Article XX - ACCIDENT AND HEALTH INSURANCE
- Section 215 ILCS 5/352 - Scope of Article
- Section 215 ILCS 5/352a - Mandated Coverages
- Section 215 ILCS 5/352b - Excepted benefits exempted
- Section 215 ILCS 5/352c - [Effective 1/1/2025] Short-term, limited-duration insurance prohibited
- Section 215 ILCS 5/353 - Non-cancellable accident and health insurance reserves
- Section 215 ILCS 5/353a - Accident and health reserves
- Section 215 ILCS 5/354 - Accident and health loss reserves
- Section 215 ILCS 5/355 - [Effective Until 1/1/2025] Accident and health policies; provisions
- Section 215 ILCS 5/355 - [Effective 1/1/2025] (Text of Section from P.A. 103-650§ 3-5) Accident and health policies; provisions
- Section 215 ILCS 5/355 - [Effective 1/1/2025] (Text of Section from P.A. 103-650§ 4-5) Accident and health policies; provisions
- Section 215 ILCS 5/355.1
- Section 215 ILCS 5/355.2 - Dental coverage reimbursement rates
- Section 215 ILCS 5/355.3 - Noncovered dental services
- Section 215 ILCS 5/355.4 - [Effective Until 1/1/2025] Provider notification of network plan changes
- Section 215 ILCS 5/355.4 - [Effective 1/1/2025] Provider notification of network plan changes
- Section 215 ILCS 5/355.5 - Dental coverage reimbursement; prohibitions
- Section 215 ILCS 5/355.6 - [Effective 1/1/2025] Health care provider reimbursement
- Section 215 ILCS 5/355a - Standardization of terms and coverage
- Section 215 ILCS 5/355b - Claim-related information; alternative means of communication
- Section 215 ILCS 5/355c - Availability of information on qualified health plans
- Section 215 ILCS 5/355d - [Effective 1/1/2025] Denials of claims submitted after prior authorization
- Section 215 ILCS 5/356a - Form of policy
- Section 215 ILCS 5/356b
- Section 215 ILCS 5/356c
- Section 215 ILCS 5/356d - Conversion privileges for insured former spouses
- Section 215 ILCS 5/356e - Victims of certain offenses
- Section 215 ILCS 5/356f
- Section 215 ILCS 5/356g - [Effective Until 1/1/2026] Mammograms; mastectomies
- Section 215 ILCS 5/356g - [Effective 1/1/2026] Mammograms; mastectomies
- Section 215 ILCS 5/356g.5 - Clinical Breast Exam
- Section 215 ILCS 5/356g.5-1 - Breast Cancer Pain Medication and Therapy
- Section 215 ILCS 5/356h
- Section 215 ILCS 5/356i - Medical assistance; coverage of child
- Section 215 ILCS 5/356j - Repealed by P.A. 89-183, eff. 1-1-96
- Section 215 ILCS 5/356K - Coverage for Organ Transplantation Procedures
- Section 215 ILCS 5/356L
- Section 215 ILCS 5/356m - Infertility coverage
- Section 215 ILCS 5/356n - Fibrocystic condition; denial of coverage
- Section 215 ILCS 5/356p - Breast implant removal
- Section 215 ILCS 5/356q
- Section 215 ILCS 5/356r - [Effective Until 1/1/2025] Woman's principal health care provider
- Section 215 ILCS 5/356r - [Effective 1/1/2025] Access to obstetrical and gynecological care
- Section 215 ILCS 5/356s - [Effective Until 1/1/2025] Post-parturition care
- Section 215 ILCS 5/356s - [Effective 1/1/2025] Post-parturition care
- Section 215 ILCS 5/356t - Post-mastectomy care
- Section 215 ILCS 5/356u - [Effective Until 1/1/2025] Pap tests and prostate cancer screenings
- Section 215 ILCS 5/356u - [Effective 1/1/2025] Pap tests and prostate cancer screenings
- Section 215 ILCS 5/356u.5 - Coverage for genetic testing for breast and ovarian cancer susceptibility
