operative date chosen
			 by the company for that policy form pursuant to Section 229.2(4c)(k) of the
			 Illinois Insurance Code (Ill. Rev. Stat. 1983 and 1984 Supp., ch. 73, par.
			 841.2(4c)(k) ) and before January 1, 1989.
b) A company may elect to use the 1958 CSO
			 Smoker and Nonsmoker Mortality Tables rather than the 1980 CSO Table, with or
			 without Ten Year Mortality Factors.
c) A company may elect to use 1958 CET Smoker
			 and Nonsmoker Mortality Tables rather than the 1980 CET Table.
d) For any category of insurance issued on
			 female lives with minimum reserve liabilities and minimum cash surrender values
			 and amounts of paid-up nonforfeiture benefits determined using the 1958 CSO or
			 1958 CET Smoker and Nonsmoker Mortality Tables, such minimum value may be
			 calculated according to an age not more than six years younger than the actual
			 age of the insured.
e) The 1958 CSO
			 and CET Smoker and Nonsmoker Mortality Tables shall be utilized only if they
			 are applicable to every insurance policy corresponding to the policy form for
			 which the company has elected to use these tables.
f) A company's election to use the 1958 CSO
			 and/or CET Smoker and Nonsmoker Mortality Tables is final and may not be
			 reversed under any circumstance.
g)
			 Utilization of the 1958 CSO and CET Smoker Mortality Tables is subject to the
			 conditions set forth in Section
			 934.60.
Illinois Administrative Code › Title 50 - INSURANCE › Part 934 - USAGE OF SMOKER/NONSMOKER MORTALITY TABLES IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS › Section 934.50 - Utilization of the 1980 CSO and CET Smoker and Nonsmoker Mortality Tables

Current through Register Vol. 48, No. 28, July 12, 2024
a) In determining
			 minimum reserve liabilities, minimum cash surrender values and amounts of
			 paid-up nonforfeiture benefits the 1980 CSO and CET Smoker and Nonsmoker
			 Mortality Tables may only be used as set forth in this Section. The
			 requirements of this Section shall apply to any insurance policy to be issued
			 or issued for delivery in this state after the operative date chosen by the
			 company for that policy form pursuant to Section 229.2(4c) of the Illinois
			 Insurance Code.
b) A company may
			 elect to use the 1980 CSO Smoker and Nonsmoker Mortality Tables rather than the
			 1980 CSO Table, with or without Ten-Year Select Mortality Factors.
c) A company may elect to use the 1980 CET
			 Smoker and Nonsmoker Mortality Tables rather than the 1980 CET Table.
d) The 1980 CSO and CET Smoker and Nonsmoker
			 Mortality Tables shall be utilized only if they are applicable to each policy
			 issued under a plan of insurance of which the company has elected to use these
			 tables.
e) A company's election to
			 use either 1980 CSO and/or CET Smoker and Nonsmoker Mortality Tables is final
			 with respect to any plan of insurance and may not be reversed for in force
			 business.
f) Utilization of the
			 1980 CSO and CET Smoker and Nonsmoker Mortality Tables is subject to the
			 conditions set forth in Section
			 934.60.
Illinois Administrative Code › Title 50 - INSURANCE › Part 934 - USAGE OF SMOKER/NONSMOKER MORTALITY TABLES IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS › Section 934.60 - Conditions

Current through Register Vol. 48, No. 28, July 12, 2024
For each plan of insurance with separate rates for smokers and
				nonsmokers, an insurance company may:
a) use composite mortality tables to
			 determine minimum reserve liabilities and minimum cash surrender values and
			 amounts of paid-up nonforfeiture benefits, or
b) use smoker and nonsmoker mortality tables
			 to determine the valuation net premiums and additional minimum reserves, if
			 any, required by Section 223(3)(e) of the Illinois Insurance Code and use
			 composite mortality tables to determine the basic minimum reserves, minimum
			 cash surrender values and amounts of paid-up nonforfeiture benefits,
			 or
c) use smoker and nonsmoker
			 mortality tables to determine minimum reserve liabilities and minimum cash
			 surrender values and amounts of paid-up nonforfeiture benefits.
Illinois Administrative Code › Title 50 - INSURANCE › Part 934 - USAGE OF SMOKER/NONSMOKER MORTALITY TABLES IN DETERMINING MINIMUM RESERVE LIABILITIES AND NONFORFEITURE BENEFITS › Section 934.70 - Severability

