State of Illinois
92nd General Assembly
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92_HB4981

 
                                               LRB9213153JSpc

 1        AN ACT  concerning  the  comprehensive  health  insurance
 2    plan.

 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:

 5        Section 5.  The Comprehensive Health Insurance  Plan  Act
 6    is amended by changing Section 7.1 as follows:

 7        (215 ILCS 105/7.1)
 8        Sec. 7.1.  Premiums.
 9        (a)  The Board shall establish premium rates for coverage
10    as provided in subsection (d) of this Section.
11        (b)  Separate  schedules  of  premium rates based on sex,
12    age, geographical location, and benefit plan shall apply  for
13    individual risks.
14        (c)  The Board may provide for separate premium rates for
15    optional  family  coverage  for  the  spouse  or  one or more
16    dependents who reside together in any  eligible  individual's
17    or eligible person's household.  The rates for each spouse or
18    dependent  who  qualifies  to  be covered under this optional
19    family coverage shall be such percentage  of  the  applicable
20    individual  Plan  rate  as  the  Board,  in  accordance  with
21    appropriate actuarial principles, shall establish.
22        (d)  The  Board,  with the assistance of the Director and
23    in accordance with appropriate  actuarial  principles,  shall
24    determine  a  standard  risk  rate by using the average rates
25    that individual standard risks in this State are  charged  by
26    at  least 5 of the largest health insurance issuers providing
27    individual health insurance coverage to residents of Illinois
28    that is substantially similar to the coverage offered by  the
29    Plan.   In  determining  the average rate or charges of those
30    health insurance issuers, the rates charged by those  issuers
31    shall be actuarially adjusted to determine the rate or charge
 
                            -2-                LRB9213153JSpc
 1    that  would  have  been charged for benefits similar to those
 2    provided by the Plan.   The  standard  risk  rates  shall  be
 3    established  using  reasonable actuarial techniques and shall
 4    reflect anticipated claims experience,  expenses,  and  other
 5    appropriate risk factors for such coverage.
 6        (e)  Rates  for Plan coverage shall not be less than 115%
 7    125%  nor  more  than  140%  150%  of  rates  established  as
 8    applicable  for  individual  standard   risks   pursuant   to
 9    subsection (d).
10    (Source: P.A. 90-30, eff. 7-1-97.)

11        Section  99.  Effective date.  This Act takes effect upon
12    becoming law.

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