Section 4525.60  Filing and Approval of Grievance Procedure

Every managed care dental plan shall submit for the Director's approval, and thereafter maintain, a system for the resolution of grievances pursuant to Section 35(n) of the Act [215 ILCS 109/35(n)].  The initial grievance procedure shall be filed with the annual financial statement by March 1 of the year after the managed care dental plan is formed.  Subsequent filings of the grievance procedure will only be required, pursuant to Section 4525.80 of this Part, if material modifications occur and are to be submitted to the Life, Accident and Health Compliance Unit of the Department in accordance with the filing requirements of 50 Ill. Adm. Code 916.

(Source:  Amended at 31 Ill. Reg. 9445, effective June 20, 2007)