Ill. Admin. Code tit. 50, § 4500.120
Standards for QHP Issuers in Specific Types of Exchanges
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) Until the Exchange operates as a State-based Exchange, a QHP issuer must comply with the requirements related to changes in ownership provided in 45 CFR 156.330 (Oct. 30, 2013) (no later editions or amendments). When the Exchange operates as a State-based Exchange, this Section incorporates 45 CFR 156.330 with "State-based Exchange" substituted for "Federally-facilitated Exchange" and "Illinois Exchange" substituted for "HHS."
- b) A QHP issuer must comply with the requirements related to downstream and delegated entities depending on the type of Exchange in operation as provided in 45 CFR 156.340 (May 6, 2022) (no later editions or amendments).
- c) Until the Exchange operates as a State-based Exchange, a QHP issuer must comply with the requirements related to eligibility and enrollment standards in the manner provided in 45 CFR 156.350.
(Source: Amended at 49 Ill. Reg. 14672, effective October 28, 2025)