No preexisting condition exclusions are allowed relating to pregnancy or a condition for which medical advice was received during a period when the person had qualifying coverage. This act prohibits insurance companies from requiring the purchase of life insurance policies or annuities as a condition of purchasing health insurance. This act establishes an individual health benefit reinsurance association and requires all entities providing health insurance or health benefits subject to state insurance regulation to be members of the association. Those entities that provide plans only for Medicaid recipients are exempted from membership in the association. The association's board is responsible for developing a plan to provide for the sharing of losses related to individuals enrolled in health plans without medical underwriting.
Board members are immune from civil liability for performing duties.
This act establishes rating restrictions for individual health insurance policies. An insurer may refuse to issue an individual policy of accident and health insurance based upon the insurer's underwriting standards. The act also includes several rating restrictions for individual health insurance policies. This act allows insurance companies issuing individual health insurance policies to apply preexisting condition exclusions during the first 12 months of coverage but are required to waive the exclusions for the period of time that an individual has coverage continuous to a date not less than 63 days prior to obtaining new coverage. Genetic information cannot be treated as a condition for which a preexisting exclusion may be imposed in the absence of a diagnosis of the condition related to the information.