40-2,102.Coverage for newly born and adopted children; coverage forimmunizations; notification of birth or adoption; mandatory optionto cover delivery expenses of birth mother of adopted child.(a) (1) All individual and group health insurance policies providingcoverage on an expense incurred basis, individual and group service orindemnity type contracts issued by a profit or nonprofit corporation and allcontracts issued by health maintenance organizations organized or authorizedto transact business in this state which provides coverage for a familymember of the enrollee, insured or subscriber shall, as to such familymembers' coverage, also provide that the health insurance benefitsapplicable for children shall be payable with respect to a: (A) Newly bornchild of the enrollee, insured or subscriber from the moment of birth; (B)newly born child adopted by the enrollee, insured or subscriber from themoment of birth if a petition for adoption as provided in K.S.A. 59-2128 andamendments thereto was filed within 31 days of the birth of the child; or(C) child adopted by the enrollee, insured or subscriber from the date thepetition for adoption as provided in K.S.A. 59-2128 and amendments theretowas filed or (D) child placed in enrollee, insured or subscriber's home by achild placement agency as defined by K.S.A. 65-503 and amendments thereto,for the purpose of adoption from the date of placement as certified by theenrollee, insured or subscriber. In no case shall the time from the date ofplacement to the date the petition for adoption as provided in K.S.A.59-2128 and amendments thereto was filed exceed 280 days.
(2) The coverage for newly born children shall consist of: (A) Coverageof injury or sickness including the necessary care and treatment ofmedically diagnosed congenital defects and birth abnormalities; and (B)routine and necessary immunizations for all newly born children of theinsured or subscriber. For purposes of this paragraph "routine andnecessary immunizations" shall consist of at least five doses of vaccineagainst diphtheria, pertussis, tetanus; at least four doses of vaccineagainst polio and Haemophilus B (Hib); and three doses of vaccine againstHepatitis B; two doses of vaccine against measles, mumps and rubella; onedose of vaccine against varicella and such other vaccines and dosages as maybe prescribed by the secretary of health and environment. The requiredbenefits shall apply to immunizations administered to each newly bornchild from birth to 72 months of age and shall not be subject to anydeductible, copayment or coinsurance requirements.
(3) If payment of a specific premium or subscription fee is required toprovide coverage for a child, the policy or contract may require thatnotification of birth of a newly born child or the filing of the petitionfor adoption or certification that a child has been placed in the home foradoption as defined by subsection (a)(1)(D) and payment of the requiredpremium or fees must be furnished to the health maintenance organization,insurer or nonprofit service or indemnity corporation within 31 days afterthe date of birth or the filing of the petition for adoption orcertification that a child has been placed in the home for adoption asdefined by subsection (a)(1)(D) in order to have the coverage continuebeyond such 31-day period.
(4) The contract issued by a health maintenance organization may providethat the benefits required pursuant to this subsection shall be coveredbenefits only if the services are rendered by a provider who is designatedby and affiliated with the health maintenance organization.
(b) (1) All individual and group health insurance policies providingcoverage on an expense incurred basis, individual and group service orindemnity type contracts issued by a profit or nonprofit corporation and allcontracts issued by health maintenance organizations organized or authorizedto transact business in this state which provides coverage for a familymember of the enrollee, insured or subscriber, as to such family members'coverage, shall also offer an option whereby the health insurance benefitsshall include delivery and obstetrical expenses at birth of the birth motherof a child adopted within 90 days of birth of such child by the enrollee,insured or subscriber subject to the same limitations contained in suchpolicy or contract applicable to the enrollee, insured or subscriber. Suchoffer of an option regarding such delivery and obstetrical expense shall bemade to the enrollee of a health maintenance organization and to theinsured and, to the individual subscribers in the case of a group healthinsurance policy.
(2) Contracts issued by a health maintenance organization may providethat the benefits required pursuant to paragraph (1) of this subsection,shall be covered benefits only if the services are rendered by aprovider who is designated by and affiliated with the health maintenanceorganization.
40-2,102.Coverage for newly born and adopted children; coverage forimmunizations; notification of birth or adoption; mandatory optionto cover delivery expenses of birth mother of adopted child.(a) (1) All individual and group health insurance policies providingcoverage on an expense incurred basis, individual and group service orindemnity type contracts issued by a profit or nonprofit corporation and allcontracts issued by health maintenance organizations organized or authorizedto transact business in this state which provides coverage for a familymember of the enrollee, insured or subscriber shall, as to such familymembers' coverage, also provide that the health insurance benefitsapplicable for children shall be payable with respect to a: (A) Newly bornchild of the enrollee, insured or subscriber from the moment of birth; (B)newly born child adopted by the enrollee, insured or subscriber from themoment of birth if a petition for adoption as provided in K.S.A. 59-2128 andamendments thereto was filed within 31 days of the birth of the child; or(C) child adopted by the enrollee, insured or subscriber from the date thepetition for adoption as provided in K.S.A. 59-2128 and amendments theretowas filed or (D) child placed in enrollee, insured or subscriber's home by achild placement agency as defined by K.S.A. 65-503 and amendments thereto,for the purpose of adoption from the date of placement as certified by theenrollee, insured or subscriber. In no case shall the time from the date ofplacement to the date the petition for adoption as provided in K.S.A.59-2128 and amendments thereto was filed exceed 280 days.
