SB0021 Engrossed

LRB095 04652 KBJ 24710 b






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    AN ACT concerning insurance.

 
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    Be it enacted by the People of the State of Illinois,
 
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represented in the General Assembly:


 
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    Section 5. The Illinois Insurance Code is amended by 
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changing Section 357.14  and by adding Section 367k as follows:
 



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    (215 ILCS 5/357.14)  (from Ch. 73, par. 969.14)


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    Sec. 357.14. Except as provided in section 357.26, no such 
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policy delivered
or issued for delivery to any person in this 
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State shall contain provisions
respecting the matters set forth 
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in sections 357.15 through 357.24
357.25 unless
such provisions 
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are in the words in which the same appear in this article;

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provided, however, that the company may, at its option, use in 
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lieu of any
such provision a corresponding provision of 
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different wording approved by
the Director which is not less 
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favorable in any respect to the insured or
the beneficiary. Any 
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such provision contained in the policy shall be
preceded 
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individually by the appropriate caption appearing in the 
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following
sections or, at the option of the company, by such 
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appropriate individual
or group captions or subcaptions as the 
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Director may approve.

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(Source: Laws 1967, p. 1735.)


 
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    (215 ILCS 5/367k  new)
 


 






SB0021 Engrossed
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LRB095 04652 KBJ 24710 b




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    Sec. 367k. Intoxication and narcotics; exclusion of 
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coverage prohibited.

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    (a) A  group or individual major medical policy of accident 
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or health insurance or managed care plan amended, delivered, 
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issued, or renewed after January 1, 2008 shall not, solely on 
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the basis of the insured being intoxicated or under the 
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influence of a narcotic, exclude coverage for any emergency or 
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other medical, hospital, or surgical expenses incurred by an 
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insured as a result of and related to an injury acquired while 
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the insured is intoxicated or under the influence of any 
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narcotic, regardless of whether the intoxicant or narcotic is 
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administered on the advice of a health care practitioner.
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    (b) Coverage required under this Section may be subject to 
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deductibles, copayments, coinsurance, or annual or maximum 
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payment limits that are consistent with deductibles, 
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copayments, coinsurance, or annual or maximum payment limits 
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applicable to other similar coverage under the plan.

 

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    (215 ILCS 5/357.25 rep.)

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    Section 10. The Illinois Insurance Code is amended  by 
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repealing Section 357.25.