Illinois Code § 215 ILCS 130/4005

Suspension or revocation or denial of certification of
Open in Lexace · Ask the AI about this section
authority. (a) The Director may suspend or revoke any certificate of
authority issued to a limited health service organization under this Act or
deny an application for a certificate of authority if he finds:

 
 
(1) That the limited health service organization is 
 
operating significantly in contravention of its basic organizational document, its health care plan or in a manner contrary to that described in any information submitted under Sections 2001 or 3006.

 
 
(2) The limited health service organization issues 
 
contracts or evidences of coverage or uses a schedule of charges for health care services which do not comply with the requirements of Sections 2001 or 3006.

 
 
(3) The limited health care plan does not provide or 
 
arrange for limited health services.

 
 
(4) That the limited health service organization has 
 
failed to meet the requirements for issuance of a certificate of authority as set forth in Section 2002.

 
 
(5) That the limited health service organization is 
 
unable to fulfill its obligation to furnish limited health services as required under its limited health care plan.

 
 
(6) The limited health service organization is no 
 
longer financially responsible and may reasonably be expected to be unable to meet its obligations to enrollees or prospective enrollees.

 
 
(7) The limited health service organization, or any 
 
person on its behalf, has advertised or merchandised its services in an untrue, misrepresentative, misleading, deceptive or unfair manner.

 
 
(8) The continued operation of the limited health 
 
service organization would be hazardous to its enrollees.

 
 
(9) The limited health service organization has 
 
neglected to correct, within the time prescribed by subsection (c) of Section 2004, any deficiency occurring due to such organization's prescribed minimum net worth.

 
 
(10) The limited health service organization has 
 
otherwise failed to substantially comply with this Act.

 
(b) When the certificate of authority of a limited health service
organization is revoked, such organization shall proceed, immediately
following the effective date of the order of revocation, to wind up its
affairs and shall conduct no further business except as may be essential to
the orderly conclusion of the affairs of such organization. The Director
may permit such further operation of the organization as he may find to be
in the best interest of enrollees to the end that the enrollees will be
afforded the greatest practical opportunity to obtain limited health services.

operating significantly in contravention of its basic organizational document, its health care plan or in a manner contrary to that described in any information submitted under Sections 2001 or 3006.
contracts or evidences of coverage or uses a schedule of charges for health care services which do not comply with the requirements of Sections 2001 or 3006.
arrange for limited health services.
failed to meet the requirements for issuance of a certificate of authority as set forth in Section 2002.
unable to fulfill its obligation to furnish limited health services as required under its limited health care plan.
longer financially responsible and may reasonably be expected to be unable to meet its obligations to enrollees or prospective enrollees.
person on its behalf, has advertised or merchandised its services in an untrue, misrepresentative, misleading, deceptive or unfair manner.
service organization would be hazardous to its enrollees.
neglected to correct, within the time prescribed by subsection (c) of Section 2004, any deficiency occurring due to such organization's prescribed minimum net worth.
otherwise failed to substantially comply with this Act.

‹ Prev All Illinois sections Next ›


Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.