Exams / Illinois Accident and Health Insurance Producer License / 215 ILCS 5/363

215 ILCS 5/363 — what it says, and how the exam tests it

This section is cited by 6 of our practice questions and is tested on the Illinois Accident and Health Insurance Producer License.

The text

215 ILCS 5/363. Sec. 363. Medicare supplement policies; minimum standards. (1) Except as otherwise specifically provided therein, this Section and Section 363a of this Code shall apply to: (a) all Medicare supplement policies and subscriber contracts delivered or issued for delivery in this State on and after January 1, 1989; and (b) all certificates issued under group Medicare supplement policies or subscriber contracts, which certificates are issued or issued for delivery in this State on and after January 1, 1989. This Section shall not apply to "Accident Only" or "Specified Disease" types of policies. The provisions of this Section are not intended to prohibit or apply to policies or health care benefit plans, including group conversion policies, provided to Medicare eligible persons, which policies or plans are not marketed or purported or held to be Medicare supplement policies or benefit plans. (2) For the purposes of this Section and Section 363a, the following terms have the following meanings: (a) "Applicant" means: (i) in the case of individual Medicare supplement policy, the person who seeks to contract for insurance benefits, and (ii) in the case of a group Medicare policy or subscriber contract, the proposed certificate holder. (b) "Certificate" means any certificate delivered or issued for delivery in this State under a group Medicare supplement policy. (c) "Medicare supplement policy" means an individual policy of accident and health insurance, as defined in paragraph (a) of subsection (2) of Section 355a of this Code, or a group policy or certificate delivered or issued for delivery in this State by an insurer, fraternal benefit society, voluntary health service plan, or health maintenance organization, other than a policy issued pursuant to a contract under Section 1876 of the federal Social Security Act (42 U.S.C. Section 1395 et seq.) or a policy issued under a demonstration project specified in 42 U.S.C. Section 1395ss(g)(1), or any similar organization, that is advertised, marketed, or designed primarily as a supplement to reimbursements under Medicare for the hospital, medical, or surgical expenses of persons eligible for Medicare. (d) "Issuer" includes insurance companies, fraternal benefit societies, voluntary health service plans, health maintenance organizations, or any other entity providing Medicare supplement insurance, unless…

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 Section 363, a Medicare supplement policy may NOT deny a claim for losses incurred more than how many months from the effective date of coverage for a preexisting condition?
    drill Illinois Statutes and Regulations Pertinent to Accident and Health Insurance Only →
  2. Under 215 ILCS 5/363, a Medicare supplement policy may NOT deny a claim for losses incurred more than how many months from the effective date of coverage for a preexisting condition?
    drill Illinois Statutes and Regulations Pertinent to Accident and Health Insurance Only →
  3. Under 215 ILCS 5/363, a person under age 65 who becomes eligible for Medicare by reason of disability must apply for a Medicare supplement policy within how many months of first enrolling in Medicare Part B to qualify for guaranteed issue?
    drill Illinois Statutes and Regulations Pertinent to Accident and Health Insurance Only →

Exams that test this section