Exams / Illinois Accident and Health Insurance Producer License / 215 ILCS 5/356z.12

215 ILCS 5/356z.12 — what it says, and how the exam tests it

This section is cited by 2 of our practice questions and is tested on the Illinois Accident and Health Insurance Producer License.

The text

215 ILCS 5/356z.12. Sec. 356z.12. Dependent coverage. (a) A group or individual policy of accident and health insurance or managed care plan that provides coverage for dependents and that is amended, delivered, issued, or renewed after the effective date of this amendatory Act of the 95th General Assembly shall not terminate coverage or deny the election of coverage for an unmarried dependent by reason of the dependent's age before the dependent's 26th birthday. (b) A policy or plan subject to this Section shall, upon amendment, delivery, issuance, or renewal, establish an initial enrollment period of not less than 90 days during which an insured may make a written election for coverage of an unmarried person as a dependent under this Section. After the initial enrollment period, enrollment by a dependent pursuant to this Section shall be consistent with the enrollment terms of the plan or policy. (c) A policy or plan subject to this Section shall allow for dependent coverage during the annual open enrollment date or the annual renewal date if the dependent, as of the date on which the insured elects dependent coverage under this subsection, has: (1) a period of continuous creditable coverage of 90 days or more; and (2) not been without creditable coverage for more than 63 days. An insured may elect coverage for a dependent who does not meet the continuous creditable coverage requirements of this subsection (c) and that dependent shall not be denied coverage due to age. For purposes of this subsection (c), "creditable coverage" shall have the meaning provided under subsection (C)(1) of Section 20 of the Illinois Health Insurance Portability and Accountability Act. (d) Military personnel. A group or individual policy of accident and health insurance or managed care plan that provides coverage for dependents and that is amended, delivered, issued, or renewed after the effective date of this amendatory Act of the 95th General Assembly shall not terminate coverage or deny the election of coverage for an unmarried dependent by reason of the dependent's age before the dependent's 30th birthday if the dependent (i) is an Illinois resident, (ii) served as a member of the active or reserve components of any of the branches of the Armed Forces of the United States, and (iii) has received a release or discharge other than a dishonorable discharge. To be eligible for…

Public record. Read the full, current section at the official source: www.ilga.gov

How it comes up on the exam

Practice questions written from this section — answers and explanations are in the drill.

  1. Under 215 ILCS 5/356z.12, a group or individual accident and health policy that provides dependent coverage shall NOT terminate coverage for an unmarried dependent by reason of age before what birthday?
    drill Illinois Statutes and Regulations Pertinent to Accident and Health Insurance Only →
  2. Under 215 ILCS 5/356z.12, a dependent seeking enrollment after the initial enrollment period must have had continuous creditable coverage for at least how many days and must NOT have been without creditable coverage for more than how many days?
    drill Illinois Statutes and Regulations Pertinent to Accident and Health Insurance Only →

Exams that test this section