reglab/housing_qa huggingface dataset:
215 ILCS 5/356c
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

 (from Ch. 73, par. 968c)Sec. 356c.         (1)  No policy of accident and health insurance providing  coverage of hospital expenses or medical expenses or  both on an expense incurred basis which in addition to covering the  insured, also covers members of the insured's immediate family, shall  contain any disclaimer, waiver or other limitation of coverage relative to  the hospital or medical  coverage or insurability of newborn  infants from and after  the moment of birth.(2) Each such policy of accident and health insurance shall contain  a provision stating that the accident and health insurance benefits  applicable for children shall be granted immediately with respect to a  newly born child from the moment of birth.  The coverage for newly born  children shall include coverage of illness, injury, congenital defects,  birth abnormalities and premature birth.(3) If payment of a specific premium is required to provide coverage  for a child, the policy may require that notification of birth of a  newly born child must be furnished to the insurer within 31 days after  the date of birth in order to have the coverage continue beyond such 31  day period and may require payment of the appropriate premium.(4) In the event that no other members of the insured's immediate  family are covered, immediate coverage for the first newborn infant shall  be provided if the insured applies for dependent's coverage  within 31 days of the newborn's birth.  Such coverage shall be contingent upon payment of the additional premium.(5) The requirements of this Section shall apply, on or after the  sixtieth day following the effective date of this Section, (a) to all  such non-group policies delivered or issued for delivery, and (b) to all  such group policies delivered, issued for  delivery, renewed or amended.  The insurers of such non-group policies in effect on the sixtieth day  following the effective date of this Section shall extend to owners of  said policies, on or before the first policy anniversary following such  date, the opportunity to apply for the addition to their policies of a  provision as set forth in paragraph (2) above, with, at the option of  the insurer, payment of a premium appropriate thereto.    (Source: P.A. 85-220.)
215 ILCS 5/356d
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

 (from Ch. 73, par. 968d)Sec. 356d.     Conversion privileges for insured former spouses.     (1) No policy  of accident and health insurance providing coverage of  hospital and/or medical expense on either an expense incurred basis or  other than an expense incurred basis, which in addition to covering the  insured also provides coverage to the spouse of the insured shall  contain a provision for termination of coverage for a spouse covered  under the policy solely as a result of a break in the marital  relationship except by reason of an entry of a valid judgment of dissolution  of marriage between the parties.(2) Every policy which contains a provision for termination of coverage  of the spouse upon dissolution of marriage shall contain a provision to the  effect that upon the entry of a valid judgment of dissolution of marriage  between the insured parties the spouse whose marriage was dissolved  shall be entitled to have issued to  him or her, without evidence of insurability, upon application made to  the company within 60 days following the entry of such judgment, and upon  the payment of the appropriate premium, an individual policy of accident  and health insurance.  Such policy shall provide the coverage then being  issued by the insurer which is most nearly similar to, but not greater  than, such terminated coverages.  Any and all probationary and/or  waiting periods set forth in such policy shall be considered as being  met to the extent coverage was in force under the prior policy.(3) The requirements of this Section shall apply to all policies  delivered or issued for delivery on or after the 60th day following the  effective date of this Section.    (Source: P.A. 84-545.)
215 ILCS 5/356e
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

 (from Ch. 73, par. 968e)Sec. 356e. Victims of certain offenses.(1) No policy of accident and health insurance, which provides  benefits for hospital or medical expenses based upon the actual expenses  incurred, delivered or issued for delivery to any person in this State  shall contain any  specific exception to coverage which would preclude  the payment under that policy of actual expenses incurred in the  examination and testing of a victim of an offense defined in Sections  11-1.20 through 11-1.60 or 12-13 through 12-16 of the Criminal Code of  1961 or the Criminal Code of 2012,   or an attempt to commit such offense to  establish that sexual contact did occur or did not occur, and to  establish the presence or absence of sexually transmitted  disease or infection, and  examination and treatment of injuries and trauma sustained by a victim  of such offense arising  out of the offense.  Every policy of accident  and health insurance which specifically provides benefits for routine physical  examinations shall provide full coverage for expenses incurred in the  examination  and testing of a victim of an offense defined in Sections 11-1.20 through 11-1.60 or 12-13 through  12-16 of the Criminal Code of 1961 or the Criminal Code of 2012, or an attempt  to commit such offense  as set forth in this Section.  This Section shall not apply to a policy which covers hospital and  medical expenses for specified illnesses or injuries only.(2) For purposes of enabling the recovery of State funds, any insurance  carrier subject to this Section shall upon reasonable demand by the Department  of Public Health disclose the names and identities of its insureds entitled  to benefits under this provision to the Department of Public Health whenever  the Department of Public Health has determined that it has paid, or is about  to pay, hospital or medical expenses for which an insurance carrier is liable  under this Section. All information received by the Department of Public  Health under this provision shall be held on a confidential basis and shall  not be subject to subpoena and shall not be made public by the Department  of Public Health or used for any purpose other than that authorized by this  Section.(3) Whenever the Department of Public Health finds that it has paid all  or part of any hospital or medical expenses which an insurance carrier is  obligated to pay under this Section, the Department of Public Health shall  be entitled to receive reimbursement for its payments from such insurance  carrier provided that the Department of Public Health has notified the  insurance  carrier of its claims before the carrier has paid such benefits to its insureds  or in behalf of its insureds.  (Source: P.A. 96-1551, eff. 7-1-11; 97-1150, eff. 1-25-13.)
215 ILCS 5/356f
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

