IL Insurance Company Bulletins

Illinois DOI CSR Load Data Call for 2027 Benefit Year

The Illinois Department of Insurance has issued a data call requesting enrollment and 2025 experience data for individual ACA Silver plans with CSR loads. Insurance companies writing this coverage must submit the requested data by April 6, 2026, to assist the Department in developing the Cost-Sharing Reduction (CSR) load for benefit year 2027.

Illinois Bulletin on Inappropriate Claims Denials Based on Location

The Illinois Department of Insurance issued a bulletin clarifying that claims denials based solely on location, site of care, or setting are inappropriate if not grounded in generally accepted standards of care. Insurers must ensure medical necessity determinations are not primarily for economic benefit or convenience.

Illinois Insurance Supplier Diversity Reporting Instructions Update

The Illinois Department of Insurance has issued updated instructions for annual insurance supplier diversity reports, effective for filings on or after April 1, 2026. These updated instructions replace previous guidance and clarify which entities are required to file and how to submit the reports.

Illinois Insurance Bulletin Clarifies PDAA Applicability and PBM Reports

The Illinois Department of Insurance issued Bulletin 2025-20 to clarify the applicability of the Prescription Drug Affordability Act (PDAA) and its reporting and fee requirements for Pharmacy Benefit Managers (PBMs). The bulletin addresses questions raised by PBMs regarding specific coverage types and plan sponsors, and outlines procedures for revised reports and fee adjustments based on recent legislative clarification.

Illinois Insurance Grace Period for Federal Employees During Shutdown

The Illinois Department of Insurance has issued guidance requesting property and casualty insurers to implement protective measures for federal employees impacted by a government shutdown. Insurers are asked to provide a grace period of at least 30 days for premium payments and extensions for repairs to prevent policy cancellations.

Illinois Public Rate Filing Summary for 2026

The Illinois Department of Insurance has released a summary document detailing public rate filings for the 2026 plan year. This notice provides an overview of submitted rate information for insurers operating within the state.