- Section 215 ILCS 5/356u.10 - [Effective 1/1/2025] Genetic testing and evidence-based screenings for an inherited gene mutation
- Section 215 ILCS 5/356v - Use of information derived from genetic testing
- Section 215 ILCS 5/356w - Diabetes self-management training and education
- Section 215 ILCS 5/356x - Coverage for colorectal cancer examination and screening
- Section 215 ILCS 5/356y - Repealed internally eff. 1-1-03
- Section 215 ILCS 5/356z.1 - Prenatal HIV testing
- Section 215 ILCS 5/356z.2 - Coverage for adjunctive services in dental care
- Section 215 ILCS 5/356z.3 - [Effective Until 1/1/2025] Disclosure of limited benefit
- Section 215 ILCS 5/356z.3 - [Effective 1/1/2025] Disclosure of limited benefit
- Section 215 ILCS 5/356z.3a - Billing; emergency services; nonparticipating providers
- Section 215 ILCS 5/356z.4 - Coverage for contraceptives
- Section 215 ILCS 5/356z.4a - [Effective Until 1/1/2026] Coverage for abortion
- Section 215 ILCS 5/356z.4a - [Effective 1/1/2026] Coverage for abortion
- Section 215 ILCS 5/356z.4b - Billing for long-acting reversible contraceptives
- Section 215 ILCS 5/356z.5 - [Effective Until 1/1/2025] [Renumbered from 215 ILCS 5/356z.4] Prescription Inhalants
- Section 215 ILCS 5/356z.5 - [Effective 1/1/2025] [Renumbered from 215 ILCS 5/356z.4] Prescription inhalants
- Section 215 ILCS 5/356z.6 - Bone mass measurement; osteoporosis
- Section 215 ILCS 5/356z.7 - [Renumbered from 215 ILCS 5/370r] Prescription drugs; cancer treatment
- Section 215 ILCS 5/356z.8 - Multiple Sclerosis Preventative Physical Therapy
- Section 215 ILCS 5/356z.9 - Human Papillomavirus Vaccine
- Section 215 ILCS 5/356z.10 - Amino Acid-Based Elemental Formulas
- Section 215 ILCS 5/356z.11 - Dependent Students; Medical Leave of Absence
- Section 215 ILCS 5/356z.12 - Dependent Coverage
- Section 215 ILCS 5/356z.13 - [Renumbered from 215 ILCS 5/356z.11] Shingles Vaccine
- Section 215 ILCS 5/356z.14 - Autism spectrum disorders
- Section 215 ILCS 5/356z.15 - Habilitative services for children
- Section 215 ILCS 5/356z.16 - [Repealed]
- Section 215 ILCS 5/356z.17 - Wellness coverage
- Section 215 ILCS 5/356z.18 - [Effective Until 1/1/2025] Prosthetic and Customized Orthotic Devices
- Section 215 ILCS 5/356z.18 - [Effective 1/1/2025] Prosthetic and customized orthotic devices
- Section 215 ILCS 5/356z.19 - Cardiovascular disease
- Section 215 ILCS 5/356z.20 - [Renumbered from 215 ILCS 5/356z.19] Cancer drug parity
- Section 215 ILCS 5/356z.21 - [Renumbered from 215 ILCS 5/356z.19] Tobacco use cessation programs; coverage offer
- Section 215 ILCS 5/356z.22 - Coverage for telehealth services
- Section 215 ILCS 5/356z.23 - Coverage for opioid antagonists
- Section 215 ILCS 5/356z.24 - Immune gamma globulin therapy
- Section 215 ILCS 5/356z.25 - Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome
- Section 215 ILCS 5/356z.26 - [Renumbered from 215 ILCS 5/356z.25] Synchronization
- Section 215 ILCS 5/356z.27 - [Repealed]
- Section 215 ILCS 5/356z.28 - [Renumbered from 215 ILCS 5/356z.25] Dry needling by a physical therapist
- Section 215 ILCS 5/356z.29 - Stage 4 advanced, metastatic cancer
- Section 215 ILCS 5/356z.30 - [Effective Until 1/1/2025] [Renumbered from 215 ILCS 5/356z.29] Coverage for hearing aids for individuals under the age of 18
- Section 215 ILCS 5/356z.30 - [Effective 1/1/2025] Coverage for hearing aids
