§ 24-A §4234 — Child coverage

1.
Definitions.
For the purposes of this section, unless the context otherwise indicates, the following terms have the following meanings.
2.
Coverage.
All individual or group coverage subject to this chapter must provide unmarried enrollees with the same benefits or option of benefits for dependent children as is extended to dependent children of married enrollees, at appropriate rates and under the same terms and conditions.
3.
Financial dependency.
Financial dependency of dependent children on the enrollee or the spouse of the enrollee may not be required as a condition for eligibility for coverage.
4.
Adopted children.
All individual or group contracts issued in accordance with the requirements of this section must provide the same benefits to dependent children placed for adoption with the enrollee or spouse of the enrollee under the same terms and conditions as apply to natural dependent children or stepchildren of the enrollee or spouse of the enrollee, irrespective of whether the adoption has become final.
5.
Medicaid.
Health maintenance organizations may not consider the availability or eligibility for medical assistance under 42 United States Code, Section 13969, referred to as "Medicaid," when considering coverage eligibility or benefit calculations for enrollees and covered family members.

Legislative History

PL 1991, c. 200, §B5 (NEW). PL 1993, c. 666, §§A7,8,B3 (AMD).