Illinois 95th Regular Session Status: Passed House 1 D cosponsors

HB 5865 — INS-PREMIUM LOSS DATA REPORTS

Last action — Session Sine Die

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 95th Regular Session. It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Creates the Premium and Loss Data Reporting Act. Provides that all insurers subject to the Act shall report to the Director of the Division of Insurance accurate and complete information for each accident and health coverage type requested. Sets forth the specific types of accident and health coverage requested for reporting.

Bill Text

What changed in the latest version

88 added · 82 removed

Plain-language change summary

The recent amendments to HB 5865 now require insurers with comprehensive major medical coverage that serves over 500 people to submit an annual supplemental report detailing their premium and loss data. This information must be presented in a way that maintains confidentiality regarding individual providers. These changes are significant as they enhance transparency in health insurance practices and provide regulators with better tools to monitor and manage health coverage in the state.

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*LRB09519773KBJ46147b* HB5865 95TH GENERAL ASSEMBLY State of Illinois and 2008 HB5865 by Rep.
HB5865 Engrossed LRB095 19773 KBJ 46147 b AN ACT concerning regulation.
Mary E.
Flowers SYNOPSIS AS INTRODUCED:
New Act Creates the Premium and Loss Data Reporting Act.
Provides that all Insurance accurate and complete information for each accident and health of coverage type requested.
Sets forth the specific types of accident and health coverage requested for reporting.
LRB095 19773 KBJ 46147 b FISCAL NOTE ACT MAY APPLY A BILL FOR HB5865 LRB095 19773 KBJ 46147 b AN ACT concerning regulation.
"Administrative services only" means a contractual HB5865 - 2 - LRB095 19773 KBJ 46147 b arrangement utilized by a self-funded employer, whereby a separate company processes claims and provides other administrative services pertinent to the employer’s health care plans.
"Administrative services only" means a contractual HB5865 Engrossed - 2 - LRB095 19773 KBJ 46147 b arrangement utilized by a self-funded employer, whereby a separate company processes claims and provides other administrative services pertinent to the employer’s health care plans.
HB5865 - 3 - LRB095 19773 KBJ 46147 b "Direct premiums earned for new and renewal business" means the insurers direct premium earned from the first through the final day of the reporting quarter, and includes only premium specific to covered Illinois residents.
HB5865 Engrossed - 3 - LRB095 19773 KBJ 46147 b "Direct premiums earned for new and renewal business" means the insurers direct premium earned from the first through the final day of the reporting quarter, and includes only premium specific to covered Illinois residents.
Its purpose is to insure against the risk that any one claim HB5865 - 4 - LRB095 19773 KBJ 46147 b will exceed a specific dollar amount or that an entire plan’s losses will exceed a specific amount.
Its purpose is to insure against the risk that any one claim HB5865 Engrossed - 4 - LRB095 19773 KBJ 46147 b will exceed a specific dollar amount or that an entire plan’s losses will exceed a specific amount.
(2) provides a daily benefit for confinement in a qualified intensive care unit of a certified HB5865 - 5 - LRB095 19773 KBJ 46147 b hospital.
(2) provides a daily benefit for confinement in a qualified intensive care unit of a certified HB5865 Engrossed - 5 - LRB095 19773 KBJ 46147 b hospital.
"Major medical" does not include hospital indemnity, accidental death and dismemberment, workers’ compensation, credit accident and health, short-term accident and health, accident only, long-term care, Medicare supplement, pre-paid products, HB5865 - 6 - LRB095 19773 KBJ 46147 b student blanket, stand-alone policies, dental-only, vision-only, prescription drug benefits, disability income, specified disease, or similar supplementary benefits;
"Major medical" does not include hospital indemnity, accidental death and dismemberment, workers’ compensation, credit accident and health, short-term accident and health, accident only, long-term care, Medicare supplement, pre-paid products, HB5865 Engrossed - 6 - LRB095 19773 KBJ 46147 b student blanket, stand-alone policies, dental-only, vision-only, prescription drug benefits, disability income, specified disease, or similar supplementary benefits;
HB5865 - 7 - LRB095 19773 KBJ 46147 b "Quarter" means the following quarter years:
HB5865 Engrossed - 7 - LRB095 19773 KBJ 46147 b "Quarter" means the following quarter years:
(4) July 1 through September 30.
and (4) July 1 through September 30.
"Wellness program participation premium discounts" means the dollar value of plan-administered premium discounts, rebates of premium or contribution, or waivers of all or part of a surcharge or cost-sharing mechanism, such as deductibles, co-pays, or coinsurance, provided to individual insureds for their participation in a bona fide wellness program, from the HB5865 - 8 - LRB095 19773 KBJ 46147 b first day through the final day of the reporting quarter.
