§ 27-8-15-27 — Application in conformity with act; compliance

Indiana § 27-8-15-27

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 8: LIFE, ACCIDENT, AND HEALTH
• Ch. 15: Small Employer Group Health Insurance

Text

(a) This section shall be applied in
conformity with the requirements of the federal Patient Protection and
Affordable Care Act (P.L. 111-148), as amended by the federal Health
Care and Education Reconciliation Act of 2010 (P.L. 111-152), as in
effect on September 23, 2010.
(b) A health insurance plan provided by a small employer insurer to
a small employer must comply with the following:
(1) The benefits provided by a plan to an eligible employee
enrolled in the plan may not be excluded, limited, or denied for
more than nine (9) months after the effective date of the coverage
because of a preexisting condition of the eligible employee, the
eligible employee's spouse, or the eligible employee's dependent.
(2) The plan may not define a preexisting condition, rider, or
endorsement more restrictively than as a condition for which
medical advice, diagnosis, care, or treatment was recommended
or received during the six (6) months immediately preceding the
effective date of enrollment in the plan.

Legislative History

As added by P.L.93-1995, SEC.15. Amended by P.L.91-1998, SEC.18; P.L.160-2011, SEC.20.