20-2307

20-2307. Eligibility; annual open enrollment
period

A. Except as otherwise provided in this section or section 20-2308 or 20-2309, an
accountable health plan may not exclude from coverage any employee or a spouse or a
dependent child of the employee if the person meets the eligibility requirements
established by the employer.

B. Subsection A of this section does not apply to a period in which an employee is
excluded from coverage under the health benefits plan pursuant to an employer requirement
that imposes a minimum period of service before the employee and the employee's
dependents are eligible for coverage.

C. An accountable health plan may deny enrollment to employees or family members of
an employer if the employees or family members are located outside the service area of
the accountable health plan and if the denial is applied uniformly without regard to
health status-related factors or insurability.

D. An accountable health plan that provides an annual open enrollment period of at
least thirty-one days may deny enrollment to a late enrollee until the next annual open
enrollment period or may require acceptable evidence of insurability.