# 50 Ill. Adm. Code 4530.80: Section 4530.80 Examination

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_80

## Section

- **Citation:** 50 Ill. Adm. Code 4530.80
- **Heading:** Section 4530.80 Examination
- **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 4530.80 Examination

## Text

Section 4530.80  Examination
a)         The
Director or his or her designee may examine any applicant for registration or
any registrant upon receipt of information that the applicant or registrant may
be in violation of this Part, or any applicable provision of the Code, when he
or she receives a complaint or when the applicant has a history of violations
of the Code.
b)         Any
independent review organization being examined shall provide to the Director or
his or her designee convenient and free access, during reasonable hours at the
organization's offices, to all books, records, documents and other papers
relating to the independent review organization's business affairs.  The
Director or designee shall not have access to beneficiary medical records
protected under Sections 8-2101 through 8-2105 of the Code of Civil Procedure
titled "Medical Studies" [735 ILCS 5/8-2101 through 8-2105].
c)         The
Director or designee may administer oaths and thereafter examine any individual
about the business of the independent review organization.
d)         The
expenses of examination under this Section shall be assessed against the
independent review organization being examined in accordance with Section
408(3) of the Code.
e)         The
examiner designated by the Director shall make a written report if he or she
alleges a violation of this Part, any applicable provisions of the Code or any
other applicable Part of Title 50 of the Illinois Administrative Code.  The
report shall be verified by the examiner. The report must be made to the
Director within 45 days after the conclusion of the examination.
f)         The
Director shall deliver a duplicate of the report to the independent review
organization being examined using the address specified in the Department's
records.  In that event, the IRO may request a hearing before the Director or
designee within 30 days after receipt of the duplicate examination report
made to the
Director within 45 days after the conclusion of the examination.
f)         The
Director shall deliver a duplicate of the report to the independent review
organization being examined using the address specified in the Department's
records.  In that event, the IRO may request a hearing before the Director or
designee within 30 days after receipt of the duplicate examination report.  The
request shall be in writing and include the IRO's objections to the report.  The
hearing shall be conducted in accordance with Sections 402 and 403 of the Code
and 50 Ill. Adm. Code 2402.  The IRO's right to hearing is waived if the
delivery of the report is refused, or the IRO does not timely request a
hearing.  After hearing, or upon expiration of the time period during which an IRO
may request a hearing and the IRO has not done so, the Director, upon finding
noncompliance with the laws of this State or previous Order of the Director,
may require the IRO to take corrective action. Any such Order shall be issued
within 90 days after the report is filed, or, if there is a hearing, within 90
days after the conclusion of the hearing.  The Order shall be a final
administrative decision of the Department subject to review under the
Administrative Review Law [735 ILCS 5/Art. III].

## 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)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T50_P4530_S4530_80. Check the current official text before relying on it. Not legal advice.
