50 Ill. Adm. Code 2002.APPENDIX A
A Guidelines
Section 2002.APPENDIX A
Guidelines
Section 2002.ILLUSTRATION R Guideline
to Section 2002.70(c)(1)
a) This Section imposes the same disclosure standards with
respect to pre-existing conditions' provisions as noted in ILLUSTRATION 0. The
comments under that Illustration are equally applicable to this Section of the
Part since the pre-existing conditions' provision is an exception under the
Part.
b) This Part implements the objective of Section 2002.70(a)(3) by
requiring in negative terms a description of the effect of a pre-existing
condition exclusion because such an exclusion is a restriction on coverage.
The Subdivision also prohibits the use of the phrase "pre-existing
condition" without an appropriate definition or description of the term
and prohibits stating a reduction in the statutory time limit (such as a
reduction from two years to one year) as an affirmative benefit. The words
"appropriate definition or description" mean that the term
"pre-existing condition" must be defined as it is used by the
company's claims department.