"Wellness program participation premium discounts" means the dollar value of plan-administered premium discounts, rebates of premium or contribution, or waivers of all or part of a surcharge or cost-sharing mechanism, such as deductibles, co-pays, or coinsurance, provided to individual insureds for their participation in a bona fide wellness program, from the HB5865 Engrossed - 8 - LRB095 19773 KBJ 46147 b first day through the final day of the reporting quarter.
(2) on or before April 1 for the preceding year ending December 31, file an annual report for the prior year (not for the year on which the due date falls) regarding information on health benefit plans currently at force in HB5865 - 9 - LRB095 19773 KBJ 46147 b this State;
and (2) on or before April 1 for the preceding year ending December 31, file an annual report for the prior year (not for the year on which the due date falls) regarding information on health benefit plans currently at force in HB5865 Engrossed - 9 - LRB095 19773 KBJ 46147 b this State.
and (3) insurers and comprehensive major medical business currently in force in this State that covers more than 500 unduplicated persons (primary insureds plus dependents) shall, on or before April 1 for the preceding year ending December 31, file a completed annual supplemental report with average provider reimbursement rates on health benefit plans currently in force in this State.
In addition, insurers with comprehensive major medical business currently in force in this State that covers more than 500 unduplicated persons (primary insureds plus dependents) shall, on or before April 1 for the preceding year ending December 31, file a completed annual supplemental report with premium and loss data on health benefit plans currently in force in this State.
The format of the report will be at the discretion of the Director.
Information reported under this Section must be reported in an aggregate format.
(b) The following comprehensive major medical, major medical, and other hospital-surgical, coverage types are requested in this Act:
This Section does not allow for the collection of any information that allows for the identification of an individual provider.
(b) The following comprehensive major medical, major medical, and other hospital-surgical coverage types are requested in this Act:
(8) blanket accident/sickness (9) dental;
(8) blanket accident/sickness;
(9) dental;
(11) combined short-term and long-term;
HB5865 Engrossed - 10 - LRB095 19773 KBJ 46147 b (11) combined short-term and long-term;
(12) excess/stop loss (includes accident and sickness, HB5865 - 10 - LRB095 19773 KBJ 46147 b managed care, provider, and self-funded health plan);
(12) excess/stop loss (includes accident and sickness, managed care, provider, and self-funded health plan);
(15) short-term care (includes home health care, nursing home, and adult day care) Medicare supplement (16) Champus/Tricare supplement;
(15) short-term care (includes home health care, nursing home, and adult day care) Medicare supplement;
(16) Champus/Tricare supplement;
(7) covered dependents at end of reporting quarter (8) member months at end of reporting quarter;
HB5865 Engrossed - 11 - LRB095 19773 KBJ 46147 b (7) covered dependents at end of reporting quarter;
and HB5865 - 11 - LRB095 19773 KBJ 46147 b (9) wellness program participation premium discounts.
(8) member months at end of reporting quarter;
and (9) wellness program participation premium discounts.
Section 20.
No authority to make or promulgate rules.
Notwithstanding any other rulemaking authority that may exist, neither the Governor nor any agency or agency head under the jurisdiction of the Governor has any authority to make or promulgate rules to implement or enforce the provisions of this Act.
If, however, the Governor believes that rules are necessary to implement or enforce the provisions of this Act, the Governor may suggest rules to the General Assembly by filing them with the Clerk of the House and Secretary of the Senate and by requesting that the General Assembly authorize such rulemaking by law, enact those suggested rules into law, or take any other appropriate action in the General Assembly’s discretion.
Nothing contained in this Act shall be interpreted to grant rulemaking authority under any other Illinois statute where such authority is not otherwise explicitly given.
For the purposes of this Act, "rules" is given the meaning contained in Section 1-70 of the Illinois Administrative Procedure Act, and "agency" and "agency head" are given the meanings contained in Sections 1-20 and 1-25 of the Illinois Administrative Procedure Act to the extent that such definitions apply to agencies or agency heads under the jurisdiction of the Governor.
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Action History

