§ 215 ILCS 5/352 Scope of Article
§ 215 ILCS 5/352a Mandated Coverages
§ 215 ILCS 5/352b Policy of individual or group accident and health insurance
§ 215 ILCS 5/353 Non-cancellable accident and health insurance reserves
§ 215 ILCS 5/353a Accident and health reserves
§ 215 ILCS 5/354 Accident and health loss reserves
§ 215 ILCS 5/355 Accident and health policies; provisions
§ 215 ILCS 5/355.1 No claim for benefits for loss of time from the insured person’s …
§ 215 ILCS 5/355.2 Dental coverage reimbursement rates
§ 215 ILCS 5/355.3 Noncovered dental services
§ 215 ILCS 5/355.4 Provider notification of network plan changes
§ 215 ILCS 5/355.5 Dental coverage reimbursement; prohibitions
§ 215 ILCS 5/355a Standardization of terms and coverage
§ 215 ILCS 5/355b Claim-related information; alternative means of communication
§ 215 ILCS 5/355c Availability of information on qualified health plans
§ 215 ILCS 5/356a Form of policy
§ 215 ILCS 5/356b (a) This Section applies to the hospital and medical expense …
§ 215 ILCS 5/356c (1) No policy of accident and health insurance providing coverage of …
§ 215 ILCS 5/356d Conversion privileges for insured former spouses
§ 215 ILCS 5/356e Victims of certain offenses
§ 215 ILCS 5/356f No policy of accident or health insurance or any renewal thereof …
§ 215 ILCS 5/356g Mammograms; mastectomies
§ 215 ILCS 5/356g.5 Clinical breast exam
§ 215 ILCS 5/356g.5-1 Breast cancer pain medication and therapy
§ 215 ILCS 5/356h No individual or group policy of accident and health insurance which …
§ 215 ILCS 5/356i Medical assistance; coverage of child
§ 215 ILCS 5/356K Coverage for Organ Transplantation Procedures
§ 215 ILCS 5/356L No policy of accident or health insurance shall include any provision …
§ 215 ILCS 5/356m Infertility coverage
§ 215 ILCS 5/356n Fibrocystic condition; denial of coverage
§ 215 ILCS 5/356p Breast implant removal
§ 215 ILCS 5/356q On or after the effective date of this Section, every insurer which …
§ 215 ILCS 5/356r Woman’s principal health care provider
§ 215 ILCS 5/356s Post-parturition care
§ 215 ILCS 5/356t Post-mastectomy care
§ 215 ILCS 5/356u Pap tests and prostate cancer screenings
§ 215 ILCS 5/356u.5 Coverage for genetic testing for breast and ovarian cancer susceptibility
§ 215 ILCS 5/356v Use of information derived from genetic testing
§ 215 ILCS 5/356w Diabetes self-management training and education
§ 215 ILCS 5/356x Coverage for colorectal cancer examination and screening
§ 215 ILCS 5/356z.1 Prenatal HIV testing
§ 215 ILCS 5/356z.2 Coverage for adjunctive services in dental care
§ 215 ILCS 5/356z.3 Disclosure of limited benefit
§ 215 ILCS 5/356z.3a Billing; emergency services; nonparticipating providers
§ 215 ILCS 5/356z.4 Coverage for contraceptives
§ 215 ILCS 5/356z.4a Coverage for abortion
§ 215 ILCS 5/356z.4b Billing for long-acting reversible contraceptives
§ 215 ILCS 5/356z.5 Prescription inhalants
§ 215 ILCS 5/356z.6 Bone mass measurement; osteoporosis.A group or individual policy of …
§ 215 ILCS 5/356z.7 Prescription drugs; cancer treatment
§ 215 ILCS 5/356z.8 Multiple sclerosis preventative physical therapy
§ 215 ILCS 5/356z.9 Human papillomavirus vaccine
§ 215 ILCS 5/356z.10 Amino acid-based elemental formulas
§ 215 ILCS 5/356z.11 Dependent students; medical leave of absence
§ 215 ILCS 5/356z.12 Dependent coverage
§ 215 ILCS 5/356z.13 Shingles vaccine
§ 215 ILCS 5/356z.14 Autism spectrum disorders
§ 215 ILCS 5/356z.15 Habilitative services for children
§ 215 ILCS 5/356z.17 Wellness coverage
§ 215 ILCS 5/356z.18 Prosthetic and customized orthotic devices
§ 215 ILCS 5/356z.19 Cardiovascular disease
§ 215 ILCS 5/356z.20 Cancer drug parity
§ 215 ILCS 5/356z.21 Tobacco use cessation programs; coverage offer
§ 215 ILCS 5/356z.22 Coverage for telehealth services
§ 215 ILCS 5/356z.23 Coverage for opioid antagonists
§ 215 ILCS 5/356z.24 Immune gamma globulin therapy
§ 215 ILCS 5/356z.25 Coverage for treatment of pediatric autoimmune neuropsychiatric …
