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92_SB0607 LRB9207146JSpc 1 AN ACT concerning the comprehensive health insurance 2 program. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Comprehensive Health Insurance Plan Act 6 is amended by changing Section 15 as follows: 7 (215 ILCS 105/15) 8 Sec. 15. Alternative portable coverage for federally 9 eligible individuals. 10 (a) Notwithstanding the requirements of subsection (a).11 of Section 7 of this Act, any federally eligible individual 12 for whom a Plan application, and such enclosures and 13 supporting documentation as the Board may require, is 14 received by the Board within 63 days after the termination of 15 prior creditable coverage shall qualify to enroll in the Plan 16 under the portability provisions of this Section. 17 (b) Any federally eligible individual seeking Plan 18 coverage under this Section must submit with his or her 19 application evidence, including acceptable written 20 certification of previous creditable coverage, that will 21 establish to the Board's satisfaction, that he or she meets 22 all of the requirements to be a federally eligible individual 23 and is currently and permanently residing in this State (as 24 of the date his or her application was received by the 25 Board). 26 (c) A period of creditable coverage shall not be 27 counted, with respect to qualifying an applicant for Plan 28 coverage as a federally eligible individual under this 29 Section, if after such period and before the application for 30 Plan coverage was received by the Board, there was at least a 31 63 day period during all of which the individual was not -2- LRB9207146JSpc 1 covered under any creditable coverage. 2 (d) Any federally eligible individual who the Board 3 determines qualifies for Plan coverage under this Section 4 shall be offered his or her choice of enrolling in one of 5 alternative portability health benefit plans which the Board 6 is authorized under this Section to establish for these 7 federally eligible individuals and their dependents. 8 (e) The Board shall offer a choice of health care 9 coverages consistent with major medical coverage under the 10 alternative health benefit plans authorized by this Section 11 to every federally eligible individual. The coverages to be 12 offered under the plans, the schedule of benefits, 13 deductibles, co-payments, exclusions, and other limitations 14 shall be approved by the Board. One optional form of 15 coverage shall be comparable to comprehensive health 16 insurance coverage offered in the individual market in this 17 State or a standard option of coverage available under the 18 group or individual health insurance laws of the State. The 19 standard benefit plan that is authorized by Section 8 of this 20 Act may be used for this purpose. The Board may also offer a 21 preferred provider option and such other options as the Board 22 determines may be appropriate for these federally eligible 23 individuals who qualify for Plan coverage pursuant to this 24 Section. 25 (f) Notwithstanding the requirements of subsection f. of 26 Section 8, any plan coverage that is issued to federally 27 eligible individuals who qualify for the Plan pursuant to the 28 portability provisions of this Section shall not be subject 29 to any preexisting conditions exclusion, waiting period, or 30 other similar limitation on coverage. 31 (g) Federally eligible individuals who qualify and 32 enroll in the Plan pursuant to this Section shall be required 33 to pay such premium rates as the Board shall establish and 34 approve in accordance with the requirements of Section 7.1 of -3- LRB9207146JSpc 1 this Act. 2 (h) A federally eligible individual who qualifies and 3 enrolls in the Plan pursuant to this Section must satisfy on 4 an ongoing basis all of the other eligibility requirements of 5 this Act to the extent not inconsistent with the federal 6 Health Insurance Portability and Accountability Act of 1996 7 in order to maintain continued eligibility for coverage under 8 the Plan. 9 (Source: P.A. 90-30, eff. 7-1-97.)