§ 27-8-5-25 — Maternity benefits; replacement of discontinued policy; prohibition on preexisting condition limitation or exclusion of coverage

Indiana § 27-8-5-25

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 8: LIFE, ACCIDENT, AND HEALTH
• Ch. 5: Accident and Sickness Insurance─Policy Provisions

Text

(a) As used in this section, "employer" means
an employer who offers health insurance to the employer's employees.
(b) As used in this section, "insurer" means an insurer subject to IC 27.
(c) When an employer that has a group policy issued by an insurer
that contains maternity benefits:
(1) discontinues the group health policy provided by the insurer;
and
(2) replaces the discontinued policy with coverage through a
succeeding insurer;
the succeeding insurer's policy may not contain a preexisting condition
limitation for maternity or exclude coverage due to pregnancy for
employees or spouses of employees who were covered under the prior
policy on the date the prior plan was discontinued.
(d) Subsection (c) only applies if the employer obtains a new group
insurance policy within thirty-one (31) days after the discontinuance of
an insurance policy.

Legislative History

As added by P.L.116-1994, SEC.60.