Illinois Administrative Code › Title 50 - INSURANCE › Part 2603 - UNFAIR DISCRIMINATION BASED ON SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR MARITAL STATUS › Section 2603.25 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
"ACA" means the Patient Protection and Affordable Care Act (
				42
				USC 18001 et seq.).
"Code" means the Illinois Insurance Code [215 ILCS 5 ].
"Director" means the Director of the Illinois Department of
				Insurance.
"Department" means the Illinois Department of Insurance.
"Excepted Benefits", for purposes of this Part, means benefits
				under one or more (or any combination) of the following:
Benefits not subject to requirements under this Part:
Coverage only for accident or disability income insurance, or
				any combination of that insurance;
Coverage issued as a supplement to liability insurance;
Liability insurance, including general liability insurance and
				automobile liability insurance;
Workers' compensation or similar insurance;
Automobile medical payment insurance;
Credit-only insurance;
Coverage for on-site medical clinics; or
Other similar insurance coverage under which benefits for
				medical care are secondary or incidental to other insurance benefits.
Benefits not subject to requirements if offered
				separately:
Limited scope dental or vision benefits; and
Benefits for long-term care, nursing home care, home health
				care, community-based care, or any combination of these benefits.
Benefits not subject to requirements if offered as independent,
				noncoordinated benefits:
Coverage only for a specified disease or illness; or
Hospital indemnity or other fixed indemnity insurance paid as a
				fixed dollar amount per day or other period, or per event or upon benefits paid
				upon a basis other than period of time, regardless of the amount of expenses
				incurred.
Benefits not subject to requirements if offered as a separate
				insurance policy:
Medicare supplemental health insurance (as defined under
				section 1882(g)(1) of the Social Security Act (
				42 USC
				1395 ss(g)(1))), coverage supplemental to the
				coverage provided under 10 USC 55, and similar supplemental coverage provided
				to coverage under a group health plan. (See
				26
				USC 9832.)
"Gender Transition" means the process of changing one's outward
				appearance, including physical sex characteristics, to accord with his or her
				actual gender identity.
"Grandfathered Health Plan" means any group health plan or
				health insurance coverage in which an individual was enrolled on the date of
				the enactment of the ACA and shall have the same meaning as set forth in
				section 18011 of the Public Health and Welfare Act (
				42 USC
				18011 ).
"Perceived Gender Identity" means an observer's impression of
				another's internal sense of being: male, female, a gender different from the
				gender assigned at birth, a transgender person, or neither male nor female. The
				term also includes an observer's impression that another is: male, female, a
				gender different from the gender assigned at birth, a transgender person, or
				neither male nor female.
"Transgender Person" means a person who has, or has been
				diagnosed with, gender identity disorder or gender dysphoria; who has received
				health care services, including counseling, related to gender transition; who
				adopts the dress, appearance, or behavior of the opposite sex; or who otherwise
				identifies himself or herself as a gender different from the gender assigned to
				that person at birth.