State of Illinois
90th General Assembly
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90_SB1897

      215 ILCS 125/5-7.1        from Ch. 111 1/2, par. 1415.1
          Amends the Health Maintenance Organization Act.   Adds  a
      caption to a Section concerning emergency hospitalization.
                                                     LRB9008000JSgc
                                               LRB9008000JSgc
 1        AN  ACT  to amend the Health Maintenance Organization Act
 2    by changing Section 5-7.1.
 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:
 5        Section  5.  The  Health  Maintenance Organization Act is
 6    amended by changing Section 5-7.1 as follows:
 7        (215 ILCS 125/5-7.1) (from Ch. 111 1/2, par. 1415.1)
 8        Sec. 5-7.1. Emergency hospitalization; denial of coverage
 9    limited.  No health care plan  shall  include  any  provision
10    which  shall  have  the  effect  of denying coverage to or on
11    behalf of an enrollee under such  plan  on  the  basis  of  a
12    failure  by the enrollee to file a notice of claim within the
13    time period required by the plan, provided  such  failure  is
14    caused  solely by the physical inability or mental incapacity
15    of the enrollee to file such notice of  claim  because  of  a
16    period of emergency hospitalization.
17    (Source: P.A. 86-784.)

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