Part 5421 - HEALTH MAINTENANCE ORGANIZATION

  1. § 5421.10 - Scope (Recodified)
  2. § 5421.20 - Definitions (Recodified)
  3. § 5421.30 - Valuation of Investments (Recodified)
  4. § 5421.40 - Grievance Procedure (Recodified)
  5. § 5421.50 - Contracts, Administrative Arrangements and Material Modifications (Recodified)
  6. § 5421.60 - Rates (Recodified)
  7. § 5421.70 - Subordinated Indebtedness (Recodified)
  8. § 5421.80 - Financial Reporting (Recodified)
  9. § 5421.90 - Conflict of Interest and Required Disclosure (Recodified)
  10. § 5421.100 - Solicitation (Recodified)
  11. § 5421.110 - Requirements for Group Contracts, Evidences of Coverage and Individual Contracts (Recodified)
  12. § 5421.111 - Cancellation (Recodified)
  13. § 5421.112 - Form Filing Requirements (Recodified)
  14. § 5421.113 - Point of Service Plan Requirements (Recodified)
  15. § 5421.120 - Internal Security Standards and Fidelity Bonds (Recodified)
  16. § 5421.130 - Basic Health Care Services (Recodified)
  17. § 5421.131 - Basic Outpatient Preventive and Primary Health Care Services for Children (Recodified)
  18. § 5421.132 - Required Coverage for Reconstructive Surgery Following Mastectomies (Recodified)
  19. § 5421.140 - General Provisions (Recodified)
  20. § 5421.141 - Producer Licensing Requirements (Recodified)
  21. § 5421.142 - Limited Insurance Representative Requirements - Public Aid and Medicare Enrollers (Recodified)
  22. § 5421.150 - Severability (Recodified)
  23. § 5421.160 - Effective Date (Repealed)

Current through Register Vol. 46, No. 15, April 8, 2022

Notes

Filed June 16, 1976, effective July 1, 1976; codified at 7 Ill. Reg. 3016; amended at 15 Ill. Reg. 199, effective December 28, 1990; amended at 20 Ill. Reg. 10639, effective July 25, 1996; recodified at 21 Ill. Reg. 1729; emergency amendment at 21 Ill. Reg. 15262, effective November 18, 1997, for a maximum of 150 days; amended at 22 Ill. Reg. 6671, effective March 31, 1998; amended at 23 Ill. Reg. 5690, effective May 3, 1999; emergency amendment at 26 Ill. Reg. 5146, effective March 25, 2002, for a maximum of 150 days; amended at 26 Ill. Reg. 13088, effective August 19, 2002; amended at 28 Ill. Reg. 14412, effective October 19, 2004; amended at 30 Ill. Reg. 4732, effective March 2, 2006; amended at 37 Ill. Reg. 14032, effective August 26, 2013; amended at 38 Ill. Reg. 2272, effective January 2, 2014.

Amended at 38 Ill. Reg. 23437, effective 11/25/2014. Amended at 39 Ill. Reg. 6505, effective 4/24/2015. Recodified from 50 Ill. Adm. Code 5421 to 50 Ill. Adm. Code 4521 at 41 Ill. Reg. 4985.

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

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