Illinois Compiled Statutes 215 ILCS 125/4-14 – Evidence of Coverage
Current as of: 2024 | Check for updates
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(a) Every subscriber shall be issued an evidence of coverage, which shall contain a clear and complete statement of:
(1) The health services to which each enrollee is
(1) The health services to which each enrollee is
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entitled;
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(2) Eligibility requirements indicating the
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conditions which must be met to enroll in a Health Care Plan;
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(3) Any limitation of the services, kinds of services
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or benefits to be provided, and exclusions, including any reasonable deductibles, copayments, or other charges;
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(4) The terms or conditions upon which coverage may
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be cancelled or otherwise terminated;
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(5) Where and in what manner information is available
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as to where and how services may be obtained; and
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(6) The method for resolving complaints.
(b) Any amendment to the evidence of coverage may be provided to the subscriber in a separate document.
Terms Used In Illinois Compiled Statutes 215 ILCS 125/4-14
- Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
(b) Any amendment to the evidence of coverage may be provided to the subscriber in a separate document.