TITLE 50: INSURANCE CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER ww: HEALTH CARE SERVICE PLANS PART 4530 HEALTH CARRIER EXTERNAL REVIEW The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been permanently adopted. This menu will point out the Sections on which an emergency rule (valid for a maximum of 150 days, usually until replaced by a permanent rulemaking) exists. The emergency rulemaking is linked through the notation that follows the Section heading in the menu. View Entire Part Section 4530.10 Purpose Section 4530.20 Applicability and Scope Section 4530.30 Definitions Section 4530.40 Health Carrier Obligations Section 4530.50 Independent Review Organization Obligations Section 4530.60 Registration of Independent Review Organizations Section 4530.70 Operational Requirements Section 4530.80 Examination Section 4530.90 Random Selection of IROs by Director Section 4530.APPENDIX A IRO Notice of Decision Template – Non-Experimental and Investigational Section 4530.APPENDIX B IRO Notice of Decision Template – Experimental and Investigational Section 4530.APPENDIX C Independent Review Organizations – Application for Registration Section 4530.APPENDIX D Independent Review Organizations – Application for Reapproving Independent Review Organizations Section 4530.APPENDIX E Illinois or NAIC Biographical Affidavit (Repealed)

AUTHORITY: Implementing the Health Carrier External Review Act [215 ILCS 180] and authorized by Section 50(h) of that Act and Section 401 of the Illinois Insurance Code [215 ILCS 5/401].

SOURCE: Adopted at 34 Ill. Reg. 10741, effective July 19, 2010; amended at 39 Ill. Reg. 4077, effective September 1, 2015; amended at 39 Ill. Reg. 12577, effective September 1, 2015; recodified from 50 Ill. Adm. Code 5430 to 50 Ill. Adm. Code 4530 at 41 Ill. Reg. 4990; amended at 42 Ill. Reg. 20426, effective November 1, 2018; amended at 43 Ill. Reg. 11502, effective September 24, 2019.