ADMINISTRATIVE CODE

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  4. CHAPTER I: DEPARTMENT OF INSURANCE
TITLE 50: INSURANCE
CHAPTER I: DEPARTMENT OF INSURANCE
SUBCHAPTER z: ACCIDENT AND HEALTH INSURANCE
PART 2008 MINIMUM STANDARDS FOR INDIVIDUAL AND GROUP MEDICARE SUPPLEMENT INSURANCE
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SUBPART A: GENERAL PROVISIONS

Section 2008.10 Authority
Section 2008.20 Purpose
Section 2008.30 Applicability and Scope
Section 2008.35 Effective Date (Repealed)
Section 2008.40 Definitions

SUBPART B: COVERAGE, POLICY & BENEFIT PROVISIONS

Section 2008.45 Creditable coverage
Section 2008.50 Policy Definitions and Terms
Section 2008.60 Policy Provisions
Section 2008.61 Benefit Conversion Requirements During Transition (Repealed)
Section 2008.63 Standard Medicare Supplement Benefit Plans for 2020 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery to Individuals Newly Eligible for Medicare on or after January 1, 2020
Section 2008.64 Benefit Standards for 2010 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery with an Effective Date for Coverage on or after June 1, 2010
Section 2008.67 Standard Medicare Supplement Benefit Plans for 2010 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery with an Effective Date for Coverage on or after June 1, 2010
Section 2008.70 Minimum Benefit Standards for Pre-Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery Prior to February 11, 1992
Section 2008.71 Benefit Standards for 1990 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery after February 11, 1992 and Prior to June 1, 2010
Section 2008.72 Standard Medicare Supplement Benefit Plans for 1990 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery on or after February 11, 1992 and Prior to June 1, 2010
Section 2008.73 Medicare Select Policies and Certificates

SUBPART C: ENROLLMENT & ELIGIBILITY

Section 2008.74 Open Enrollment
Section 2008.75 Guaranteed Issue for Eligible Persons

SUBPART D: CLAIMS, REFUNDS & CREDITS

Section 2008.76 Standards for Claims Payment
Section 2008.80 Loss Ratio Standards and Refund or Credit of Premium

SUBPART E: RATES, COMPENSATION AGREEMENT, DISCLOSURE, REPLACEMENT & MARKETING

Section 2008.81 Filing and Approval of Policies and Certificates and Premium Rates
Section 2008.82 Permitted Compensation Arrangements
Section 2008.90 Required Disclosure Provisions
Section 2008.91 Instructions for Use of the Disclosure Statements for Health Insurance Policies Sold to Medicare Beneficiaries that Duplicate Medicare
Section 2008.100 Requirements for Application Forms and Replacement Coverage
Section 2008.101 Standards for Marketing
Section 2008.102 Appropriateness of Recommended Purchase and Excessive Insurance

SUBPART F: REPORTING & PROHIBITIONS

Section 2008.103 Reporting of Multiple Policies
Section 2008.104 Prohibition Against Preexisting Conditions, Waiting Periods, Elimination Periods and Probationary Periods in Replacement Policies or Certificates
Section 2008.107 Prohibition Against Use of Genetic Information and Requests for Genetic Testing

SUBPART G: MISCELLANEOUS PROVISIONS

Section 2008.110 Severability
Section 2008.120 Effective Date (Repealed)

