DOI Bruce Rauner Governor Anne Melissa Dowling, Acting Director

Health Application Working Group


The Working Group was created as a result of Public Act 96-857, which requires the development of standard health insurance applications to make it easier for individuals and small businesses in Illinois to shop for health insurance and compare competing plans.  While individuals and small businesses seeking quotes from competing health insurance plans must now complete a separate application for each health insurer, the Working Group will develop a single health insurance application that will be used by all insurers and HMOs beginning January 1, 2011.

The Working Group is comprised of a diverse group of health care experts and consumer advocates, small business owners, insurance agents, and insurance company representatives.

Illinois Standard Applications

Previous Drafts
Previous Drafts

Meeting Dates and Agenda

All meetings of the Working Group will be announced in advance and open to the public.  If you plan on attending, please RSVP to Josef Weimholt at or (312) 814-5436. The meetings will be held in the Department of Insurance offices in Springfield and Chicago:

James R. Thompson Center
100 West Randolph
9th Floor Videoconference Room (9-375)
Chicago, IL 60601

320 West Washington
4th Floor Videoconference Room 
Springfield, IL 62767

Date Type Time Documentation
February 11, 2010   Announcement Agenda Minutes
March 5, 2010 Small Group 10am–12pm Agenda Minutes
March 12, 2010 Individual 10am–12pm Agenda Minutes
April 9, 2010 Small Group 9:30am–12:30pm Agenda Minutes
April 23, 2010 Individual 9:30am–12:30pm Agenda Minutes
April 30, 2010 Small Group 10am–12pm Agenda Minutes
May 7, 2010 Individual 10am–12pm Agenda Minutes
May 14, 2010 Small Group 10am–11am Agenda Minutes
May 14, 2010 Individual 2:30pm –3:30pm Agenda Minutes
May 24, 2010 Small Group 2:00pm–3:00pm Agenda Minutes
May 24, 2010 Individual 3:00pm–4:00pm Agenda Minutes
June 10, 2010 Individual 11am–12pm Agenda Minutes
June 16, 2010 Joint Meeting 2:30pm–3:30pm Agenda Minutes
June 24, 2010 Public Hearing 3:00pm–4:00pm Agenda Minutes
June 24, 2010 Joint Meeting 4:00pm–5:00pm Agenda Minutes
July 26, 2010 Joint Meeting 1:30pm–3:00pm Agenda Minutes

Readability Model

Sample Acknowledgement and Authorization Pages

Standard Applications - Other States

Individual Market

Small Group Market