Public Act 095-0230
 		





SB0021 Enrolled
LRB095 04652 KBJ 24710 b






    AN ACT concerning insurance.

 
    Be it enacted by the People of the State of Illinois,
 
represented in the General Assembly:


 
    Section 5. The Illinois Insurance Code is amended by 
changing Section 357.14  and by adding Section 367k as follows:
 



    (215 ILCS 5/357.14)  (from Ch. 73, par. 969.14)


    Sec. 357.14. Except as provided in section 357.26, no such 
policy delivered
or issued for delivery to any person in this 
State shall contain provisions
respecting the matters set forth 
in sections 357.15 through 357.24
357.25 unless
such provisions 
are in the words in which the same appear in this article;

provided, however, that the company may, at its option, use in 
lieu of any
such provision a corresponding provision of 
different wording approved by
the Director which is not less 
favorable in any respect to the insured or
the beneficiary. Any 
such provision contained in the policy shall be
preceded 
individually by the appropriate caption appearing in the 
following
sections or, at the option of the company, by such 
appropriate individual
or group captions or subcaptions as the 
Director may approve.

(Source: Laws 1967, p. 1735.)


 
    (215 ILCS 5/367k  new)
    Sec. 367k. Intoxication and narcotics; exclusion of 
coverage prohibited.

    (a) A  group or individual major medical policy of accident 
or health insurance or managed care plan amended, delivered, 
issued, or renewed after January 1, 2008 shall not, solely on 
the basis of the insured being intoxicated or under the 
influence of a narcotic, exclude coverage for any emergency or 
other medical, hospital, or surgical expenses incurred by an 
insured as a result of and related to an injury acquired while 
the insured is intoxicated or under the influence of any 
narcotic, regardless of whether the intoxicant or narcotic is 
administered on the advice of a health care practitioner.
    (b) Coverage required under this Section may be subject to 
deductibles, copayments, coinsurance, or annual or maximum 
payment limits that are consistent with deductibles, 
copayments, coinsurance, or annual or maximum payment limits 
applicable to other similar coverage under the plan.

 

    (215 ILCS 5/357.25 rep.)

    Section 10. The Illinois Insurance Code is amended  by 
repealing Section 357.25.