Illinois § 4-14 Evidence of Coverage

Illinois Statutes

§ 4-14 — Evidence of Coverage

Illinois § 4-14

JurisdictionIllinois

TopicREGULATION

Ch. 215INSURANCE

Act 215 ILCS 125/Health Maintenance Organization Act.

Art.Article IV - Delivery Of Services - Required Provisions And Marketing

This text of Illinois § 4-14 (Evidence of Coverage) is published on Counsel Stack Legal Research, covering Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

215 Ill. Comp. Stat. 4-14 (2026).

Text

(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.

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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 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.