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If your coverage terminates for non-payment of premium, you will have no right of
reinstatement. You also will be ineligible to re-enroll in CHIP for one year from the date
your CHIP coverage terminated.
TERMINATION OF CHIP COVERAGE
Your CHIP coverage will terminate on the earliest of:
a) the date you are no longer a United States citizen or a lawful permanent resident
alien;
b) the date you are no longer, for purposes of qualifying for and participating in
CHIP, a resident of Illinois;
c) 30 days after the date we make an inquiry concerning your eligibility for CHIP or
your place of residence to which you do not reply;
d) the date you first receive or are approved to receive medical assistance
(Medicaid) from the Illinois Department of Public Aid or a similar agency in any
other State (for MANG recipients, see paragraph regarding Medical Assistance
No Grant program);
e) the date you request your coverage to end, provided we receive your written
request prior to such date;
f) the date you become a resident of a public institution;
g) the latest service date for which benefits have been paid that cause you to meet
your Lifetime Maximum in benefits from CHIP;
h) the date you are or were ineligible for CHIP coverage under state or federal law;
i) the first date you are eligible, as an insured employee, participant, enrollee,
member or covered individual, or as a dependent of any such individual, for any
other coverage which we determine provides basic benefits substantially similar
to or better than the CHIP coverage as described in your CHIP benefit plan
booklet, and: (1) you have satisfied any preexisting condition limitation under
your CHIP coverage; or (2) you have or would have satisfied any preexisting
condition exclusion under this other coverage which you are eligible for or are
able to obtain to replace your CHIP coverage;
j) Plan 3 will terminate on the date you are eligible for Medicare Parts A and B for
any reason. Plan 5 will terminate on the date you are eligible for Medicare Parts
A and B for any reason and you have satisfied the preexisting condition limitation
that would apply to Plan 2. Plan 2 will terminate on the date you are no longer
enrolled in Parts A and B of Medicare. In no event will any plan coverage remain
in force past the first of the month coincident with the date you become eligible
for Medicare due to age unless: (1) you are not eligible for Medicare Parts A and
B; or (2) you were born before November 1, 1926;
k) the first date of any term for which your premium is paid for or reimbursed under
any government sponsored program or by any government agency or health care
provider, except as an otherwise qualifying full-time employee, or dependent of
such employee, of a government agency or health care provider;
l) the date you receive benefits or funds from any settlement, judgment, or award
resulting from any accident or injury or other circumstance, regardless of the date