§ 215 ILCS 5/356z.26 Synchronization
§ 215 ILCS 5/356z.28 Dry needling by a physical therapist
§ 215 ILCS 5/356z.29 Stage 4 advanced, metastatic cancer
§ 215 ILCS 5/356z.30 Coverage for hearing aids for individuals under the age of 18
§ 215 ILCS 5/356z.30a Coverage for hearing instruments
§ 215 ILCS 5/356z.31 Recovery housing for persons with substance use disorders
§ 215 ILCS 5/356z.32 Coverage for fertility preservation services
§ 215 ILCS 5/356z.33 Coverage for epinephrine injectors
§ 215 ILCS 5/356z.34 Coverage for cardiopulmonary monitors
§ 215 ILCS 5/356z.35 Long-term antibiotic therapy for tick-borne diseases
§ 215 ILCS 5/356z.36 Coverage of treatment models for early treatment of serious mental illnesses
§ 215 ILCS 5/356z.37 Whole body skin examination
§ 215 ILCS 5/356z.38 Human breast milk coverage
§ 215 ILCS 5/356z.39 Coverage of the psychiatric Collaborative Care Model
§ 215 ILCS 5/356z.40 Pregnancy and postpartum coverage
§ 215 ILCS 5/356z.41 Cost sharing in prescription insulin drugs; limits; confidentiality of rebate information
§ 215 ILCS 5/356z.44 Vitamin D testing
§ 215 ILCS 5/356z.45 Coverage for patient care services provided by a pharmacist
§ 215 ILCS 5/356z.46 Biomarker testing
§ 215 ILCS 5/356z.47 Coverage for pancreatic cancer screening
§ 215 ILCS 5/356z.48 Colonoscopy coverage
§ 215 ILCS 5/356z.49 A1C testing
§ 215 ILCS 5/356z.50 Comprehensive cancer testing
§ 215 ILCS 5/356z.51 Coverage for port-wine stain treatment
§ 215 ILCS 5/356z.53 Coverage for home health services
§ 215 ILCS 5/356z.54 Coverage for breast reduction surgery
§ 215 ILCS 5/356z.55 Coverage for cleft lip and cleft palate
§ 215 ILCS 5/356z.56 Coverage for hormone therapy to treat menopause
§ 215 ILCS 5/356z.57 Pediatric palliative care
§ 215 ILCS 5/356z.58 Prenatal vitamins coverage
§ 215 ILCS 5/356z.59 Coverage for continuous glucose monitors
§ 215 ILCS 5/356z.60 Coverage for abortifacients, hormonal therapy, and human …
§ 215 ILCS 5/356z.61 Coverage of pharmacy testing, screening, vaccinations, and treatment
§ 215 ILCS 5/356z.62 Coverage of preventive health services
§ 215 ILCS 5/357.1 Accident and health policy provisions required
§ 215 ILCS 5/357.2 “ENTIRE CONTRACT; CHANGES: This policy, including the endorsements …
§ 215 ILCS 5/357.3 “TIME LIMIT ON CERTAIN DEFENSES: (1) …
§ 215 ILCS 5/357.4 “GRACE PERIOD: A grace period of ….(insert a number not less than …
§ 215 ILCS 5/357.5 “REINSTATEMENT: If any renewal premium be not paid within the time …
§ 215 ILCS 5/357.6 “NOTICE OF CLAIM: Written notice of claim must be given to the …
§ 215 ILCS 5/357.7 “CLAIM FORMS: The company, upon receipt of a notice of claim, will …
§ 215 ILCS 5/357.8 “PROOFS OF LOSS: Written proof of loss must be furnished to the …
§ 215 ILCS 5/357.9 “TIME OF PAYMENT OF CLAIMS: Indemnities payable under this policy for …
§ 215 ILCS 5/357.9a Delay in payment of claims
§ 215 ILCS 5/357.10 “PAYMENT OF CLAIMS: Indemnity for loss of life will be payable in …
§ 215 ILCS 5/357.11 “PHYSICAL EXAMINATIONS AND AUTOPSY: The company at its own expense …
§ 215 ILCS 5/357.12 “LEGAL ACTIONS: No civil action shall be brought to recover on this …
§ 215 ILCS 5/357.13 “CHANGE OF BENEFICIARY: Unless the insured makes an irrevocable …
§ 215 ILCS 5/357.14 Except as provided in section 357.26, no such policy delivered or …
§ 215 ILCS 5/357.15 “CHANGE OF OCCUPATION: If the insured be injured or contract sickness …
§ 215 ILCS 5/357.16 “MISSTATEMENT OF AGE: If the age of the insured has been misstated, …
§ 215 ILCS 5/357.17 “OTHER INSURANCE IN THIS COMPANY: If an accident or health or …
§ 215 ILCS 5/357.18 “INSURANCE WITH OTHER COMPANIES: If there be other valid coverage, …
§ 215 ILCS 5/357.19 “INSURANCE WITH OTHER COMPANIES: If there be other valid coverage, …
§ 215 ILCS 5/357.20 “RELATION OF EARNINGS TO INSURANCE: If the total monthly amount of …
§ 215 ILCS 5/357.21 “UNPAID PREMIUM: Upon the payment of a claim under this policy, any …
§ 215 ILCS 5/357.22 “CANCELLATION: The company may cancel this policy at any time by …