  1. Session Sine Die

  2. Added as Alternate Co-Sponsor Sen. Deanna Demuzio

  3. Added as Alternate Co-Sponsor Sen. Michael Noland

  4. Added as Alternate Co-Sponsor Sen. Susan Garrett

  5. Added as Alternate Co-Sponsor Sen. Dan Kotowski

  6. Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins

  7. Rule 2-10 Committee Deadline Established As May 22, 2008; Substantive House Bills Out of Committee

  8. Added as Alternate Chief Co-Sponsor Sen. Kimberly A. Lightford

  9. Added as Alternate Co-Sponsor Sen. Don Harmon

  10. Added as Alternate Chief Co-Sponsor Sen. Heather Steans

  11. Referred to Rules

  12. First Reading

  13. Chief Senate Sponsor Sen. M. Maggie Crotty

  14. Placed on Calendar Order of First Reading April 17, 2008

  15. Arrive in Senate

  16. Third Reading - Short Debate - Passed 071-039-000

  17. Placed on Calendar Order of 3rd Reading - Short Debate

  18. House Floor Amendment No. 2 Adopted by Voice Vote

  19. Held on Calendar Order of Second Reading - Short Debate

  20. Recalled to Second Reading - Short Debate

  21. House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 004-000-000

  22. Added Co-Sponsor Rep. LaShawn K. Ford

  23. Added Co-Sponsor Rep. Karen A. Yarbrough

  24. Added Co-Sponsor Rep. Wyvetter H. Younge

  25. Added Co-Sponsor Rep. Cynthia Soto

  26. Added Co-Sponsor Rep. Daniel J. Burke

  27. Added Co-Sponsor Rep. Milton Patterson

  28. Added Co-Sponsor Rep. Annazette Collins

  29. Added Co-Sponsor Rep. Deborah L. Graham

  30. Added Co-Sponsor Rep. William Davis

  31. Added Co-Sponsor Rep. Michael Tryon

  32. Added Co-Sponsor Rep. Al Riley

  33. Added Co-Sponsor Rep. Elga L. Jefferies

  34. House Floor Amendment No. 2 Referred to Rules Committee

  35. House Floor Amendment No. 2 Filed with Clerk by Rep. Mary E. Flowers

  36. Removed Co-Sponsor Rep. Elizabeth Coulson

  37. Added Chief Co-Sponsor Rep. Elizabeth Coulson

  38. Added Chief Co-Sponsor Rep. Careen M Gordon

  39. Added Chief Co-Sponsor Rep. Esther Golar

  40. Added Chief Co-Sponsor Rep. Lisa M. Dugan

  41. Added Co-Sponsor Rep. Naomi D. Jakobsson

  42. Placed on Calendar Order of 3rd Reading - Short Debate

  43. Second Reading - Short Debate

  44. Added Co-Sponsor Rep. Sidney H. Mathias

  45. Placed on Calendar 2nd Reading - Short Debate

  46. Do Pass as Amended / Short Debate Health Care Availability and Access Committee; 011-000-001

  47. House Committee Amendment No. 1 Adopted in Health Care Availability and Access Committee; by Voice Vote

  48. House Committee Amendment No. 1 Filed with Clerk by Health Care Availability and Access Committee

  49. Added Co-Sponsor Rep. Kathleen A. Ryg

  50. Assigned to Health Care Availability and Access Committee

  51. Added Co-Sponsor Rep. Mike Boland

  52. Added Co-Sponsor Rep. Julie Hamos

  53. Added Co-Sponsor Rep. Fred Crespo

  54. Added Co-Sponsor Rep. Linda Chapa LaVia

  55. Added Co-Sponsor Rep. Elaine Nekritz

  56. Added Co-Sponsor Rep. Karen May

  57. Added Co-Sponsor Rep. Rosemary Mulligan

  58. Added Co-Sponsor Rep. Elizabeth Coulson

  59. Added Co-Sponsor Rep. Marlow H. Colvin

  60. Referred to Rules Committee

  61. First Reading

  62. Filed with the Clerk by Rep. Mary E. Flowers

Sponsors

  • Mary E. Flowers · Cosponsor
  • Don Harmon · Cosponsor
  • Dan Kotowski · Cosponsor
  • Susan Garrett · Cosponsor
  • Michael Noland · Cosponsor
  • Deanna Demuzio · Cosponsor

Sponsorship breakdown

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0 sponsors · 6 co-sponsors · 177 not signed on · 3 voted No

Sponsors (0)

None.

