Short title
Short title. This Act may be cited as the Illinois Health Insurance Portability and Accountability Act. (Source: P.A. 90-30, eff. 7-1-97.)
Illinois · statute · 215 ILCS 97 · 18 active provisions
Short title. This Act may be cited as the Illinois Health Insurance Portability and Accountability Act. (Source: P.A. 90-30, eff. 7-1-97.)
Definitions. "Affiliate" means a person that directly, or indirectly through one or more intermediaries, controls, is controlled by, or is under common control with the person specified. "Beneficiary" has the meaning given such term under Section 3(8) of the Employee Retirement Income Security Act of 1974. "Bona fide a…
Applicability and scope. This Act applies to all health insurance policies and all health service contracts issued, renewed, or delivered for issuance or renewal in this State by a health insurance issuer after the effective date of this Act. Unless otherwise specifically provided by this Act, the standards and require…
Increased portability through prohibition of preexisting condition exclusions. (A) No health insurance coverage issued, amended, delivered, or renewed on or after the effective date of this amendatory Act of the 102nd General Assembly may impose any preexisting condition exclusion with respect to the plan or coverage.…
Prohibiting discrimination against individual participants. (A) In eligibility to enroll. (1) In general. Subject to paragraph (2), a group health plan, and a health insurance issuer offering group health insurance coverage in connection with a group health plan, may not establish rules for eligibility (including conti…
Guaranteed renewability of coverage for employers in the group market. (A) In general. Except as provided in this Section, if a health insurance issuer offers health insurance coverage in the small or large group market in connection with a group health plan, the issuer must renew or continue in force such coverage at…
Disclosure of Information. (A) Disclosure of information by health plan issuers. In connection with the offering of any health insurance coverage to a small employer, a health insurance issuer: (1) shall make a reasonable disclosure to such employer, as part of its solicitation and sales materials, of the availability…
Guaranteed availability of coverage for employers in the group market. (A) Issuance of coverage in the small group market. (1) In general. Subject to subsections (C) through (F), each health insurance issuer that offers health insurance coverage in the small group market in a State: (a) must accept every small employer…
Exclusion of certain plans. (A) Exception for certain small group health plans. The requirements of this Act shall not apply to any group health plan (and health insurance coverage offered in connection with a group health plan) for any plan year if, on the first day of such plan year, such plan has less than 2 partici…
Guaranteed renewability of individual health insurance coverage. (A) In general. Except as provided in this Section, a health insurance issuer that provides individual health insurance coverage to an individual shall renew or continue in force such coverage at the option of the individual. (B) General exceptions. A hea…
Notice requirement. In any case where a health insurance issuer elects to uniformly modify coverage, uniformly terminate coverage, or discontinue coverage in a marketplace in accordance with Sections 30 and 50 of this Act, the issuer shall provide notice to the Department prior to notifying the plan sponsors, participa…
Past-due premiums. (a) Except as provided in subsection (b) for a third plan or policy year, a health insurance issuer in the individual, small group, or large group market shall not deny coverage to an individual or employer due to the individual's or employer's failure to pay a premium owed under a prior policy, cert…
(Amendatory provisions; text omitted). (Source: P.A. 90-30, eff. 7-1-97; text omitted.)
(Amendatory provisions; text omitted). (Source: P.A. 90-30, eff. 7-1-97; text omitted.)
(Amendatory provisions; text omitted). (Source: P.A. 90-30, eff. 7-1-97; text omitted.)
(Amendatory provisions; text omitted). (Source: P.A. 90-30, eff. 7-1-97; text omitted.)
(Amendatory provisions; text omitted). (Source: P.A. 90-30, eff. 7-1-97; text omitted.)
Effective date. This Act takes effect on July 1, 1997. (Source: P.A. 90-30, eff. 7-1-97.)