§ 215 ILCS 5/357.23 “CONFORMITY WITH STATE STATUTES: Any provision of this policy which, …
§ 215 ILCS 5/357.24 “ILLEGAL OCCUPATION: The company shall not be liable for any loss to …
§ 215 ILCS 5/357.26 If any provision of the preceding sections is in whole or in part …
§ 215 ILCS 5/357.27 The provisions which are the subject of Sections 357.2 through …
§ 215 ILCS 5/357.28 The word “insured”, as used in this article, shall not be construed …
§ 215 ILCS 5/357.29 Any policy of a foreign or alien company, when delivered or issued …
§ 215 ILCS 5/357.30 The Director may make such reasonable rules and regulations …
§ 215 ILCS 5/357.31 In the event of the death of a policyholder of an individual accident …
§ 215 ILCS 5/358a Conforming to statute
§ 215 ILCS 5/359a Application
§ 215 ILCS 5/360a Notice, waiver
§ 215 ILCS 5/361a Age limit
§ 215 ILCS 5/362a Non-application to certain policies
§ 215 ILCS 5/363 Medicare supplement policies; minimum standards
§ 215 ILCS 5/364 Discrimination prohibited
§ 215 ILCS 5/364.01 Qualified clinical cancer trials
§ 215 ILCS 5/364.1 Every policy of accident and health insurance delivered or issued for …
§ 215 ILCS 5/364.2 Purchase of ophthalmic goods or services
§ 215 ILCS 5/364.3 Insurer uniform electronic prior authorization form; prescription benefits
§ 215 ILCS 5/367 Group accident and health insurance
§ 215 ILCS 5/367.2 Spousal continuation privilege; group contracts
§ 215 ILCS 5/367.2-5 Dependent child continuation privilege; group contracts
§ 215 ILCS 5/367.3 Group accident and health insurance; discretionary groups
§ 215 ILCS 5/367a Blanket accident and health insurance
§ 215 ILCS 5/367b (a) This Section applies to the hospital and medical expense …
§ 215 ILCS 5/367c No claim shall be denied, under any group accident and health policy …
§ 215 ILCS 5/367d No claim shall be denied, under any group accident and health policy …
§ 215 ILCS 5/367d.1 After the effective date of this amendatory Act of 1992, no group …
§ 215 ILCS 5/367e Continuation of Group Hospital, Surgical and Major Medical Coverage …
§ 215 ILCS 5/367e.1 Group Accident and Health Insurance Conversion Privilege
§ 215 ILCS 5/367f Firefighters’ continuance privilege
§ 215 ILCS 5/367g Police officer’s continuance privilege
§ 215 ILCS 5/367h Deputy’s continuance privilege
§ 215 ILCS 5/367i Discontinuance and replacement of coverage
§ 215 ILCS 5/367j Municipal employee’s continuance privilege
§ 215 ILCS 5/367k Intoxication and narcotics; exclusion of coverage prohibited
§ 215 ILCS 5/367m Early intervention services
§ 215 ILCS 5/368 Industrial accident and health insurance
§ 215 ILCS 5/368a Timely payment for health care services
§ 215 ILCS 5/368b Contracting procedures
§ 215 ILCS 5/368c Remittance advice and procedures
§ 215 ILCS 5/368d Recoupments
§ 215 ILCS 5/368e Administration and enforcement
§ 215 ILCS 5/368f Military service member insurance reinstatement
§ 215 ILCS 5/368g Time-based billing
§ 215 ILCS 5/369 Rights of minors
§ 215 ILCS 5/370 Policies issued in violation of article-Penalty
§ 215 ILCS 5/370a Assignability of Accident and Health Insurance
§ 215 ILCS 5/370b Reimbursement on equal basis
§ 215 ILCS 5/370b.1 Surgical assistant payments
§ 215 ILCS 5/370c Mental and emotional disorders
§ 215 ILCS 5/370c.1 Mental, emotional, nervous, or substance use disorder or condition parity
§ 215 ILCS 5/370d Companies which issue insurance policies under this Article …
§ 215 ILCS 5/370d.1 Group policies; chambers of commerce
§ 215 ILCS 5/370e Companies which issue group accident and health policies or blanket …

Ask an insurance law question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

Terms Used In Illinois Compiled Statutes > 215 ILCS 5 > Article XX - Accident And Health Insurance

  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Chambers: A judge's office.
  • Continuance: Putting off of a hearing ot trial until a later time.
