(215 ILCS 125/2-3)
(from Ch. 111 1/2, par. 1405)
Powers of health maintenance organizations.
The powers of a health maintenance organization include, but are not
limited to the following:
(a) The purchase, lease, construction, renovation, operation, or
maintenance of hospitals, medical facilities or both, and their ancillary
equipment, and such property as may reasonably be required for its
principal office or for such other purposes as may be necessary in the
transaction of the business of the organization.
(b) The making of loans to a medical group under contract with it and in
furtherance of its program or the making of loans to a corporation or
corporations under its control for the purpose of acquiring or constructing
medical facilities at hospitals or in furtherance of a program providing
health care services for enrollees.
(c) The furnishing of health care services through providers which are
under contract with or employed by the health maintenance
(d) The contracting with any person for the performance on its behalf of
certain functions such as marketing, enrollment and administration.
(e) The contracting with an insurance company licensed in this State, or
with a hospital, medical, dental, vision or pharmaceutical service
corporation authorized to do business in this State, for the provision of
insurance, indemnity, or reimbursement against the cost of health care
service provided by the health maintenance organization.
(f) The offering, in addition to basic health care services, of (1)
health care services, (2) indemnity benefits covering out of area or
emergency services, (3) indemnity benefits provided through insurers or
hospital, medical, dental, vision, or pharmaceutical service
corporations, and (4) health maintenance organization point-of-service
benefits as authorized under Article 4.5.
(g) Rendering services related to the functions involved in the
operating of its health maintenance organization business including but not
limited to providing health services, data processing, accounting, or
(g-5) Indemnification for services provided to a child as required under
subdivision (e)(3) of Section 4-2.
(h) Any other business activity reasonably complementary or
supplementary to its health maintenance organization business to the extent
approved by the Director.
(Source: P.A. 92-135, eff. 1-1-02.)