Illinois Administrative Code
Title 50 - INSURANCE
Part 2025 - ILLINOIS HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY STANDARDS
Section 2025.80 - Rescission in the Small Group Market
Universal Citation: 50 IL Admin Code ยง 2025.80
Current through Register Vol. 48, No. 12, March 22, 2024
a) A health insurance issuer in the small group market may not rescind an individual's health insurance coverage based on health conditions. The health insurance issuer may adjust the premium if a lower than appropriate premium resulted from the misrepresentation of health conditions, by either the employer or employee. The premium may be adjusted to reflect the current rating for the group.
b) The health insurance issuer may rescind a small employer policy or employee certificate if fraud is proven in a court of law.
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