093_HB0214
LRB093 02611 JLS 02621 b
1 AN ACT concerning health insurance.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 5. The Uniform Health Care Service Benefits
5 Information Card Act is amended by changing Section 15 as
6 follows:
7 (215 ILCS 139/15)
8 Sec. 15. Uniform health care benefit information cards
9 required.
10 (a) A health benefit plan that issues a card or other
11 technology and provides coverage for health care services
12 including prescription drugs or devices also referred to as
13 health care benefits and an administrator of such a plan
14 including, but not limited to, third-party administrators for
15 self-insured plans and state-administered plans shall issue
16 to its insureds a card or other technology containing uniform
17 health care benefit information. The health care benefit
18 information card or other technology shall specifically
19 identify and display the following mandatory data elements on
20 the card:
21 (1) processor control number, if required for
22 claims adjudication;
23 (2) group number;
24 (3) card issuer identifier;
25 (4) cardholder ID number; and
26 (5) cardholder name.
27 (b) The uniform health care benefit information card or
28 other technology shall specifically identify and display the
29 following mandatory data elements on the back of the card:
30 (1) claims submission names and addresses; and
31 (2) help desk telephone numbers and names; and.
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1 (3) the names of hospitals at which an insured may
2 obtain medical care with maximum coverage under the health
3 benefit plan.
4 (c) A new uniform health care benefit information card
5 or other technology shall be issued by a health benefit plan
6 upon enrollment and reissued upon any change in the insured's
7 coverage that affects mandatory data elements contained on
8 the card.
9 (Source: P.A. 92-106, eff. 1-1-02.)