State of Illinois
90th General Assembly

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      215 ILCS 5/356c           from Ch. 73, par. 968c
          Amends the Illinois Insurance Code.   Makes  a  technical
      change in a Section relating to medical expense coverage.
 1        AN  ACT  to amend the Illinois Insurance Code by changing
 2    Section 356c.
 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:
 5        Section  5.  The  Illinois  Insurance  Code is amended by
 6    changing Section 356c as follows:
 7        (215 ILCS 5/356c) (from Ch. 73, par. 968c)
 8        Sec. 356c. Coverage on expense-incurred basis.
 9        (1)  No policy of accident and health insurance providing
10    coverage of hospital expenses or medical expenses or both  on
11    an  expense  incurred basis which in addition to covering the
12    insured, also  covers  members  of  the  insured's  immediate
13    family,   shall  contain  any  disclaimer,  waiver  or  other
14    limitation of coverage relative to the  hospital  or  medical
15    coverage  or  insurability  of newborn infants from and after
16    the moment of birth.
17        (2)  Every  Each  such  policy  of  accident  and  health
18    insurance shall contain a provision stating that the accident
19    and health insurance benefits applicable for  children  shall
20    be  granted  immediately  with  respect to a newly born child
21    from the moment  of  birth.   The  coverage  for  newly  born
22    children   shall   include   coverage   of  illness,  injury,
23    congenital defects, birth abnormalities and premature birth.
24        (3)  If payment of a  specific  premium  is  required  to
25    provide  coverage  for  a  child, the policy may require that
26    notification of birth of a newly born child must be furnished
27    to the insurer within 31 days after  the  date  of  birth  in
28    order to have the coverage continue beyond such 31 day period
29    and may require payment of the appropriate premium.
30        (4)  In  the event that no other members of the insured's
31    immediate family are  covered,  immediate  coverage  for  the
                            -2-                LRB9004646JSfg
 1    first newborn infant shall be provided if the insured applies
 2    for  dependent's  coverage  within  31  days of the newborn's
 3    birth. Such coverage shall be contingent upon payment of  the
 4    additional premium.
 5        (5)  The  requirements of this Section shall apply, on or
 6    after the sixtieth day following the effective date  of  this
 7    Section,  (a)  to  all  such  non-group policies delivered or
 8    issued for delivery, and  (b)  to  all  such  group  policies
 9    delivered,  issued  for   delivery,  renewed  or amended. The
10    insurers of such non-group policies in effect on the sixtieth
11    day following the effective date of this Section shall extend
12    to owners of said policies, on or  before  the  first  policy
13    anniversary following such date, the opportunity to apply for
14    the addition to their policies of a provision as set forth in
15    paragraph  (2)  above,  with,  at  the option of the insurer,
16    payment of a premium appropriate thereto.
17    (Source: P.A. 85-220.)

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