Section 2008.APPENDIX A Policy Checklist

Section 2008.APPENDIX B Outline of Medicare Supplement Coverage – Cover Page for Medicare Supplement Plans Sold Prior to June 1, 2010
Section 2008.APPENDIX C Plan A (for plans issued prior to June 1, 2010)
Section 2008.APPENDIX D Plan B (for plans issued prior to June 1, 2010)
Section 2008.APPENDIX E Plan C (for plans issued prior to June 1, 2010)
Section 2008.APPENDIX F Plan D (for plans issued prior to June 1, 2010)
Section 2008.APPENDIX G Plan E (not available after May 31, 2010)
Section 2008.APPENDIX H Plan F or High Deductible Plan F (for plans issued prior to June 1, 2010)
Section 2008.APPENDIX I Plan G (for plans issued prior to June 1, 2010)
Section 2008.APPENDIX J Plan H (not available after May 31, 2010)
Section 2008.APPENDIX K Plan I (not available after May 31, 2010)
Section 2008.APPENDIX L Plan J or High Deductible Plan J (not available after May 31, 2010)
Section 2008.APPENDIX M Plan K (for plans issued prior to June 1, 2010)
Section 2008.APPENDIX N Plan L (for plans issued prior to June 1, 2010)
Section 2008.APPENDIX O NOTICE OF MEDICARE CHANGES (RENUMBERED)
Section 2008.APPENDIX P MEDICARE SUPPLEMENT POLICIES REPORT (RENUMBERED)
Section 2008.APPENDIX Q Disclosure Statements (Renumbered)
Section 2008.APPENDIX R Notice to Applicant Regarding Replacement of Medicare Supplement Insurance or Medicare Advantage
Section 2008.APPENDIX S Medicare Supplement Refund Calculation Format
Section 2008.APPENDIX T Notice of Medicare Changes
Section 2008.APPENDIX U Medicare Supplement Policies Report
Section 2008.APPENDIX V Disclosure Statements
Section 2008.APPENDIX W Outline of Medicare Supplement Coverage – Cover Page for Medicare Supplement Plans Sold on or after June 1, 2010
Section 2008.APPENDIX AA Plan A (for plans issued on or after June 1, 2010)
Section 2008.APPENDIX BB Plan B (for plans issued on or after June 1, 2010)
Section 2008.APPENDIX CC Plan C (for plans issued on or after June 1, 2010)
Section 2008.APPENDIX DD Plan D (for plans issued on or after June 1, 2010)
Section 2008.APPENDIX EE Plan F or High Deductible Plan F (for plans issued on or after June 1, 2010)
Section 2008.APPENDIX FF Plan G or High Deductible Plan G (for plans issued on or after June 1, 2010)
Section 2008.APPENDIX GG Plan K (for plans issued on or after June 1, 2010)
Section 2008.APPENDIX HH Plan L (for plans issued on or after June 1, 2010)
Section 2008.APPENDIX II Plan M (for plans issued on or after June 1, 2010)
Section 2008.APPENDIX JJ Plan N (for plans issued on or after June 1, 2010)
AUTHORITY: Implementing Sections 363 and 363a and authorized by Section 401 of the Illinois Insurance Code [215 ILCS 5].
SOURCE: Adopted at 6 Ill. Reg. 7115, effective June 1, 1982 and January 1, 1983; codified at 7 Ill. Reg. 3474; emergency amendment at 13 Ill. Reg. 586, effective January 1, 1989, for a maximum of 150 days; amended at 13 Ill. Reg. 8520, effective May 23, 1989; amended at 14 Ill. Reg. 19243, effective November 27, 1990; amended at 16 Ill. Reg. 2766, effective February 11, 1992; corrected at 16 Ill. Reg. 3590; amended at 16 Ill. Reg. 15452, effective September 29, 1992; emergency amendment at 16 Ill. Reg. 19226, effective December 1, 1992, for a maximum of 150 days; emergency expired April 29, 1993; amended at 17 Ill. Reg. 11469, effective July 9, 1993; amended at 20 Ill. Reg. 6393, effective April 28, 1996; amended at 23 Ill. Reg. 3704, effective March 10, 1999; amended at 23 Ill. Reg. 14700, effective January 1, 2000; amended at 24 Ill. Reg. 19151, effective January 1, 2001; amended at 25 Ill. Reg. 7886, effective June 18, 2001; amended at 26 Ill. Reg. 5130, effective March 25, 2002; transferred from the Department of Insurance to the Department of Financial and Professional Regulation pursuant to Executive Order 2004-6 on July 1, 2004; amended at 29 Ill. Reg. 14188, effective September 8, 2005; amended at 33 Ill. Reg. 8904, effective June 10, 2009; recodified from the Department of Financial and Professional Regulation to the Department of Insurance pursuant to Executive Order 2009-04 at 39 Ill. Reg. 8346; amended at 42 Ill. Reg. 21625, effective November 26, 2018; amended at 47 Ill. Reg. 5701, effective April 4, 2023; amended at 47 Ill. Reg. 16454, effective November 1, 2023.