 (from Ch. 73, par. 968f)Sec. 356f.         No policy of accident or health insurance or any renewal thereof  shall be denied or cancelled by the insurer, nor shall any such policy contain  any exception or exclusion of benefits, solely because the mother of the  insured has taken diethylstilbestrol, commonly referred to as DES.    (Source: P.A. 81-656.)
215 ILCS 5/356g.5
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

Sec. 356g.5. Clinical breast exam.(a) The General Assembly finds that clinical breast examinations are a critical tool in the early detection of breast cancer, while the disease is in its earlier and potentially more treatable stages. Insurer reimbursement of clinical breast examinations is essential to the effort to reduce breast cancer deaths in Illinois.(b) Every insurer shall provide, in each group or individual policy, contract, or certificate of accident or health insurance issued or renewed for persons who are residents of Illinois, coverage for complete and thorough clinical breast examinations as indicated by guidelines of practice, performed by a physician licensed to practice medicine in all its branches, a licensed advanced practice registered nurse, or a licensed physician assistant, to check for lumps and other changes for the purpose of early detection and prevention of breast cancer as follows:(1) at least every 3 years for women at least 20     years of age but less than 40 years of age; and(2) annually for women 40 years of age or older.(c) Upon approval of a nationally recognized separate and distinct clinical breast exam code that is compliant with all State and federal laws, rules, and regulations, public and private insurance plans shall take action to cover clinical breast exams on a separate and distinct basis.  (Source: P.A. 99-173, eff. 7-29-15; 100-513, eff. 1-1-18.)
215 ILCS 5/356g.5-1
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

Sec. 356g.5-1. Breast cancer pain medication and therapy.  A group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after the effective date of this amendatory Act of the 95th General Assembly must provide coverage for all medically necessary pain medication and pain therapy related to the treatment of breast cancer on the same terms and conditions that are generally applicable to coverage for other conditions.  For purposes of this Section, "pain therapy" means pain therapy that is medically based and includes reasonably defined goals, including, but not limited to, stabilizing or reducing pain, with periodic evaluations of the efficacy of the pain therapy against these goals.  The provisions of this Section do not apply to short-term travel, accident-only, limited, or specified-disease policies, or to policies or contracts designed for issuance to persons eligible for coverage under Title XVIII of the Social Security Act, known as Medicare, or any other similar coverage under State or federal governmental plans.Rulemaking authority to implement this amendatory Act of the 95th General Assembly, if any, is conditioned on the rules being adopted in accordance with all provisions of the Illinois Administrative Procedure Act and all rules and procedures of the Joint Committee on Administrative Rules; any purported rule not so adopted, for whatever reason, is unauthorized.   (Source: P.A. 95-1045, eff. 3-27-09.)
215 ILCS 5/356h
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

 (from Ch. 73, par. 968h)Sec. 356h.         No individual or group policy of accident and health  insurance which covers the insured's immediate family or children, as well  as covering the insured, shall exclude a child from coverage or limit  coverage for a child solely because the child is an adopted child, or  solely because the child does not reside with the insured. For purposes of  this Section, a child who is in the custody of the insured, pursuant to an  interim court order of adoption or, in the case of group insurance, placement  of adoption, whichever comes first, vesting temporary care of the child in  the  insured, is an adopted child, regardless of whether a final order granting  adoption is ultimately issued.    (Source: P.A. 91-549, eff. 8-14-99.)
215 ILCS 5/356j
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

 (from Ch. 73, par. 968j)Sec. 356j.     (Repealed).     (Source: Repealed by P.A. 89-183, eff. 1-1-96.)
215 ILCS 5/356K
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

