Full Text of HB5285 95th General Assembly
HB5285avm001 95TH GENERAL ASSEMBLY
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HB5285AVM001 |
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LRB095 17860 RPM 52346 v |
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| MOTION
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| I move to accept the specific recommendations of the | 3 |
| Governor as to House Bill 5285 in manner and form as follows:
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| AMENDMENT TO HOUSE BILL 5285
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| IN ACCEPTANCE OF GOVERNOR'S RECOMMENDATIONS
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| Amend House Bill 5285 as follows:
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| on page 1, line 14, by replacing " and 356z.11 " with " 356z.11, | 8 |
| and 356z.12 "; and | 9 |
| on page 2, line 8, by replacing " and 356z.11 " with " 356z.11, | 10 |
| and 356z.12 "; and
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| on page 3, line 3, by replacing " and 356z.11 " with " 356z.11, | 12 |
| and 356z.12 "; and
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| on page 3, line 20, by replacing " and 356z.11 " with " 356z.11, | 14 |
| and 356z.12 "; and
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| on page 4, line 1, by replacing "Section 356z.11" with "Section | 16 |
| 356z.11 and Section 356z.12"; and
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| on page 4, immediately below line 25, by inserting the | 18 |
| following: |
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HB5285AVM001 |
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LRB095 17860 RPM 52346 v |
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| "(215 ILCS 5/356z.12 new) | 2 |
| Sec. 356z.12. Dependent coverage. | 3 |
| (a) A group or individual policy of accident and health | 4 |
| insurance or managed care plan that provides coverage for | 5 |
| dependents and that is amended, delivered, issued, or renewed | 6 |
| after the effective date of this amendatory Act of the 95th | 7 |
| General Assembly shall not terminate coverage or deny the | 8 |
| election of coverage for an unmarried dependent by reason of | 9 |
| the dependent's age before the dependent's 26th birthday. | 10 |
| (b) A policy or plan subject to this Section shall, upon | 11 |
| amendment, delivery, issuance, or renewal, establish an | 12 |
| initial enrollment period of not less than 90 days during which | 13 |
| an insured may make a written election for coverage of an | 14 |
| unmarried person as a dependent under this Section. After the | 15 |
| initial enrollment period, enrollment by a dependent pursuant | 16 |
| to this Section shall be consistent with the enrollment terms | 17 |
| of the plan or policy. | 18 |
| (c) A policy or plan subject to this Section shall allow | 19 |
| for dependent coverage during the annual open enrollment date | 20 |
| or the annual renewal date if the dependent, as of the date on | 21 |
| which the insured elects dependent coverage under this | 22 |
| subsection, has: | 23 |
| (1) a period of continuous creditable coverage of 90 | 24 |
| days or more; and | 25 |
| (2) not been without creditable coverage for more than | 26 |
| 63 days. |
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| An insured may elect coverage for a dependent who does not meet | 2 |
| the continuous creditable coverage requirements of this | 3 |
| subsection (c) and that dependent shall not be denied coverage | 4 |
| due to age. | 5 |
| For purposes of this subsection (c), "creditable coverage" | 6 |
| shall have the meaning provided under subsection (C)(1) of | 7 |
| Section 20 of the Illinois Health Insurance Portability and | 8 |
| Accountability Act. | 9 |
| (d) Military personnel. A group or individual policy of | 10 |
| accident and health insurance or managed care plan that | 11 |
| provides coverage for dependents and that is amended, | 12 |
| delivered, issued, or renewed after the effective date of this | 13 |
| amendatory Act of the 95th General Assembly shall not terminate | 14 |
| coverage or deny the election of coverage for an unmarried | 15 |
| dependent by reason of the dependent's age before the | 16 |
| dependent's 30th birthday if the dependent (i) is an Illinois | 17 |
| resident, (ii) served as a member of the active or reserve | 18 |
| components of any of the branches of the Armed Forces of the | 19 |
| United States, and (iii) has received a release or discharge | 20 |
| other than a dishonorable discharge. To be eligible for | 21 |
| coverage under this subsection (d), the eligible dependent | 22 |
| shall submit to the insurer a form approved by the Illinois | 23 |
| Department of Veterans Affairs stating the date on which the | 24 |
| dependent was released from service. | 25 |
| (e) Calculation of the cost of coverage provided to an | 26 |
| unmarried dependent under this Section shall be identical. |
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| (f) Nothing in this Section shall prohibit an employer from | 2 |
| requiring an employee to pay all or part of the cost of | 3 |
| coverage provided under this Section. | 4 |
| (g) No exclusions or limitations may be applied to coverage | 5 |
| elected pursuant to this Section that do not apply to all | 6 |
| dependents covered under the policy. | 7 |
| (h) A policy or plan subject to this Section shall not | 8 |
| condition eligibility for dependent coverage provided pursuant | 9 |
| to this Section on enrollment in any educational institution. | 10 |
| (i) Notice regarding coverage for a dependent as provided | 11 |
| pursuant to this Section shall be provided to an insured by the | 12 |
| insurer: | 13 |
| (1) upon application or enrollment; | 14 |
| (2) in the certificate of coverage or equivalent | 15 |
| document prepared for an insured and delivered on or about | 16 |
| the date on which the coverage commences; and | 17 |
| (3) in a notice delivered to an insured on a | 18 |
| semi-annual basis. "; and | 19 |
| on page 5, line 10, by replacing " 356z.11 " with " 356z.11, | 20 |
| 356z.12 "; and
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| on page 10, line 7, by replacing " 356z.11 " with " 356z.11, | 22 |
| 356z.12 ".
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| Date: _________________, 2008 ___________________________
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