Co-sponsors (6)

  • Mary E. Flowers
  • Don Harmon Democrat
  • Dan Kotowski
  • Susan Garrett
  • Michael Noland
  • Deanna Demuzio

Not signed on (177)

177 members have not signed on to this bill.

Show all 177 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third Reading

Passed 71 Yea · 39 Nay · 8 Other
Party YeaNayPresentNot Voting
Unaffiliated 623607
Republican 2200
Democrat 7101
Total 713908
% of votes cast 60%33%0%7%
How each member voted (118)
Member Party Vote
Munson — Yea
Granberg — Yea
Jakobsson — Yea
Jefferies — Yea
Jefferson — Yea
Krause — Yea
Lang — Yea
Dugan — Yea
Dunkin — Yea
Lyons — Yea
Leitch — Nay
Madigan — Yea
Mathias — Yea
May — Yea
McAuliffe — Yea
McGuire — Yea
McCarthy — Yea
Bradley, John — Yea
Mendoza — Yea
Bradley, Richard — Yea
Molaro — Yea
Mulligan — Yea
Nekritz — Yea
Mitchell, Jerry — Yea
Poe — Yea
Soto — Yea
Burke — Yea
Tryon — Yea
Hannig — Yea
Harris — Yea
Turner — Yea
Hernandez — Yea
Wait — Yea
Yarbrough — Yea
Younge — Yea
Howard — Yea
Davis, Monique — Yea
Cole — Yea
Colvin — Yea
Coulson — Yea
Currie — Yea
D'Amico — Yea
Dunn — Nay
Eddy — Nay
Flider — Yea
Flowers — Yea
Fritchey — Yea
Froehlich — Yea
Gordon — Yea
Graham — Yea
Hamos — Yea
Brady — Nay
Mitchell, Bill — Nay
Sullivan — Nay
Meyer — Nay
Watson — Not Voting
Reitz — Not Voting
Myers — Nay
Pihos — Nay
Schock — Nay
Scully — Not Voting
Verschoore — Nay
Washington — Not Voting
Winters — Nay
Coladipietro — Nay
Cross — Nay
Cultra — Nay
Durkin — Not Voting
Fortner — Nay
Franks — Not Voting
Hassert — Nay
Holbrook — Nay
Kosel — Nay
Osmond — Nay
Osterman — Yea
Patterson — Yea
Phelps — Not Voting
Pritchard — Nay
Ramey — Nay
Reboletti — Nay
Reis — Nay
Riley — Yea
Ryg — Yea
Sacia — Nay
Saviano — Yea
Schmitz — Nay
Sommer — Nay
Lindner — Yea
Acevedo — Yea
Arroyo — Yea
Bassi — Nay
Beaubien — Nay
Beiser — Nay
Bellock — Nay
Berrios — Yea
Mautino — Nay
Biggins — Nay
Black — Nay
Boland — Yea
Bost — Nay
Brauer — Yea
Brosnahan — Yea
Moffitt — Nay
Golar — Yea
Chapa LaVia — Yea
Fred Crespo Democrat Yea
Jay Hoffman Democrat Yea
La Shawn K. Ford Democrat Yea
Lakesia Collins Democrat Yea
Nicholas K. Smith Democrat Nay
Patrick J. Joyce Democrat Yea
Robert "Bob" Rita Democrat Yea
Sara Feigenholtz Democrat Not Voting
William "Will" Davis Democrat Yea
Brad Stephens Republican Nay
Chapin Rose Republican Nay
Chris Miller Republican Yea
Jil Tracy Republican Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 5865 do?
Creates the Premium and Loss Data Reporting Act. Provides that all insurers subject to the Act shall report to the Director of the Division of Insurance accurate and complete information for each accident and health coverage type requested. Sets forth the specific types of accident and health coverage requested for reporting.
Who sponsors HB 5865?
HB 5865 is sponsored by Mary E. Flowers, Don Harmon (Democrat), Dan Kotowski, Susan Garrett, Michael Noland, and Deanna Demuzio.
What is the current status of HB 5865?
This bill died with 95th Regular Session. It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 5865?
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