# IL Company Bulletin 2011-07: All Companies Authorized to Write Health Insurance In Illinois : Nonparticipating Facility-Based Physicians and Providers Dispute-215ILCS 5 / 356z.3a

> Illinois · Agency guidance · In force

URL: https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2011-07

## Section

- **Citation:** IL Company Bulletin 2011-07
- **Heading:** All Companies Authorized to Write Health Insurance In Illinois : Nonparticipating Facility-Based Physicians and Providers Dispute-215ILCS 5 / 356z.3a
- **Jurisdiction:** Illinois
- **Kind:** Agency guidance
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Department of Insurance Company Bulletins / All Companies Authorized to Write Health Insurance In Illinois : Nonparticipating Facility-Based Physicians and Providers Dispute-215ILCS 5 / 356z.3a

## Text

Illinois Department of Insurance
PAT QUINN
Governor
TO:
FROM:
DATE:
RE:
MICHAEL T. McRAITH
Director
ALL COMPANIES AUTHORIZED TO WRITE HEALTH INSURANCE IN ILLINOIS
DAVID GRANT
~__ z:S;: 2-
ASSISTANT DEPUTY DIRECTOR
HEALTH INSURANCE PRODUCTS
JUNE 2, 2011
COMPANY BULLETIN 2011-07
NONPARTICIPATING FACILITY-BASED PHYSICIANS AND PROVIDERS
DISPUTE-215ILCS 5/356z.3a
June 1, 2011, E~!t2lis:~.{\.~t~~2(2::JS:?;l (Nonparticipating facility-based physicians and providers) is
effective; allowing insurers, health plans and nonparticipating facility-based physicians or providers to
initiate binding arbitration to detennine payment for covered services. Under Section 356z.3a of the
Illinois Insurance Code (215 ILCS 5/356z.3a), nonpmiicipating facility-based radiologists,
anesthesiologists, pathologists, neonatologists and emergency department providers, as well as insurers
and health plans, may request binding arbitration if attempts to negotiate reimbursement for covered
services rendered fail. If a party initiates binding arbitration as provided for under this Section, the noninitiating party is required to pmiicipate. The ability to exercise the rights set forth within this Section
applies to all policies or contracts issued, renewed or modified on or after June 1, 2011, the effective
date of the Act.
Pursuant to Section 5/356z.3a, the Illinois Department ofInsurance is required to publish a list of
American Arbitration Association or American Health Lawyers Association trained arbitrators or
approved entities that will provide binding arbitration services. In accordance with this Section, the
Depmiment has designated the American Arbitration Association and the American Health Lawyers
Association as Approved Entities to provide binding arbitration. A party desiring to initiate arbitration
of a disputed claim payment must submit its request through one of the following entities:
American Arbitration Association
Website:
Address:
Phone:
Fax number:
Email:
}y_W.\Y-'.c.~(lL91:g
ection, the
Depmiment has designated the American Arbitration Association and the American Health Lawyers
Association as Approved Entities to provide binding arbitration. A party desiring to initiate arbitration
of a disputed claim payment must submit its request through one of the following entities:
American Arbitration Association
Website:
Address:
Phone:
Fax number:
Email:
}y_W.\Y-'.c.~(lL91:g.
American Arbitration Association
Case Filing Services
1101 Laurel Oak Road, Suite 100
Voorhees, NJ 08043
877-495-4185
877-304-8457
C'l~cfili!}g@'ldl:':'(.l..[g
320 West Washington St.
Springfield. Illinois 62767-0001
(217) 782-45 I5

American Health Lawyers Association
Website:
Address:
Phone:
Fax number:
Email:
www.hcalthlawycrs.org
American Health Lawyers Association
1620 Eye Street, NW, 6th Floor
Washington, DC 20006-4010
(202) 833-1100
(202) 833-1105
The entity selected by the initiating party shall serve as the Approved Entity that will provide binding
arbitration services in connection with the specific matter. All requests must clearly identify that
binding arbitration is being initiated pursuant to Section 356z.3a - Nonparticipating facility-based
physician and provider disputes, using the guidelines of the entity you have chosen. Further, all
such requests must be copied to the Illinois Department of Insurance. The date of such request shall
constitute notice to the Department and shall be used to detennine the 45 day timeframe for the
arbitrator to issue his or her written decision.
Correspondence which does not clearly identify the request for binding arbitration as being filed
pursuant to Section 356z.3a - Nonparticipating facility-based physician and provider disputes and does
not copy the Illinois Department of Insurance, will not qualify for relief or remedies afforded under the
Act
o detennine the 45 day timeframe for the
arbitrator to issue his or her written decision.
Correspondence which does not clearly identify the request for binding arbitration as being filed
pursuant to Section 356z.3a - Nonparticipating facility-based physician and provider disputes and does
not copy the Illinois Department of Insurance, will not qualify for relief or remedies afforded under the
Act. All copies of requests for initiating binding arbitration must be electronically sent to the
Department through the following address:
Any questions concerning the impact or implementation of Public Act 096-1523 (Nonpaliicipating
facility-based physicians and providers), may be directed to the Office of Consumer Health Insurance
Toll Free at (877) 527-9431.
320 West Washington St.
Springfield, Illinois 62767-000 I
(217) 782-4515

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/IL_INS_CB_2011-07. Check the current official text before relying on it. Not legal advice.
