New Standard Individual and Small Group Health Applications for Illinois

Beginning January 1, 2011, the Illinois Department of Insurance (DOI) is requiring that all health insurance carriers use standard health applications in the individual and small group markets. Click the links below to download the final version of these forms for your reference.

Illinois Standard Health Employee Application for Small Employers

Additional details and specifics regarding carrier requirements will be communicated as they become available. Please note that any group or individual policy submitted to the carrier after January 31, 2011 must be submitted on the new standard application.