Section 2001.1 Applicability

TITLE 50: INSURANCE

CHAPTER I: DEPARTMENT OF INSURANCE

SUBCHAPTER z: ACCIDENT AND HEALTH INSURANCE

PART 2001 CONSTRUCTION AND FILING OF ACCIDENT AND HEALTH INSURANCE POLICY FORMS

SECTION 2001.1 APPLICABILITY

Section 2001.1  Applicability

a)         Unless

otherwise provided, this Subpart

applies

to

all individual and group policies and certificates

of

accident and health insurance, dental service plans, voluntary health services

plans, health care plans, and limited health care plans, including HMO point of

service plans and limited point of service products

, except to the

extent that

a policy, certificate,

or coverage

provides excepted benefits. Sections 2001.3 and 2001.13 apply to all individual

and group policies, certificates, and coverage regardless of whether they

provide excepted benefits.

b)         Sections

2001.2 and 2001.8 also apply to a self-funded group health plan for a governmental

unit under the State Employees Group Insurance Act of 1971 [5 ILCS 375], the Counties

Code [5 ILCS 55], the Illinois Municipal Code [65 ILCS 5], or the School Code

[5 ILCS 105].

c)         This Part does not apply to coverage through the

medical assistance program under Article V of the Illinois Public Aid Code [305

ILCS 5], the Children's Health Insurance Program Act [215 ILCS 106], Medicare

Advantage, Medicare Part D, or any Medicare demonstration program.