Indiana § 27-8-15-29 Application in conformity with act; exclusion of coverage

Indiana Statutes

§ 27-8-15-29 — Application in conformity with act; exclusion of coverage

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

(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 plan may exclude coverage for a late enrollee or the late enrollee's covered spouse or dependent for not more than fifteen (15) months.

(c)If a late enrollee or the late enrollee's covered spouse or dependent has a preexisting condition, a plan may exclude coverage for the preexisting condition for not more than fifteen (15) months.

(d)If a period of exclusion from coverage under subsection (b) and a preexisting condition exclusion under subsection (c) are applicable to the late enrollee, the combined period of

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(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 plan may exclude coverage for a late enrollee or the late
enrollee's covered spouse or dependent for not more than fifteen (15)
months.
(c) If a late enrollee or the late enrollee's covered spouse or
dependent has a preexisting condition, a plan may exclude coverage for
the preexisting condition for not more than fifteen (15) months.
(d) If a period of exclusion from coverage under subsection (b) and
a preexisting condition exclusion under subsection (c) are applicable
to the late enrollee, the combined period of exclusion may not exceed
fifteen (15) months from the date that the eligible employee enrolls for
coverage under the health insurance plan.

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