State RegulationsIL specificDifficulty 1/5
A compliance officer needs the Illinois administrative rules that implement the HMO Act. Where should she look?
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Answer & full 3-part explanation (select an option above, or peek)
Why C is correct
The administrative rules implementing the Illinois HMO Act are found at 50 Ill. Adm. Code 5421. The statute itself, 215 ILCS 125, provides the framework, while this Part of the Illinois Administrative Code supplies the detailed requirements HMOs must follow. The other administrative Parts cited govern group conversion and replacement and accident and health advertising respectively.
Why the other options are wrong
- A) 50 Ill. Adm. Code 2013 contains the group conversion and replacement rules, not the HMO rules.
- B) 50 Ill. Adm. Code 2002 governs accident and health advertising, not HMO operations.
- D) 215 ILCS 130 is a statute, the Limited Health Service Organization Act, not the administrative rules implementing the HMO Act.
Memory hook
HMO rules live at 5421 in the Illinois Administrative Code.