 (from Ch. 73, par. 968K)Sec. 356K.     Coverage for Organ Transplantation Procedures.     No accident  and health insurer providing coverage under this Act for hospital or  medical expenses shall deny reimbursement for an otherwise covered expense  incurred for any organ transplantation procedure solely on the basis that  such procedure is deemed experimental or investigational unless supported  by the determination of the Office of Health Care Technology Assessment  within the Agency for Health Care Policy and Research within the federal  Department of Health and Human Services that such procedure is either  experimental or investigational or that there is insufficient data or  experience to determine whether an organ transplantation procedure is  clinically acceptable. If an accident and health insurer has made written  request, or had one made on its behalf by a national organization, for  determination by the Office of Health Care Technology Assessment within the  Agency for Health Care Policy and Research within the federal Department of  Health and Human Services as to whether a specific organ transplantation  procedure is clinically acceptable and said organization fails to respond  to such a request within a period of 90 days, the failure to act may be  deemed a determination that the procedure is deemed to be experimental or  investigational.    (Source: P.A. 87-218.)
215 ILCS 5/356L
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

 (from Ch. 73, par. 968L)Sec. 356L.         No policy of accident or health insurance shall include any  provision which shall have the effect of denying coverage to or on behalf  of an insured under such policy on the basis of a failure by the insured to  file a notice of claim within the time period required by the policy,  provided such failure is caused solely by the physical inability or mental  incapacity of the  insured to file such notice of claim because of a period of emergency hospitalization.    (Source: P.A. 86-784.)
215 ILCS 5/356n
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

 (from Ch. 73, par. 968n)Sec. 356n.     Fibrocystic condition; denial of coverage.     No  group or individual policy of accident or health insurance or  any renewal thereof shall be denied by the insurer, nor shall any policy  contain any exception or exclusion of benefits, solely because the insured  has been diagnosed as having a fibrocystic breast condition, unless the  condition is diagnosed by a breast biopsy that demonstrates an increased  disposition to the development of breast cancer or unless the insured's medical  history confirms a chronic, relapsing, symptomatic breast condition.    (Source: P.A. 87-519; 87-895; 87-1066.)
215 ILCS 5/356p
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

 (from Ch. 73, par. 968p)Sec. 356p.     Breast implant removal.     No individual or group policy of  accident and health insurance shall deny coverage for the removal of breast  implants when the removal of the implants is medically necessary treatment  for a sickness or injury.  This Section does not apply to surgery performed  for removal of breast implants that were implanted solely for cosmetic  reasons.  For the purpose of this Section, cosmetic reasons does not include  cosmetic surgery performed as reconstruction resulting from sickness or  injury.    (Source: P.A. 87-938.)
215 ILCS 5/356q
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

Sec. 356q.         On or after the effective date of this Section, every insurer  which delivers or issues for delivery in this State a group accident and health  policy providing coverage for hospital, medical, or surgical treatment on an  expense-incurred basis shall offer, for an additional premium and subject to  the insurer's standard of insurability, optional coverage for the reasonable  and necessary medical treatment of temporomandibular joint disorder and  craniomandibular disorder.  The group policyholder shall accept or reject the  coverage in writing on the application or an amendment thereto for the master  group policy.  Benefits may be subject to the same pre-existing  conditions, limitations, deductibles, co-payments and co-insurance that  generally apply to any other sickness.  The maximum lifetime benefits for  temporomandibular joint disorder and craniomandibular treatment shall be no  less than $2,500.  Nothing herein shall prevent an insurer from including such  coverage for temporomandibular joint disorder and craniomandibular disorder as  part of a policy's basic coverage, in lieu of offering optional coverage.    (Source: P.A. 88-592, eff. 1-1-95.)
215 ILCS 5/356s
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

Sec. 356s.     Post-parturition care.     An individual or group  policy of accident and health insurance that provides maternity coverage and is  amended, delivered, issued, or renewed after the effective date of this  amendatory Act of 1996 shall provide coverage for the following:(1) a minimum of 48 hours of inpatient care following     a vaginal delivery for the mother and the newborn, except as otherwise provided in this Section; or(2) a minimum of 96 hours of inpatient care following     a delivery by caesarian section for the mother and newborn, except as otherwise provided in this Section.A shorter length of hospital inpatient stay for services related to maternity  and newborn care may be provided if the attending physician licensed to  practice medicine in all of its branches determines, in accordance with the  protocols and guidelines developed by the American College of Obstetricians and  Gynecologists or the American Academy of Pediatrics, that the mother and the  newborn meet the appropriate guidelines for that length of stay based upon  evaluation of the mother and newborn and the coverage and availability of a  post-discharge physician office visit or in-home nurse visit to verify the  condition of the infant in the first 48 hours after discharge.    (Source: P.A. 89-513, eff. 9-15-96; 90-14, eff. 7-1-97.)
215 ILCS 5/356t
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