- Section 215 ILCS 5/356z.30a - [Repealed]
- Section 215 ILCS 5/356z.31 - [Renumbered from 215 ILCS 5/356z.29] Recovery housing for persons with substance use disorders
- Section 215 ILCS 5/356z.32 - [Renumbered from 215 ILCS 5/356z.29] Coverage for fertility preservation services
- Section 215 ILCS 5/356z.33 - [Effective Until 1/1/2025] Coverage for epinephrine injectors
- Section 215 ILCS 5/356z.33 - [Effective 1/1/2025] Coverage for epinephrine injectors
- Section 215 ILCS 5/356z.34 - Coverage for epinephrine injectors
- Section 215 ILCS 5/356z.35 - Long-term antibiotic therapy for tick-borne diseases
- Section 215 ILCS 5/356z.36 - Coverage of treatment models for early treatment of serious mental illnesses
- Section 215 ILCS 5/356z.37 - Whole body skin examination
- Section 215 ILCS 5/356z.38 - Human breast milk coverage
- Section 215 ILCS 5/356z.39 - Coverage of the psychiatric Collaborative Care Model
- Section 215 ILCS 5/356z.40 - [Effective Until 1/1/2025] Pregnancy and postpartum coverage
- Section 215 ILCS 5/356z.40 - [Effective 1/1/2025] (Text of Section from P.A. 103-650) Pregnancy and postpartum coverage
- Section 215 ILCS 5/356z.40 - [Effective 1/1/2026] (Text of Section from P.A. 103-701) Pregnancy and postpartum coverage
- Section 215 ILCS 5/356z.40 - [Effective 1/1/2026] (Text of Section from P.A. 103-720) Pregnancy and postpartum coverage
- Section 215 ILCS 5/356z.40a - [Effective 1/1/2025] Pregnancy as a qualifying life event for qualified health plans
- Section 215 ILCS 5/356z.41 - [Effective Until 7/1/2025] Cost sharing in prescription insulin drugs; limits; confidentiality of rebate information
- Section 215 ILCS 5/356z.41 - [Effective 7/1/2025] Cost sharing in prescription insulin drugs; limits; confidentiality of rebate information
- Section 215 ILCS 5/356z.42 - [Repealed]
- Section 215 ILCS 5/356z.43 - [Repealed]
- Section 215 ILCS 5/356z.44 - Vitamin D testing
- Section 215 ILCS 5/356z.45 - Coverage for patient care services provided by a pharmacist
- Section 215 ILCS 5/356z.46 - Biomarker testing
- Section 215 ILCS 5/356z.47 - Coverage for pancreatic cancer screening
- Section 215 ILCS 5/356z.48 - [Effective Until 1/1/2025] Colonoscopy coverage
- Section 215 ILCS 5/356z.48 - [Effective 1/1/2025] Colonoscopy coverage
- Section 215 ILCS 5/356z.49 - A1C testing
- Section 215 ILCS 5/356z.50 - Comprehensive cancer testing
- Section 215 ILCS 5/356z.51 - Coverage for port-wine stain treatment
- Section 215 ILCS 5/356z.53 - Coverage for home health services
- Section 215 ILCS 5/356z.54 - Coverage for breast reduction surgery
- Section 215 ILCS 5/356z.55 - Coverage for cleft lip and cleft palate
- Section 215 ILCS 5/356z.56 - [Effective Until 1/1/2026] Coverage for hormone therapy to treat menopause
- Section 215 ILCS 5/356z.56 - [Effective 1/1/2026] Coverage for hormonal and non-hormonal therapy to treat menopause
- Section 215 ILCS 5/356z.57 - Pediatric palliative care
- Section 215 ILCS 5/356z.58 - Prenatal vitamins coverage
- Section 215 ILCS 5/356z.59 - Coverage for continuous glucose monitors
- Section 215 ILCS 5/356z.60 - Coverage for abortifacients, hormonal therapy, and human immunodeficiency virus pre-exposure prophylaxis and post-exposure prophylaxis
- Section 215 ILCS 5/356z.61 - (Text of Section from P.A. 103-605) Coverage for liver disease screening
