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| | 103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
SB1289 Introduced 2/3/2023, by Sen. Laura Fine SYNOPSIS AS INTRODUCED:
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Amends the Illinois Insurance Code. Provides that no insurer, dental service plan corporation, professional service corporation, insurance network leasing company, or any company that amends, delivers, issues, or renews an individual or group policy of accident and health insurance on or after the effective date of the amendatory Act shall require a dental care provider to incur a fee to access and obtain payment or reimbursement for services provided. Provides that a dental plan carrier shall provide a dental care provider with 100% of the contracted amount of the payment or reimbursement. Effective immediately.
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| | A BILL FOR |
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| | SB1289 | | LRB103 05989 BMS 51011 b |
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| 1 | | AN ACT concerning regulation.
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| 2 | | Be it enacted by the People of the State of Illinois,
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| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Insurance Code is amended by |
| 5 | | adding Section 355.5 as follows:
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| 6 | | (215 ILCS 5/355.5 new) |
| 7 | | Sec. 355.5. Dental coverage reimbursement; prohibitions. |
| 8 | | No insurer, dental service plan corporation, professional |
| 9 | | service corporation, insurance network leasing company, or any |
| 10 | | company that amends, delivers, issues, or renews an individual |
| 11 | | or group policy of accident and health insurance on or after |
| 12 | | the effective date of this amendatory Act of the 103rd General |
| 13 | | Assembly shall require a dental care provider to incur a fee to |
| 14 | | access and obtain payment or reimbursement for services |
| 15 | | provided. A dental plan carrier shall provide a dental care |
| 16 | | provider with 100% of the contracted amount of the payment or |
| 17 | | reimbursement.
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| 18 | | Section 99. Effective date. This Act takes effect upon |
| 19 | | becoming law.
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