215 ILCS 125/4-14

(a) Every subscriber shall be issued an evidence of coverage, which shall contain a clear and complete statement of: (1) The health services to which each enrollee is entitled; (2) Eligibility requirements indicating the conditions which must be met to enroll in a Health Care Plan; (3) Any limitation of the services, kinds of services or benefits to be provided, and exclusions, including any reasonable deductibles, copayments, or other charges; (4) The terms or conditions upon which coverage may be cancelled or otherwise terminated; (5) Where and in what manner information is available as to where and how services may be obtained; and (6) The method for resolving complaints. (b) Any amendment to the evidence of coverage may be provided to the subscriber in a separate document.