Ill. Admin. Code tit. 50, § 4500.110
Compliance Reviews of QHP Issuers
Effective Oct 28, 202549 Ill. Reg. 14672AUTHORITY: Implementing Sections 5-5, 5-10, 5-21, and 5-23 of the Illinois Health Benefits Exchange Law [215 ILCS 122], Sections 50 and 90 of the Grant Accountability and Transparency Act [30 ILCS 708], and 42 U.S.C. 18031, and authorized by Section 50 of the Grant Accountability and Transparency Act, Section 401 of the Illinois Insurance Code [215 ILCS 5], Section 10-10 of the Illinois Administrative Procedure Act [5 ILCS 100] and Section 5-23 of the Illinois Health Benefits Exchange Law.DEPARTMENT OF INSURANCE
- a) references to "a Federally-facilitated Exchange" are substituted with "the Illinois Exchange";
- b) references to "HHS" are substituted with "the Department";
- c) the reference to "subpart I of this part" is substituted with "this Part"; and
- d) until the Exchange operates as a State-based Exchange, the Exchange will enforce 45 CFR 156.715 in the manner required under 45 CFR 156.350(a)(3). When the Exchange operates as a State-based Exchange, the limitation in 45 CFR 156.350(a)(3) does not apply. Nothing in this Section affects the Department's authority, scope, or procedures available for market analysis or market conduct actions performed under Section 132 of the Code.
The Exchange adopts the requirements for compliance reviews of QHP issuers provided in 45 CFR 156.715 (Dec. 22, 2016) (no later editions or amendments), except that:
(Source: Amended at 49 Ill. Reg. 14672, effective October 28, 2025)