- Section 215 ILCS 5/356z.61 - (Text of Section from P.A. 103-753) Wigs and hair prostheses
- Section 215 ILCS 5/356z.62 - Coverage of preventive health services
- Section 215 ILCS 5/356z.63 - Coverage of pharmacy testing, screening, vaccinations, and treatment
- Section 215 ILCS 5/356z.64 - Coverage for compression sleeves
- Section 215 ILCS 5/356z.65 - Coverage for reconstructive services
- Section 215 ILCS 5/356z.66 - Proton beam therapy
- Section 215 ILCS 5/356z.67 - Coverage of prescription estrogen
- Section 215 ILCS 5/356z.68 - Home saliva cancer screening
- Section 215 ILCS 5/356z.69 - Coverage for children with neuromuscular, neurological, or cognitive impairment
- Section 215 ILCS 5/356z.70 - Coverage of no-cost mental health prevention and wellness visits
- Section 215 ILCS 5/356z.71 - [Effective 1/1/2025] (Text of Section from P.A. 103-700) Insurance coverage for dependent parents
- Section 215 ILCS 5/356z.71 - (Text of Section from P.A. 103-751) Coverage for annual menopause health visit
- Section 215 ILCS 5/356z.71 - [Effective 1/1/2025] (Text of Section from P.A. 103-758) Insurance coverage for dependent parents
- Section 215 ILCS 5/356z.71 - [Effective 1/1/2025] (Text of Section from P.A. 103-870) Insurance coverage for dependent parents
- Section 215 ILCS 5/356z.71 - [Effective 1/1/2025] (Text of Section from P.A. 103-918) Insurance coverage for dependent parents
- Section 215 ILCS 5/356z.71 - [Effective 1/1/2025] (Text of Section from P.A. 103-972) Insurance coverage for dependent parents
- Section 215 ILCS 5/356z.71 - [Effective 1/1/2025] (Text of Section from P.A. 103-1024) Insurance coverage for dependent parents
- Section 215 ILCS 5/357.1 - Accident and health policy provisions required
- Section 215 ILCS 5/357.2 - Entire Contract; Changes
- Section 215 ILCS 5/357.3 - Time Limit on Certain Defenses
- Section 215 ILCS 5/357.4 - Grace Period
- Section 215 ILCS 5/357.5 - Reinstatement
- Section 215 ILCS 5/357.6 - Notice of Claim
- Section 215 ILCS 5/357.7 - Claim Forms
- Section 215 ILCS 5/357.8 - Proofs of Loss
- Section 215 ILCS 5/357.9 - Time of Payment of Claims
- Section 215 ILCS 5/357.9a - Delay in payment of claims
- Section 215 ILCS 5/357.10
- Section 215 ILCS 5/357.11
- Section 215 ILCS 5/357.12
- Section 215 ILCS 5/357.13
- Section 215 ILCS 5/357.14
- Section 215 ILCS 5/357.15
- Section 215 ILCS 5/357.16
- Section 215 ILCS 5/357.17
- Section 215 ILCS 5/357.18
- Section 215 ILCS 5/357.19
- Section 215 ILCS 5/357.20
- Section 215 ILCS 5/357.21
- Section 215 ILCS 5/357.22
- Section 215 ILCS 5/357.23
- Section 215 ILCS 5/357.24
- Section 215 ILCS 5/357.25 - [Repealed]
- Section 215 ILCS 5/357.26
- Section 215 ILCS 5/357.27
- Section 215 ILCS 5/357.28
- Section 215 ILCS 5/357.29
- Section 215 ILCS 5/357.30
- Section 215 ILCS 5/357.31
- Section 215 ILCS 5/358a - Conforming to statute
- Section 215 ILCS 5/359a - Application
- Section 215 ILCS 5/359b - [Repealed]
- Section 215 ILCS 5/359c - [Repealed]
- Section 215 ILCS 5/360a - Notice, waiver
- Section 215 ILCS 5/361a - Age limit
- Section 215 ILCS 5/362a - [Repealed]
- Section 215 ILCS 5/363 - [Effective Until 1/1/2026] Medicare supplement policies; minimum standards
- Section 215 ILCS 5/363 - [Effective 1/1/2026] Medicare supplement policies; minimum standards
