Illinois Administrative Code
Title 50 - INSURANCE
Part 4521 - HEALTH MAINTENANCE ORGANIZATION
Section 4521.60 - Rates

Universal Citation: 50 IL Admin Code ยง 4521.60

Current through Register Vol. 48, No. 12, March 22, 2024

a) Subject to the requirements of 50 Ill. Adm. Code 2026, the HMO shall file all schedules of base rates to be used in conjunction with enrollee certificates. The schedules shall be filed with the Director prior to the effective date and will be maintained as a public document by the Department.

b) When the schedules of base rates are filed, percentage change from the previous filing for the schedules of base rates shall be included.

c) Upon the request of the Director, the HMO shall submit actuarial documentation for any submitted rates, which shall be stamped "confidential" by the HMO. Documentation shall include, but not be limited to, the major cost components, experience, assumptions and procedures used to develop the submitted rates. The actuarial documentation shall be deemed confidential and proprietary by the Department unless specific authorization is given by the HMO.

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