Illinois Confidentiality Protocols for Victims of Domestic Violence and Endangered Individuals

Illinois Insurance Law 215 ILCS 5/355b requires accident and health insurers to accommodate a reasonable request made by a person covered by an insurance policy to receive communications of claims-related information by alternate means or at alternate locations if the person clearly states that disclosure of the information could endanger the person. The parent or guardian of a covered child may request to receive alternate means of communication for the child.

Without the express consent of the person making the request, an insurer may not disclose: (1) the name, address, telephone number or other personal information of the person requesting the accommodation or child residing with such person; (2) the nature of the services provided to the impacted individual; or (3) the name or address of the person or entity providing services to the impacted individual.

To Request Confidentiality

You may submit a written request for confidential handling of health information to the company. The request must supply the following information:

• The manner in which you wish to receive confidential communications and specification of an alternative address or other information necessary to deliver information in the requested manner;
• The information, or type of information, to be communicated in the confidential manner requested (this may be limited to a particular illness or treatment or to all exchanges of protected health information);
• If applicable, the time period for which the request applies;
• If confidential handling of billing matters is also requested, the manner in which payment of premium will be made.

To download a Confidential Communication Request Form click here.

Requests should be addressed to:
Bankers Conseco Life Insurance Company
Administrative Office
399 Market Street
Philadelphia, PA 19106

A confidentiality request may be revoked at any time by mailing a letter of instruction to the address above.

For further information on domestic violence services, contact the Illinois Domestic Violence Hotline. Hotline: 1-877-863-6338

We recommend that participating health service providers print and post this information in their offices.

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