# 50 Ill. Adm. Code 4530.20: Section 4530.20 Applicability and Scope

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_20

## Section

- **Citation:** 50 Ill. Adm. Code 4530.20
- **Heading:** Section 4530.20 Applicability and Scope
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 50 INSURANCE / CHAPTER I: DEPARTMENT OF INSURANCE / Part 4530 HEALTH CARRIER EXTERNAL REVIEW / Section 4530.20 Applicability and Scope

## Text

Section 4530.20  Applicability
and Scope
a)         Except
as provided in subsection (b), the requirements of this Part are applicable to
all health carriers.
b)         The
provisions of this Part shall not apply to:
1)         A
policy or certificate that provides coverage only for a specified disease,
specified accident or accident-only coverage, credit, dental, disability
income, hospital indemnity, long-term care insurance as defined by Article XIXA
of the Illinois Insurance Code, vision care, or any other limited supplemental
benefit;
2)         A
Medicare supplement policy of insurance as defined by the Director in 50 Ill.
Adm. Code 2008.40;
3)         Coverage
under a plan through Medicare, Medicaid, or the federal employees health benefits
program;
4)         Any
coverage issued under 10 USC 55 and any coverage issued as supplement to that
coverage;
5)         Any
coverage issued as supplemental to liability insurance, workers' compensation,
or similar insurance; or
6)         Automobile
medical-payment insurance or any insurance under which benefits are payable
with or without regard to fault, whether written on a group blanket or
individual basis.

## Nearby sections

- [50 Ill. Adm. Code 4530.10 Section 4530.10  Purpose](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_10.md)
- [50 Ill. Adm. Code 4530.20 Section 4530.20  Applicability and Scope](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_20.md)
- [50 Ill. Adm. Code 4530.30 Section 4530.30  Definitions](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_30.md)
- [50 Ill. Adm. Code 4530.40 Section 4530.40  Health Carrier Obligations](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_40.md)
- [50 Ill. Adm. Code 4530.50 Section 4530.50  Independent Review Organization Obligations](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_50.md)
- [50 Ill. Adm. Code 4530.60 Section 4530.60  Registration of Independent Review Organizations](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_60.md)
- [50 Ill. Adm. Code 4530.70 Section 4530.70  Operational Requirements](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_70.md)
- [50 Ill. Adm. Code 4530.80 Section 4530.80  Examination](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_80.md)
- [50 Ill. Adm. Code 4530.90 Section 4530.90  Random Selection of IROs by Director](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_90.md)
- [50 Ill. Adm. Code 4530.APPENDIX Section 4530.APPENDIX  D   Independent Review Organizations – Application for Reapproving Independent Review Organizations](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_APPENDIX.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_20. Check the current official text before relying on it. Not legal advice.