Sec. 4-14. Evidence of Coverage.

132 words·~1 min read·/il/chapter-215/act-125/4-14

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

(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.