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Questions updated at Sep 2, 2026, 12:29 AM CDT
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Illinois continuation law addresses coverage loss caused by termination of employment or membership and certain reductions in hours.
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A reduction in hours can be a qualifying loss of coverage for which Illinois continuation rights must be evaluated under Section 367e.
Illinois continuation law addresses coverage loss caused by termination of employment or membership and certain reductions in hours.
The distractor “The employee must immediately buy Medicare regardless of age or Medicare eligibility.” can look plausible because it uses terminology from the same topic, but it applies the wrong rule or trigger. The coverage loss is caused by reduced hours, which is an express state-continuation trigger. Illinois Section 367e can provide continuation when covered group insurance would otherwise terminate because of a reduction in hours below plan eligibility, subject to statutory conditions. Likely wrong answer: The employee must immediately buy Medicare regardless of age or Medicare eligibility. Review focus: Illinois Insurance Content Outlines — Effective January 1, 2026; 215 ILCS 5/367e — Continuation of Group Hospital, Surgical and Major Medical Coverage
Q: An employee loses eligibility for an Illinois group health plan because hours fall below the plan minimum. What state continuation issue should a producer recognize before telling the employee to shop for new coverage? Strong answer: Illinois Section 367e can give an employee whose group hospital, surgical or major-medical coverage would otherwise terminate because of employment termination or reduction in hours a right to continue that group coverage, subject to the statute and policy conditions. The producer should determine whether Section 367e and/or federal COBRA applies; the employee is not automatically required to enroll in Medicare.
Caution: Do not say reduced hours are irrelevant because the employee remains on payroll, and do not assume Medicare eligibility.
$600, because six covered days at $100 per day total $600 and the annual maximum has not been reached.
Increasing term insurance, with the death benefit rising by a stated amount or percentage and premiums generally increasing with the added coverage.
Maria and other qualified beneficiaries must be offered the opportunity to elect temporary continuation coverage under COBRA, generally up to 18 months for termination or reduction in hours.
The same expense cannot be treated as an unreimbursed qualified expense for multiple tax-free reimbursements; plan coordination rules must prevent duplicate reimbursement.
Reduced paid-up insurance, using the policy's value to purchase a smaller fully paid permanent death benefit.
A 401(k) plan is a type of qualified retirement plan and generally provides tax-favored retirement saving under applicable contribution and distribution rules.
No. An accelerated death benefit is a living-benefit provision for an insured who meets the rider's qualifying conditions; settlement options govern how proceeds are paid when a death claim becomes payable.
Bathing, continence, dressing, eating, toileting and transferring.
Maria, because the policyowner holds the contractual ownership rights while the beneficiary designation remains revocable.
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