50 Ill. Adm. Code 2002.APPENDIX A
A Guidelines
Section 2002.APPENDIX A
Guidelines
Section 2002.ILLUSTRATION J Guideline
to Section 2002.70(a)(2)
a) This Section recognizes that certain words and phrases in
advertising may have a tendency to mislead the public as to the extent of
benefits under an advertised policy. Consequently, such terms (and those
specified in this Part do not represent a comprehensive list but only examples)
must be used with caution to avoid any tendency to exaggerate benefits and must
not be used unless the statement is literally true in every instance. The use
of the following phrases based on such terms or having the same effect must be
similarly restricted: "pays hospital, surgical, etc., bills,"
"pays dollars to offset the cost of medical care," "safeguards
your standard of living," "pays full coverage," "pays
complete coverage," "pays for financial needs," "provides
for replacement of your lost paycheck," "replaces income" or
"emergency paycheck." Other phrases may or may not be acceptable
depending upon the nature of the coverage being advertised. For example, the
phrase "this policy will help to replace your income" is acceptable
in advertising for loss of time coverage, but is unacceptable in advertising
for hospital confinement (including "hospital indemnity") coverage.
b) This Section also prohibits words or phrases which exaggerate
the effect of a benefit payment on the insured's general well-being, such as
"worry-free savings plan," "guaranteed savings,"
"financial peace of mind" and "you will never have to worry
about hospital bills again."
c) Advertisements for policies designed to supplement Medicare
benefits are unacceptable if they fail to disclose that no hospital confinement
benefits will be payable for that portion of a Medicare benefit period for
which Medicare pays all hospital confinement expenses, currently 60 days, other
than the initial deductible if the policy so provides. The length of said
period must be stated in days.