Source: https://www.law.cornell.edu/uscode/text/29/1185b
Timestamp: 2017-11-25 00:25:17
Document Index: 623674046

Matched Legal Cases: ['§ 1185', 'art 7', '§ 1185', '§ 1185', '§\u202f1185', '§\u202f713', '§\u202f101', '§\u202f902', '§\u202f101', '§\u202f902', 'art 2590']

29 U.S. Code § 1185b - Required coverage for reconstructive surgery following mastectomies | US Law | LII / Legal Information Institute
U.S. Code › Title 29 › Chapter 18 › Subchapter I › Subtitle B › Part 7 › Subpart B › § 1185b
29 U.S. Code § 1185b - Required coverage for reconstructive surgery following mastectomies
§ 1185b.
Required coverage for reconstructive surgery following mastectomies
(a) In generalA group health plan, and a health insurance issuer providing health insurance coverage in connection with a group health plan, that provides medical and surgical benefits with respect to a mastectomy shall provide, in a case of a participant or beneficiary who is receiving benefits in connection with a mastectomy and who elects breast reconstruction in connection with such mastectomy, coverage for—
(b) NoticeA group health plan, and a health insurance issuer providing health insurance coverage in connection with a group health plan shall provide notice to each participant and beneficiary under such plan regarding the coverage required by this section in accordance with regulations promulgated by the Secretary. Such notice shall be in writing and prominently positioned in any literature or correspondence made available or distributed by the plan or issuer and shall be transmitted—
not later than January 1, 1999;
(c) ProhibitionsA group health plan, and a health insurance issuer offering group health insurance coverage in connection with a group health plan, may not—
penalize or otherwise reduce or limit the reimbursement of an attending provider, or provide incentives (monetary or otherwise) to an attending provider, to induce such provider to provide care to an individual participant or beneficiary in a manner inconsistent with this section.
(Pub. L. 93–406, title I, § 713, as added Pub. L. 105–277, div. A, § 101(f) [title IX, § 902(a)], Oct. 21, 1998, 112 Stat. 2681–337, 2681–436.)
Pub. L. 105–277, div. A, § 101(f) [title IX, § 902(c)], Oct. 21, 1998, 112 Stat. 2681–337, 2681–438, provided that:
The amendments made by this section [enacting this section] shall apply with respect to plan years beginning on or after the date of enactment of this Act [Oct. 21, 1998].
“(2)Special rule for collective bargaining agreements.—
In the case of a group health plan maintained pursuant to 1 or more collective bargaining agreements between employee representatives and 1 or more employers, any plan amendment made pursuant to a collective bargaining agreement relating to the plan which amends the plan solely to conform to any requirement added by this section shall not be treated as a termination of such collective bargaining agreement.”
29 CFR Part 2590 - RULES AND REGULATIONS FOR GROUP HEALTH PLANS