(215 ILCS 5/367b) (from Ch. 73, par. 979b)
Sec. 367b. (a) This Section applies to the hospital and medical expense
provisions of a group accident or health insurance policy.
(b) If a policy
provides that coverage of a dependent of an employee or other member of the
covered group terminates upon attainment of the limiting age for dependent
persons specified in the policy, the
attainment of such limiting age does not operate to terminate the hospital
and medical coverage of a person who, because of a disabling
condition that occurred before attainment of the limiting age, is incapable of
self-sustaining employment and is dependent on his or her parents or other
care providers for lifetime care and supervision.
(c) For purposes of subsection (b), "dependent on other care providers" is
defined as requiring a Community Integrated Living Arrangement, group home,
supervised apartment, or other residential services licensed or certified by
the Department of Human Services (as successor to the Department of Mental
Health and Developmental Disabilities), the Department
of Public Health, or the Department of Healthcare and Family Services (formerly Department of Public Aid).
(d) The insurer may inquire of the person insured 2 months prior to
attainment by a dependent of the limiting age set forth in the policy, or
at any reasonable time thereafter, whether such dependent is in fact a
person who has a disability and is dependent and, in the absence of proof submitted within
31 days of such inquiry that such dependent is a person who has a disability and is dependent may terminate coverage of such person at or after attainment of the
limiting age. In the absence of such inquiry, coverage of any person who has a disability and is dependent shall continue through the term of such policy or any
extension or renewal.
(e) This amendatory Act of 1969 is applicable to policies issued or
renewed
more than 60 days after the effective date of this amendatory Act of 1969.
(Source: P.A. 99-143, eff. 7-27-15.)
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