State RegulationsIL specificDifficulty 1/5
What subject do the Illinois administrative rules at 50 Ill. Adm. Code 2013 address for health insurers?
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Answer & full 3-part explanation (select an option above, or peek)
Why D is correct
50 Ill. Adm. Code 2013 is the Illinois administrative rule governing group conversion and replacement. It sets the standards an insurer must follow when a group health policy is discontinued or replaced, including the conversion protections owed to certificate holders, and it operates together with 215 ILCS 5/367i under the supervision of the Illinois Department of Insurance.
Why the other options are wrong
- A) HMO examinations are addressed under the HMO framework at 215 ILCS 125 and 50 Ill. Adm. Code 5421, not under 50 Ill. Adm. Code 2013.
- B) Producer continuing-education requirements are separate regulatory territory and have nothing to do with the group conversion and replacement rules.
- C) Medicare supplement advertising and disclosure are governed by other provisions, not by the group conversion and replacement rule.
Memory hook
2013 is Illinois' group handoff rule: who converts and how when group coverage ends.