Illinois Administrative Code
Title 50 - INSURANCE
Part 4530 - HEALTH CARRIER EXTERNAL REVIEW
Section 4530.20 - Applicability and Scope
Universal Citation: 50 IL Admin Code ยง 4530.20
Current through Register Vol. 48, No. 12, March 22, 2024
a) Except as provided in subsection (b), the requirements of this Part are applicable to all health carriers.
b) The provisions of this Part shall not apply to:
1) A policy or certificate that
provides coverage only for a specified disease, specified accident or
accident-only coverage, credit, dental, disability income, hospital indemnity,
long-term care insurance as defined by Article XIXA of the Illinois Insurance
Code, vision care, or any other limited supplemental benefit;
2) A Medicare supplement policy of insurance
as defined by the Director in 50 Ill. Adm. Code
2008.40;
3) Coverage under a plan through Medicare,
Medicaid, or the federal employees health benefits program;
4) Any coverage issued under 10 USC 55 and
any coverage issued as supplement to that coverage;
5) Any coverage issued as supplemental to
liability insurance, workers' compensation, or similar insurance; or
6) Automobile medical-payment insurance or
any insurance under which benefits are payable with or without regard to fault,
whether written on a group blanket or individual basis.
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