Illinois Administrative Code › Title 50 - INSURANCE › Part 2008 - MINIMUM STANDARDS FOR INDIVIDUAL AND GROUP MEDICARE SUPPLEMENT INSURANCE › Subpart E - RATES, COMPENSATION AGREEMENT, DISCLOSURE, REPLACEMENT & MARKETING › Section 2008.100 - Requirements for Application Forms and Replacement Coverage

Current through Register Vol. 48, No. 28, July 12, 2024
a) Application forms shall include the
				following questions designed to elicit information as to whether, as of the
				date of the application, the applicant currently has Medicare supplement,
				Medicare Advantage, Medicaid coverage, or another health insurance policy or
				certificate in force or whether a Medicare supplement policy or certificate is
				intended to replace any other accident and sickness policy or certificate
				presently in force. A supplementary application or other form to be signed by
				the applicant and insurance producer containing such questions and statements
				may be used.
1) Statements
A) You do not need more than one Medicare
				supplement policy.
B) If you
				purchase this policy, you may want to evaluate your existing health coverage
				and decide if you need multiple coverages.
C) You may be eligible for benefits under
				Medicaid and may not need a Medicare supplement policy.
D) If, after purchasing this policy, you
				become eligible for Medicaid, the benefits and premiums under your Medicare
				supplement policy can be suspended, if requested, during your entitlement to
				benefits under Medicaid for 24 months. You must request this suspension within
				90 days after becoming eligible for Medicaid. If you are no longer entitled to
				Medicaid, your suspended Medicare supplement policy (or, if that is no longer
				available, a substantially equivalent policy) will be reinstituted if requested
				within 90 days after losing Medicaid eligibility. If the Medicare supplement
				policy provided coverage for outpatient prescription drugs and you enrolled in
				Medicare Part D while your policy was suspended, the reinstituted policy will
				not have outpatient prescription drug coverage but will otherwise be
				substantially equivalent to your coverage before the date of the
				suspension.
E) If you are eligible
				for, and have enrolled in a Medicare supplement policy by reason of disability
				and you later become covered by an employer or union-based group health plan,
				the benefits and premiums under your Medicare supplement policy can be
				suspended, if requested, while you are covered under the employer or
				union-based group health plan. If you suspend your Medicare supplement policy
				under these circumstances, and later lose your employer or union-based group
				health plan, your suspended Medicare supplement policy (or, if that is no
				longer available, a substantially equivalent policy) will be reinstituted if
				requested within 90 days after losing your employer or union-based group health
				plan. If the Medicare supplement policy provided coverage for outpatient
				prescription drugs and you enrolled in Medicare Part D while your policy was
				suspended, the reinstituted policy will not have outpatient prescription drug
				coverage, but will otherwise be substantially equivalent to your coverage
				before the date of the suspension.
F) Counseling services may be available in
				this State to provide advice concerning your purchase of Medicare supplement
				insurance and concerning medical assistance through the State Medicaid program,
				including benefits as a Qualified Medicare Beneficiary (QMB) and a Specified
				Low-Income Medicare Beneficiary (SLMB).