Coverage of COVID-19 Vaccine – Updated required coverage date

Springfield Office 320 W. Washington Street Springfield, Illinois 62767 (217) 782-4515 Chicago Office 122 S. Michigan Ave., 19th Floor Chicago, Illinois 60603 (312) 814-2420 Illinois Department of Insurance JB PRITZKER Governor DANA POPISH SEVERINGHAUS Director MEMORANDUM TO: ALL COMPANIES WRITING ACCIDENT AND HEALTH INSURANCE AND MANAGED CARE PLANS IN ILLINOIS FROM: Dana Popish Severinghaus, Director of Insurance DATE: October 4, 2023 RE: Company Bulletin 2023-12 – UPDATE to CB 2023-11 Re: Coverage of COVID-19 Vaccines _____________________________________________________________________________ This Company Bulletin supersedes the Department’s previously issued Company Bulletin 2023-11. Company Bulletin 2023-12 provides clarification issued by the Secretary of the U.S. Health and Human Services (“HHS”) on September 22, 2023, in the Letter from HHS Secretary on COVID-19 Vaccine Coverage, that the December 2020 guidance on coverage of COVID-19 vaccines still applies to any subsequently approved vaccines, so the 15-day waiting period has already expired. Issuers were required to begin covering the newly-approved vaccine as soon as authorized by FDA – September 11, 2023, as opposed to the October 3, 2023, date listed within Company Bulletin 2023-11. For reference: HHS Letter: https://www.hhs.gov/about/news/2023/09/22/letter-from-hhs-secretary-covid-19-vaccinecoverage.html October 2021 FAQ: https://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/Downloads/FAQs-Part- 50.pdf - PDF Issuers are expected to review and remediate any and all claim submissions for the recently approved mRNA Covid-19 vaccine that were incorrectly denied to ensure Illinois consumers receive the preventive health care benefits at no cost-sharing they are afforded by law. Questions about this bulletin may be directed to DOI.InfoDesk@illinois.gov.