Guideline Update: Health Care Benefit Information Cards

IL S.B. 1346

Background: 
•    Under current law, a health benefit plan must issue to its insureds a card or other technology containing uniform health care benefit information as outlined in 215 ILCS § 139/15.

Effective:  January 1, 2026
•    The law is amended to:
o    Expand the mandate to provide certain information in the uniform health care benefit information cards to include health benefit plans offering dental coverage; and
o    Clarify references to the health care benefit information cards include physical and electronic cards.

•    The cards must identify, on the back of the card, whether the plan (including a health benefit plan offering dental coverage or a dental plan):
o    Is self-insured or fully funded; and
o    Is subject to regulation by the Department of Insurance.

Who Is Impacted:

•    Fully Insured—Regulated by IDOI
•    Self-insured ERISA Applicable—Not Regulated by IDOI
•    Self-insured non-ERISA Applicable in the Category of schools, State Government, City Municipality, County Municipality—Regulated by IDOI
•    Self-insured Non-ERISA Applicable in the category of churches & federal government—Not Regulated by IDOI