Ill. Admin. Code tit. 50, pt. 2051

Preferred Provider Programs

AUTHORITY: Implementing Article XX½ of the Illinois Insurance Code [215 ILCS 5/Art. XX½] and the Workers' Compensation Act [820 ILCS 305], and authorized by Section 401 of the Illinois Insurance Code [215 ILCS 5/401]. SOURCE: Adopted at 20 Ill. Reg. 9960, effective July 15, 1996; expedited correction at 20 Ill. Reg. 13435, effective July 15, 1996; amended at 21 Ill. Reg. 16364, effective December 9, 1997; expedited correction at 22 Ill. Reg. 5126, effective December 9, 1997; old Part repealed at 34 Ill. Reg. 161 and new Part adopted at 34 Ill. Reg. 163, effective December 16, 2009; amended at 37 Ill. Reg. 2895, effective March 4, 2013; amended at 43 Ill. Reg. 11356, effective September 24, 2019.DEPARTMENT OF INSURANCE

2051.210Purpose 2051.220Definitions 2051.230Administrators Not to Assume Underwriting Risk 2051.240Registration, Renewals and Appeals 2051.250Fees 2051.260Administrator Requirements 2051.270Organizational Requirements 2051.280Health Care Preferred Provider Program Payor Agreements 2051.285Workers' Compensation Preferred Provider Program Payor Agreements 2051.290Health Care Preferred Provider Program Administrator Provider Agreements 2051.295Workers' Compensation Preferred Provider Program Provider Agreements 2051.300Requirements for Agreements with Other Administrators 2051.310Health Care Preferred Provider Program Administrator Network Availability and Adequacy Requirements 2051.315Workers' Compensation Network Availability and Adequacy Requirements 2051.320Discounted Health Care Services Plan Requirements 2051.330Insurer Requirements 2051.340Fiduciary and Bond Requirements 2051.350Maintenance of Records 2051.360Advertising and Solicitation 2051.370Examination 2051.APPENDIX AHealth Care Preferred Provider Program Administrator Registration Form (Repealed)2051.APPENDIX BDiscounted Health Care Services Plan Only Registration (Repealed)2051.APPENDIX CInsurer Filing Requirements (Repealed)2051.APPENDIX DWorkers' Compensation Preferred Provider Program Administrator Registration Form (Repealed)2051.APPENDIX EIllinois or NAIC Biographical Affidavit (Repealed)2051.APPENDIX FPreferred Provider Program Administrator Bond/Fiduciary