Indiana Code 27-8-15-29. Application in conformity with act; exclusion of coverage
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Sec. 29. (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.
(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.
(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.
Terms Used In Indiana Code 27-8-15-29
- Dependent: A person dependent for support upon another.
- eligible employee: means an employee:
Indiana Code 27-8-15-8.5
- late enrollee: means an eligible employee or a dependent of an eligible employee who did not request enrollment in a health insurance plan of a small employer during the initial enrollment period during which the individual was entitled to enroll under the health insurance plan. See Indiana Code 27-8-15-10.5
- plan: means any:
Indiana Code 27-8-15-9
(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.
As added by P.L.93-1995, SEC.17. Amended by P.L.160-2011, SEC.21.