- Section 215 ILCS 5/363a - Medicare supplement policies; disclosure, advertising, loss ratio standards
- Section 215 ILCS 5/364 - Discrimination prohibited
- Section 215 ILCS 5/364.01 - Qualified clinical cancer trials
- Section 215 ILCS 5/364.1
- Section 215 ILCS 5/364.2 - Purchase Of Ophthalmic Goods Or Services
- Section 215 ILCS 5/364.3 - Insurer uniform electronic prior authorization form; prescription benefits
- Section 215 ILCS 5/367 - Group accident and health insurance
- Section 215 ILCS 5/367.2 - Spousal continuation privilege; group contracts
- Section 215 ILCS 5/367.2-5 - Dependent child continuation privilege; group contracts
- Section 215 ILCS 5/367.3 - [Effective Until 1/1/2025] Group accident and health insurance; discretionary groups
- Section 215 ILCS 5/367.3 - [Effective 1/1/2025] Group accident and health insurance; discretionary groups
- Section 215 ILCS 5/367a - [Effective Until 1/1/2025] Blanket accident and health insurance
- Section 215 ILCS 5/367a - [Effective 1/1/2025] (Text of Section from P.A. 103-649) Blanket accident and health insurance
- Section 215 ILCS 5/367a - [Effective 1/1/2025] (Text of Section from P.A. 103-718) Blanket accident and health insurance
- Section 215 ILCS 5/367b
- Section 215 ILCS 5/367c
- Section 215 ILCS 5/367d
- Section 215 ILCS 5/367d.1
- Section 215 ILCS 5/367e - Continuation of Group Hospital, Surgical and Major Medical Coverage After Termination of Employment or Membership
- Section 215 ILCS 5/367e.1 - Group Accident and Health Insurance Conversion Privilege
- Section 215 ILCS 5/367f - Firefighters' continuance privilege
- Section 215 ILCS 5/367g - Police officer's continuance privilege
- Section 215 ILCS 5/367h - Deputy's continuance privilege
- Section 215 ILCS 5/367i - Discontinuance and replacement of coverage
- Section 215 ILCS 5/367j - Municipal employee's continuance privilege
- Section 215 ILCS 5/367k - Intoxication and Narcotics; Exclusion of Coverage Prohibited
- Section 215 ILCS 5/367m - Early intervention services
- Section 215 ILCS 5/368 - Industrial accident and health insurance
- Section 215 ILCS 5/368a - Timely payment for health care services
- Section 215 ILCS 5/368b - Contracting procedures
- Section 215 ILCS 5/368c - Remittance advice and procedures
- Section 215 ILCS 5/368d - Recoupments
- Section 215 ILCS 5/368e - Administration and enforcement
- Section 215 ILCS 5/368f - [Effective Until 1/1/2025] Military Service Member Insurance Reinstatement
- Section 215 ILCS 5/368f - [Effective 1/1/2025] Military service member insurance reinstatement
- Section 215 ILCS 5/368g - Time-based billing
- Section 215 ILCS 5/369 - Rights of minors
- Section 215 ILCS 5/370 - Policies issued in violation of article-Penalty
- Section 215 ILCS 5/370a - Assignability of Accident and Health Insurance
- Section 215 ILCS 5/370b - Reimbursement on equal basis
- Section 215 ILCS 5/370b.1 - Surgical assistant payments
- Section 215 ILCS 5/370c - [Effective 1/1/2025] (Text of Section from P.A. 103-650) Mental and emotional disorders
- Section 215 ILCS 5/370c - (Text of Section from P.A. 103-1040) Mental and emotional disorders
- Section 215 ILCS 5/370c.1 - Mental, emotional, nervous, or substance use disorder or condition parity
- Section 215 ILCS 5/370c.2 - [Repealed]
- Section 215 ILCS 5/370d
- Section 215 ILCS 5/370d.1 - Group policies; chambers of commerce
- Section 215 ILCS 5/370e