90th General Assembly
Summary of HB0535
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House Sponsors:
SLONE-COULSON-KLINGLER-KRAUSE-MCKEON, SCULLY, 
   CURRY,JULIE, DART, NOVAK, GIGLIO, O'BRIEN, 
   ERWIN, SCHOENBERG, GASH AND RONEN.

Senate Sponsors:
CRONIN

Short description: 
HEALTH BENEFIT DENIAL NOTICES                                              

Synopsis of Bill as introduced:
        Amends the State Employees Group Insurance Act of 1971,  Counties      
   Code,  Illinois  Municipal Code, School Code, Illinois Insurance Code,      
   Comprehensive  Health   Insurance   Plan   Act,   Health   Maintenance      
   Organization   Act,  Limited  Health  Service  Organization  Act,  and      
   Voluntary Health Services Plans Act. Provides that notices of  payment      
   and  denial  of  health  care benefits subject to those Acts and under      
   managed care plans must provide detailed  statements  of  payment  and      
   denial  of  benefits.   Requires notices of denial to be signed by the      
   individual  responsible  for  the  denial.   Requires  the  notice  to      
   disclose  the  address  and  telephone  number   of   the   individual      
   responsible  for  the denial.  Provides that appeal procedures must be      
   clearly set forth in the notice. Amends  the  State  Mandates  Act  to      
   provide that reimbursement is not required under that Act.                  
          FISCAL NOTE (Dept. of Insurance)                                     
          HB 535 will have no fiscal impact on the Department.                 
          STATE MANDATES FISCAL NOTE                                           
          In the opinion of DCCA, HB535 creates a local organization and       
          structure mandate; it also contains an exemption from reim-          
          bursement liability.                                                 
 
Last action on Bill: SESSION SINE DIE

   Last action date: 99-01-12

           Location: House

 Amendments to Bill: AMENDMENTS ADOPTED: HOUSE -   0     SENATE -   0


   END OF INQUIRY 



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