summary
Introduced
01/07/2026
01/07/2026
In Committee
02/11/2026
02/11/2026
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Amends the Illinois Insurance Code. Provides that an issuer of a Medicare supplement policy shall not deny coverage to an applicant who voluntarily switches from a Medicare Advantage plan to a Medicare plan under Parts A, B, or D, or any combination of those plans, so long as the application for a Medicare supplement policy is submitted within 30 calendar days after the first effective day of the new plan. Provides that when such an application for a Medicare supplement policy is submitted, the issuer of the Medicare supplement policy may not charge a higher cost than what is normally offered to applicants who have become newly eligible for Medicare, nor raise costs or deny coverage for a preexisting condition.
AI Summary
This bill amends the Illinois Insurance Code to protect individuals who switch from a Medicare Advantage plan to traditional Medicare (Parts A, B, or D). Specifically, it mandates that insurance companies, referred to as "issuers," cannot deny coverage for a Medicare supplement policy to an applicant who voluntarily makes this switch, provided the application is submitted within 30 days of their new Medicare plan becoming effective. Furthermore, when such an application is approved, the issuer is prohibited from charging a higher premium than what is typically offered to individuals newly eligible for Medicare, and they cannot increase costs or deny coverage for pre-existing conditions. A "pre-existing condition" is defined as a condition for which medical advice was given or treatment was recommended or received from a physician within six months before the effective date of coverage, as further clarified by Section 351A-5 of the Code.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
House Insurance Committee Hearing (14:00:00 2/24/2026 Room C-1 Stratton Building) (on 02/24/2026)
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