215 ILCS 125/4-14

Current through Public Act 103-1052
Section 215 ILCS 125/4-14 - Evidence of Coverage
(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 entitled;
(2) Eligibility requirements indicating the conditions which must be met to enroll in a Health Care Plan;
(3) Any limitation of the services, kinds of services or benefits to be provided, and exclusions, including any reasonable deductibles, copayments, or other charges;
(4) The terms or conditions upon which coverage may be cancelled or otherwise terminated;
(5) Where and in what manner information is available as to where and how services may be obtained; and
(6) The method for resolving complaints.
(b) Any amendment to the evidence of coverage may be provided to the subscriber in a separate document.

215 ILCS 125/4-14

P.A. 86-620.
Amended by P.A. 097-1148,§ 5, eff. 1/24/2013.