Sec. 356t.     Post-mastectomy care.     An individual or group policy of accident  and health insurance or managed care plan that provides surgical coverage and  is amended, delivered, issued, or renewed after the effective date of this  amendatory Act of 1997 shall provide inpatient coverage following a mastectomy  for a length of time determined by the attending physician to be medically  necessary and in accordance with protocols and guidelines based on sound  scientific evidence and upon evaluation of the patient and the coverage for and  availability of a post-discharge physician office visit or in-home nurse visit  to verify the condition of the patient in the first 48 hours after discharge.    (Source: P.A. 90-7, eff. 6-10-97; 90-655, eff. 7-30-98.)
215 ILCS 5/356u
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

Sec. 356u. Pap tests and prostate-specific antigen tests.(a) A group policy of accident and health insurance that provides coverage  for hospital or medical treatment or services for illness on an  expense-incurred basis and is amended, delivered, issued, or renewed after the  effective date of this amendatory Act of 1997 shall provide coverage for all of  the  following:(1) An annual cervical smear or Pap smear test for     female insureds.(2) An annual digital rectal examination and a     prostate-specific antigen test, for male insureds upon the recommendation of a physician licensed to practice medicine in all its branches for:(A) asymptomatic men age 50 and over;(B) African-American men age 40 and over; and(C) men age 40 and over with a family history of         prostate cancer.(3) Surveillance tests for ovarian cancer for female     insureds who are at risk for ovarian cancer.(b) This Section shall not apply to agreements, contracts, or policies that  provide coverage for a specified disease or other limited benefit coverage.(c) For the purposes of this Section:"At risk for ovarian cancer" means:(1) having a family history (i) with one or more     first-degree relatives with ovarian cancer, (ii) of clusters of women relatives with breast cancer, or (iii) of nonpolyposis colorectal cancer; or(2) testing positive for BRCA1 or BRCA2 mutations."Surveillance tests for ovarian cancer" means annual screening using (i) CA-125 serum tumor marker testing, (ii) transvaginal ultrasound, (iii) pelvic examination.       (Source: P.A. 94-122, eff. 1-1-06.)
215 ILCS 5/356v
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

Sec. 356v.     Use of information derived from genetic testing.       After the effective date of this amendatory Act of 1997, an insurer must comply  with the provisions of the Genetic Information Privacy Act in connection with  the amendment, delivery, issuance, or renewal of, or claims for or denial of  coverage under, an individual or group policy of accident and health insurance.  Additionally, genetic information shall not be treated as a condition  described in item (1) of subsection (A) of Section 20 of the Illinois Health  Insurance Portability and Accountability Act in the absence of a diagnosis of  the condition related to that genetic information.    (Source: P.A. 90-25, eff. 1-1-98; 90-655, eff. 7-30-98; 91-549, eff. 8-14-99.)
215 ILCS 5/356x
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

Sec. 356x.     Coverage for colorectal cancer examination and screening.(a) An individual or group policy of accident and health insurance or a  managed care plan that is amended, delivered, issued,  or  renewed on or after the effective date of this amendatory Act of the 93rd  General Assembly that provides coverage to a resident of this State must  provide benefits or coverage for all colorectal cancer examinations and  laboratory  tests for colorectal cancer  as prescribed by a physician, in  accordance with the  published American Cancer Society guidelines on colorectal cancer  screening or  other existing colorectal cancer screening guidelines issued by nationally  recognized professional medical  societies or federal government agencies, including the  National Cancer Institute, the Centers for Disease  Control and Prevention, and the  American College of Gastroenterology.(b) Coverage required under this Section may not impose any deductible,  coinsurance, waiting  period, or other cost-sharing limitation that is greater than that  required for other coverage under the policy.    (Source: P.A. 93-568, eff. 1-1-04.)
215 ILCS 5/356y
2021 Illinois Compiled Statutes|Chapter 215 - INSURANCE|215 ILCS 5/ - Illinois Insurance Code.|Article XX - Accident And Health Insurance

Sec. 356y.     (Repealed).     (Source: P.A. 91-406, eff. 1-1-00.  Repealed internally, eff. 1-1-03.)