Indiana § 27-8-15-10.5 "Late enrollee"

Indiana Statutes

§ 27-8-15-10.5 — "Late enrollee"

Indiana § 27-8-15-10.5

Title 27INSURANCE

Art. 8LIFE, ACCIDENT, AND HEALTH

Ch. 15Small Employer Group Health Insurance

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Bluebook

Ind. Code § 27-8-15-10.5 (2026).

Text

5.

(a)As used in this chapter, "late enrollee" means an eligible employee or a dependent of an eligible employee who did not request enrollment in a health insurance plan of a small employer during the initial enrollment period during which the individual was entitled to enroll under the health insurance plan.

(b)The term "late enrollee" does not include an eligible employee or the dependent of an eligible employee:

(1)who was covered under a health insurance plan or had health insurance coverage at the time coverage was previously offered to the employee or to the dependent of the employee;

(2)who stated in writing at the time coverage was offered that coverage under another health insurance plan was the reason for declining the enrollment, but only if the insurer required such a stat

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5. (a) As used in this chapter, "late
enrollee" means an eligible employee or a dependent of an eligible
employee who did not request enrollment in a health insurance plan of
a small employer during the initial enrollment period during which the
individual was entitled to enroll under the health insurance plan.
(b) The term "late enrollee" does not include an eligible employee
or the dependent of an eligible employee:
(1) who was covered under a health insurance plan or had health
insurance coverage at the time coverage was previously offered
to the employee or to the dependent of the employee;
(2) who stated in writing at the time coverage was offered that
coverage under another health insurance plan was the reason for
declining the enrollment, but only if the insurer required such a
statement at the time and provided the employee with notice of
the requirement (and the consequences of the requirement) at the
time;
(3) whose coverage under this subsection:
(A) was under a COBRA continuation provision and the
coverage under the provision was exhausted; or
(B) was not under a COBRA continuation provision and either
the coverage was terminated as a result of loss of eligibility for
the coverage (including as a result of legal separation, divorce,
death, termination of employment, or reduction in the number
of hours of employment) or employer contributions toward the
coverage were terminated; and
(4) who requests enrollment under the terms of the plan not later
than thirty (30) days after the date of exhaustion of coverage as
described in subdivision (3)(A) or the termination of coverage or
employer contributions as described in subdivision (3)(B).
(c) The term "late enrollee" does not include an eligible employee
who is employed by a small employer that offers multiple health
insurance plans and who elects a different plan during an open
enrollment period.
(d) The term "late enrollee" does not include an eligible employee
or the eligible employee's spouse or minor or dependent child where:
(1) a court has ordered that health insurance coverage be provided
for the spouse or minor or dependent child of an eligible
employee under the eligible employee's insurance plan; and
(2) the request for enrollment is made not more than thirty (30)
days after the issuance of the court order.