(a) On and after the effective date of this amendatory Act of 1989, no long-term care insurance policy may be delivered or issued for delivery in this State if such policy:
        (1) conditions eligibility for any benefits on a
    
prior hospitalization requirement; or
        (2) conditions eligibility for benefits provided in
    
an institutional care setting on the receipt of a higher level of institutional care.
    (b) Beginning one year after the effective date of this amendatory Act of 1989, a long-term care insurance policy containing any limitations or conditions for eligibility other than those prohibited above in subsection (a) shall clearly label in a separate paragraph of the policy or certificate entitled “Limitations or Conditions on Eligibility for Benefits” such limitations or conditions, including any required number of days of confinement.

Terms Used In Illinois Compiled Statutes 215 ILCS 5/351A-6

  • State: when applied to different parts of the United States, may be construed to include the District of Columbia and the several territories, and the words "United States" may be construed to include the said district and territories. See Illinois Compiled Statutes 5 ILCS 70/1.14

        (1) A long-term care insurance policy containing a
    
benefit advertised, marketed or offered as a home health care or home care benefit may not condition receipt of benefits on a prior institutionalization requirement.
        (2) A long-term care insurance policy which
    
conditions eligibility of non-institutional benefits on the prior receipt of institutional care shall not require a prior institutional stay of more than 30 days for which benefits are paid.
  Previous section
Next section  
 Article XIXA Contents