Current through Register Vol. 48, No. 28, July 12, 2024
If any Section or portion of a Section of this Part, or the
				applicability thereof to any person or circumstance, is held invalid by a
				court, the remainder of the Part, or the applicability of such provision or
				circumstance, shall not be affected thereby.
Illinois Administrative Code › Title 50 - INSURANCE › Part 935 - THE MINIMUM MORTALITY STANDARD FOR VALUATION OF ANNUITY AND PURE ENDOWMENT CONTRACTS › Section 935.10 - Authority

Current through Register Vol. 48, No. 28, July 12, 2024
This Part is promulgated by the Director of Insurance pursuant
				to Sections 223 and 401 of the Illinois Insurance Code [215 ILCS 5/223 and 401
				].
Illinois Administrative Code › Title 50 - INSURANCE › Part 935 - THE MINIMUM MORTALITY STANDARD FOR VALUATION OF ANNUITY AND PURE ENDOWMENT CONTRACTS › Section 935.20 - Purpose

Current through Register Vol. 48, No. 28, July 12, 2024
The purpose of this Part is to recognize the following
				mortality tables for use in determining the minimum standard of valuation of
				annuity and pure endowment contracts: the 1983 Table "a", the 1983 Group
				Annuity Mortality (1983 GAM) Table, the Annuity 2000 Mortality Table, 1994
				Group Annuity Reserving (1994 GAR) Table, and the 2012 Individual Annuity
				Reserving (2012 IAR) Table.
Illinois Administrative Code › Title 50 - INSURANCE › Part 935 - THE MINIMUM MORTALITY STANDARD FOR VALUATION OF ANNUITY AND PURE ENDOWMENT CONTRACTS › Section 935.30 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
"1983 Table "a"" means that mortality table developed by the
				Society of Actuaries Committee to Recommend a New Mortality Basis for
				Individual Annuity Valuation and adopted as a recognized mortality table for
				annuities in June 1982 by the National Association of Insurance
				Commissioners.
"1983 Group Annuity Mortality Table" or "GAM Table" means that
				mortality table developed by the Society of Actuaries Committee on Annuities
				and adopted as a recognized mortality table for annuities in December 1983 by
				the National Association of Insurance Commissioners.
"1994 Group Annuity Reserving Table" or "GAR Table" means that
				mortality table developed by the Society of Actuaries Group Annuity Valuation
				Table Task Force and adopted as a recognized mortality table for annuities in
				December 1996 by the National Association of Insurance Commissioners (NAIC) as
				published in the Transactions of the Society of Actuaries, Vol. XLVII, pp.
				866-867. No later amendments or editions shall be included.
"Annuity 2000 Mortality Table" means that mortality table
				developed by the Society of Actuaries Committee on Life Insurance Research and
				adopted as a recognized mortality table for annuities in December 1996 by the
				NAIC as published in the Transactions of the Society of Actuaries, Vol. XLVII,
				p. 240. No later amendments or editions shall be included.
"Period Table" means a table of mortality rates applicable to a
				given calendar year (the Period).
"Generational Mortality Table" means a mortality table
				containing a set of mortality rates that decrease for a given age from one year
				to the next based on a combination of a Period table and a projection scale
				containing rates of mortality improvement.
"2012 IAR Table" means the Generational mortality table
				developed by the Society of Actuaries Committee on Life Insurance Research and
				containing rates,
Image
, derived from a
				combination of the 2012 IAM Period Table and Projection Scale G2, using the
				methodology stated in Section 935.45.
"2012 Individual Annuity Mortality Period Life Table" or "2012
				IAM Period" means the Period table containing loaded mortality rates for
				calendar year 2012. This table contains rates,
Image
, developed
				by the Society of Actuaries Committee on Life Insurance Research and is shown
				in Illustrations A and B.
"Projection Scale G2" or "Scale G2" is a table of annual rates,
				G2x, of mortality improvement by age for projecting
				future mortality rates beyond calendar year 2012. This table was developed by
				the Society of Actuaries Committee on Life Insurance Research and is shown in
				Illustrations C and D.