Illinois · 104th session
Amends the Illinois Insurance Code. Establishes reporting requirements for a health insurance issuer offering group or individual health insurance coverage concerning the ratio of the incurred loss or incurred claims plus the loss adjustment expense or change in contract reserves to earned premiums. Requires compliance under federal reporting regulations. Requires supplemental reports to be filed with the Director of Insurance or supplemental rebate payments to be made, as provided, if specified federal regulations are amended to repeal the reporting or rebate requirements. In provisions concerning benefits for treatment services for inpatient and outpatient treatment of substance use disorders or conditions, provides that, except to the extent prohibited by provisions concerning mental, emotional, nervous, or substance use disorder or condition parity with respect to treatment limitations in a benefit classification or subclassification, the insurer may require the substance use disorder treatment provider or facility to notify the insurer of the initiation of treatment. In provisions concerning requirements, beginning January 1, 2026, for coverage for medically necessary…
Public Act . . . . . . . . . 104-0028 (2025-07-01)