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Illinois bonds

Illinois — Third Party Prescription Administrator Bond

Prepare an Illinois third party prescription administrator bond around the program funds it secures. Section 512-5 describes a fiduciary-account alternative and, when an indemnity bond is used, security of at least 10% of estimated annual reimbursements, with an express health-care-payer exception.

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Recorded state
Illinois
Bond type
Third-Party Administrator Bond
Category
Insurance professionals

What this bond does

This bond addresses accounting for and payment of funds handled in a third party prescription program. Illinois publishes a prescription-administrator form distinct from its general third party administrator bond.

Who needs it
A prescription program administrator determining its obligations under section 512-5 of the Illinois Insurance Code. Confirm whether the program falls within the statute or its exception before assuming a bond is required.
Who it protects
The statute places a posted indemnity bond with the Director of Insurance for the benefit and indemnification of program service providers. The department's form also requires proper accounting and payment to the person or company entitled to the funds.

Your bond option

This is the option on record for this bond.

The bond amount describes the limit of the bond obligation, not the price. A listed amount does not establish what the requesting party requires. The premium is what you pay and must be confirmed for the actual option. An E&O limit, where listed, is separate errors and omissions insurance.

Determine which security arrangement applies

Section 512-5 allows a separate fiduciary account for receipt and disbursement of reimbursement funds or an indemnity bond of at least 10% of total estimated annual reimbursements. It allows separate program arrangements or consolidated security for multiple programs.

The section says its requirements do not apply to a program administered by or on behalf of a health care payer. Have the department or qualified adviser assess the actual arrangement instead of treating every prescription administrator as identical.

Use the prescription-specific document

The official prescription form conditions the obligation on full accounting, due payment and compliance with the Third Party Prescription Program Act. It states that the bond is continuous and permits surety termination on 30 days' notice filed with the Director.

Those are terms of the posted form. An annual reimbursement estimate is not the premium. Confirm the issued form and sum before filing.

Buy after the program calculation is settled

Use Purchase Now to reach this specific offering's supplied checkout. Prepare the administrator's legal identity, the program or consolidated scope, and the reimbursement calculation used for the required sum.

Submit the executed bond as the department directs. Provider approval does not establish that a fiduciary arrangement complies with the statute, and cancellation notice should be addressed before a continuing program loses required security.

Sources

Have these ready

  1. Determine whether section 512-5 applies to the program.
  2. Document estimated annual reimbursements and the required security calculation.
  3. Confirm separate-program versus consolidated coverage and principal name.
  4. Use the prescription administrator form and check continuation arrangements.

Questions about this bond

Does the law always require a prescription administrator to buy a bond?

No. Section 512-5 describes a fiduciary-account alternative and an exception for programs administered by or on behalf of a health care payer. Confirm the applicable arrangement.

Is 10% the provider's premium rate?

No. The statute uses at least 10% of estimated annual reimbursements to describe the indemnity bond amount. The provider separately determines the premium.

Can one arrangement cover several prescription programs?

Section 512-5 permits separate arrangements or a consolidated fiduciary account or indemnity bond. Confirm the actual scope and wording with the department.

Is this the general Illinois TPA form?

Illinois posts separate prescription and general third party administrator forms. Use the one appropriate to the licensed activity and department's instructions.

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