Illinois Compiled Statutes 215 ILCS 130/2002 – Issuance of certificate of authority
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(a) Issuance of a certificate of authority shall be granted if the following conditions are met:
(1) The requirements of subsection (c) of Section
(1) The requirements of subsection (c) of Section
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2001 have been fulfilled.
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(2) The persons responsible for conducting the
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applicant’s affairs are competent and trustworthy, possess good reputations and have had appropriate experience, training or education.
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(3) The applicant has demonstrated the willingness
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and potential ability to assure that such limited health service will be provided in a manner to insure both availability and accessibility of adequate personnel and facilities and in a manner enhancing availability, accessibility, and continuity of service.
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(4) The applicant has arrangements for an ongoing
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quality of health care assessment program concerning health care processes and outcomes.
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(5) The applicant is financially responsible and may
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reasonably be expected to meet its obligations to enrollees and to prospective enrollees. In making this determination, the Director shall consider:
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(A) the financial soundness of the applicant’s
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arrangements for limited health services and the minimum standard rates, copayments and other patient charges used in connection therewith.
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(B) the adequacy of working capital, other
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sources of funding, and provisions for contingencies.
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(6) The limited health care plan furnishes limited
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health services on a prepaid basis, through insurance or otherwise, except to the extent of reasonable requirements for copayments of a fixed amount.
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(7) The agreements with providers for the provision
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of limited health services contain the provisions required by Section 2008 of this Act.
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(8) Any deficiencies identified by the Director have
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been corrected.
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(b) No certificate of authority shall be issued if the initial minimum net worth of the applicant is less than $100,000. The initial net worth shall be provided in cash and securities in combination and form acceptable to the Director.
