Illinois Compiled Statutes 215 ILCS 125 Health Maintenance Organization Act. Section 4-14
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Illinois Laws
(215 ILCS 125/4-14) (from Ch. 111 1/2, par. 1409.7)
Sec. 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 co-payment, 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.
(Source: P.A. 86-620.)
Sections: 4-7 4-8 4-9 4-9.1 4-9.2 4-10 4-11 4-12 4-13 4-14 4-15 4-16 4-17 4-18 4-19
Last modified: February 20, 2012
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