Bill > HB3800

This bill makes various changes to Illinois insurance laws across multiple areas. Specifically: This bill amends the Illinois Insurance Code to make several key modifications. For industrial insureds procuring insurance from unauthorized insurers, the bill updates reporting and tax requirements, including reducing the tax rate from a percentage to a flat 0.5% of gross premiums. It revises standards for insurance company approvals, requiring the Director to assess not just the company's plan and leadership, but also evaluate potential financial or ownership concerns that might impact solvency. The bill changes recoupment rules for health care providers, allowing insurers to request recoupment outside the standard 12-month window if both parties mutually agree to a different timeframe. For network adequacy regulations, the bill excludes stand-alone dental plans from certain requirements and stipulates that federal standards will apply to such plans if established. Beginning in 2026, the bill will require network hospitals to have at least one radiologist, pathologist, anesthesiologist, and emergency room physician as preferred providers. The bill also updates provider directory transparency requirements, including more detailed information about providers and stricter update and audit processes. Additionally, it makes technical changes to several related insurance laws, such as the Health Maintenance Organization Act and the Limited Health Service Organization Act, to incorporate these new provisions. Most provisions take effect immediately, with specific sections like public adjuster license fees and reinsurance agreement changes having delayed implementation dates.

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https://www.ilga.gov/legislation/BillStatus.asp?DocNum=3800&GAID=18&DocTypeID=HB&SessionID=114&GA=104