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Freedom of Information Act: A federal law that mandates that all the records created and kept by federal agencies in the executive branch of government must be open for public inspection and copying. The only exceptions are those records that fall into one of nine exempted categories listed in the statute. Source: OCC
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Heretofore: means any time previous to the day on which the statute takes effect; and the word "hereafter" at any time after such day. See Illinois Compiled Statutes 5 ILCS 70/1.17
  • individual: shall include every infant member of the species homo sapiens who is born alive at any stage of development. See Illinois Compiled Statutes 5 ILCS 70/1.36
  • insured: as used in this article , shall not be construed as preventing a person other than the insured with a proper insurable interest from making application for and owning a policy covering the insured or from being entitled under such a policy to any indemnities, benefits and rights provided therein. See Illinois Compiled Statutes 215 ILCS 5/357.28
  • Interrogatories: Written questions asked by one party of an opposing party, who must answer them in writing under oath; a discovery device in a lawsuit.
  • Joint committee: Committees including membership from both houses of teh legislature. Joint committees are usually established with narrow jurisdictions and normally lack authority to report legislation.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Minority leader: See Floor Leaders
  • Month: means a calendar month, and the word "year" a calendar year unless otherwise expressed; and the word "year" alone, is equivalent to the expression "year of our Lord. See Illinois Compiled Statutes 5 ILCS 70/1.10
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Person under legal disability: means a person 18 years or older who (a) because of mental deterioration or physical incapacity is not fully able to manage his or her person or estate, or (b) is a person with mental illness or is a person with developmental disabilities and who because of his or her mental illness or developmental disability is not fully able to manage his or her person or estate, or (c) because of gambling, idleness, debauchery or excessive use of intoxicants or drugs, so spends or wastes his or her estate as to expose himself or herself or his or her family to want or suffering. See Illinois Compiled Statutes 5 ILCS 70/1.06
  • Petty offense: A federal misdemeanor punishable by six months or less in prison. Source: U.S. Courts
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • State: when applied to different parts of the United States, may be construed to include the District of Columbia and the several territories, and the words "United States" may be construed to include the said district and territories. See Illinois Compiled Statutes 5 ILCS 70/1.14
  • Statute: A law passed by a legislature.
  • Subpoena: A command to a witness to appear and give testimony.
  • Surviving spouse: means "widow" or "widower" as the case may be. See Illinois Compiled Statutes 5 ILCS 70/1.32
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • Trustee: A person or institution holding and administering property in trust.
  • United States: may be construed to include the said district and territories. See Illinois Compiled Statutes 5 ILCS 70/1.14
  • Uphold: The decision of an appellate court not to reverse a lower court decision.
  • Veto: The procedure established under the Constitution by which the President/Governor refuses to approve a bill or joint resolution and thus prevents its enactment into law. A regular veto occurs when the President/Governor returns the legislation to the house in which it originated. The President/Governor usually returns a vetoed bill with a message indicating his reasons for rejecting the measure. In Congress, the veto can be overridden only by a two-thirds vote in both the Senate and the House.