50 Ill. Adm. Code 9100.30
Termination of Insurance
Section 7100
Section 9100.30 Termination
of Insurance
No termination notice of policy
shall be accepted by the Commission or National Council on Compensation
Insurance unless filed on a form prescribed and furnished by the Commission or
National Council on Compensation Insurance. Such notice shall provide the
following information: carrier name; National Council on Compensation
Insurance carrier code; Insured's name and address; federal identification
number; the number, effective date, and expiration date of the policy; reason
for termination/cancellation; and reinstatement date, if applicable.