(b) A limited health service organization that has annual uncovered
expenses in excess of $50,000, as reported on the most recent annual
financial statement filed with the Director, shall maintain additional net
worth equal to 25% of such uncovered expenses in excess of $50,000 in
addition to the net worth required by subsection (a), subject to the maximum
net worth set forth in item (2) of subsection (a).
(c) A limited health service organization that has been approved by
the Director to offer a POS contract shall have and at all times maintain
net worth of not less than the greater of:
(1) $100,000 if the LHSO's expenditures for
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(d) A deficiency in meeting amounts required in subsection (a), (b), or (c)
shall require (1) filing with the Director a plan of correction of the
deficiency, acceptable to the Director and (2) correction of the deficiency
within a reasonable time, not to exceed 60 days unless an extension of
time, not to exceed 60 additional days, is granted by the Director. Such a
deficiency will be deemed an impairment, and failure to correct the
deficiency in the prescribed time shall be grounds for suspension or
revocation pursuant to subsection (h) of Section 4005 of this Act.
(e) Unless allowed by the Director, no limited health service
organization, officer, director, trustee, producer or employee of such
organization may renew, issue, or deliver, or cause to be renewed, issued or
delivered, any evidence of coverage in this State, for which a premium is
charged or collected, when the organization writing such coverage is
insolvent or impaired, and the fact of such insolvency or impairment is
known to the organization, officer, director, producer or employee of such
organization. An organization is impaired when a deficiency exists in
meeting the amounts required in subsection (a), (b), or (c) of this Section.
However, the existence of an impairment does not prevent the issuance or
renewal of any evidence of coverage when the enrollee exercises an option
granted under the plan to obtain new, renewed or converted coverage.
Any organization, officer, director, producer or employee of such
organization violating this subsection shall be guilty of a Class A
misdemeanor.
(Source: P.A. 87-1079; 88-667, eff. 9-16-94.)
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