(2) The coverage for newly born children shall consist of: (A) Coverageof injury or sickness including the necessary care and treatment ofmedically diagnosed congenital defects and birth abnormalities; and (B)routine and necessary immunizations for all newly born children of theinsured or subscriber. For purposes of this paragraph "routine andnecessary immunizations" shall consist of at least five doses of vaccineagainst diphtheria, pertussis, tetanus; at least four doses of vaccineagainst polio and Haemophilus B (Hib); and three doses of vaccine againstHepatitis B; two doses of vaccine against measles, mumps and rubella; onedose of vaccine against varicella and such other vaccines and dosages as maybe prescribed by the secretary of health and environment. The requiredbenefits shall apply to immunizations administered to each newly bornchild from birth to 72 months of age and shall not be subject to anydeductible, copayment or coinsurance requirements.
(3) If payment of a specific premium or subscription fee is required toprovide coverage for a child, the policy or contract may require thatnotification of birth of a newly born child or the filing of the petitionfor adoption or certification that a child has been placed in the home foradoption as defined by subsection (a)(1)(D) and payment of the requiredpremium or fees must be furnished to the health maintenance organization,insurer or nonprofit service or indemnity corporation within 31 days afterthe date of birth or the filing of the petition for adoption orcertification that a child has been placed in the home for adoption asdefined by subsection (a)(1)(D) in order to have the coverage continuebeyond such 31-day period.
(4) The contract issued by a health maintenance organization may providethat the benefits required pursuant to this subsection shall be coveredbenefits only if the services are rendered by a provider who is designatedby and affiliated with the health maintenance organization.
(b) (1) All individual and group health insurance policies providingcoverage on an expense incurred basis, individual and group service orindemnity type contracts issued by a profit or nonprofit corporation and allcontracts issued by health maintenance organizations organized or authorizedto transact business in this state which provides coverage for a familymember of the enrollee, insured or subscriber, as to such family members'coverage, shall also offer an option whereby the health insurance benefitsshall include delivery and obstetrical expenses at birth of the birth motherof a child adopted within 90 days of birth of such child by the enrollee,insured or subscriber subject to the same limitations contained in suchpolicy or contract applicable to the enrollee, insured or subscriber. Suchoffer of an option regarding such delivery and obstetrical expense shall bemade to the enrollee of a health maintenance organization and to theinsured and, to the individual subscribers in the case of a group healthinsurance policy.
(2) Contracts issued by a health maintenance organization may providethat the benefits required pursuant to paragraph (1) of this subsection,shall be covered benefits only if the services are rendered by aprovider who is designated by and affiliated with the health maintenanceorganization.
40-2,102.Coverage for newly born and adopted children; coverage forimmunizations; notification of birth or adoption; mandatory optionto cover delivery expenses of birth mother of adopted child.(a) (1) All individual and group health insurance policies providingcoverage on an expense incurred basis, individual and group service orindemnity type contracts issued by a profit or nonprofit corporation and allcontracts issued by health maintenance organizations organized or authorizedto transact business in this state which provides coverage for a familymember of the enrollee, insured or subscriber shall, as to such familymembers' coverage, also provide that the health insurance benefitsapplicable for children shall be payable with respect to a: (A) Newly bornchild of the enrollee, insured or subscriber from the moment of birth; (B)newly born child adopted by the enrollee, insured or subscriber from themoment of birth if a petition for adoption as provided in K.S.A. 59-2128 andamendments thereto was filed within 31 days of the birth of the child; or(C) child adopted by the enrollee, insured or subscriber from the date thepetition for adoption as provided in K.S.A. 59-2128 and amendments theretowas filed or (D) child placed in enrollee, insured or subscriber's home by achild placement agency as defined by K.S.A. 65-503 and amendments thereto,for the purpose of adoption from the date of placement as certified by theenrollee, insured or subscriber. In no case shall the time from the date ofplacement to the date the petition for adoption as provided in K.S.A.59-2128 and amendments thereto was filed exceed 280 days.
(2) The coverage for newly born children shall consist of: (A) Coverageof injury or sickness including the necessary care and treatment ofmedically diagnosed congenital defects and birth abnormalities; and (B)routine and necessary immunizations for all newly born children of theinsured or subscriber. For purposes of this paragraph "routine andnecessary immunizations" shall consist of at least five doses of vaccineagainst diphtheria, pertussis, tetanus; at least four doses of vaccineagainst polio and Haemophilus B (Hib); and three doses of vaccine againstHepatitis B; two doses of vaccine against measles, mumps and rubella; onedose of vaccine against varicella and such other vaccines and dosages as maybe prescribed by the secretary of health and environment. The requiredbenefits shall apply to immunizations administered to each newly bornchild from birth to 72 months of age and shall not be subject to anydeductible, copayment or coinsurance requirements.
(3) If payment of a specific premium or subscription fee is required toprovide coverage for a child, the policy or contract may require thatnotification of birth of a newly born child or the filing of the petitionfor adoption or certification that a child has been placed in the home foradoption as defined by subsection (a)(1)(D) and payment of the requiredpremium or fees must be furnished to the health maintenance organization,insurer or nonprofit service or indemnity corporation within 31 days afterthe date of birth or the filing of the petition for adoption orcertification that a child has been placed in the home for adoption asdefined by subsection (a)(1)(D) in order to have the coverage continuebeyond such 31-day period.
(4) The contract issued by a health maintenance organization may providethat the benefits required pursuant to this subsection shall be coveredbenefits only if the services are rendered by a provider who is designatedby and affiliated with the health maintenance organization.
(b) (1) All individual and group health insurance policies providingcoverage on an expense incurred basis, individual and group service orindemnity type contracts issued by a profit or nonprofit corporation and allcontracts issued by health maintenance organizations organized or authorizedto transact business in this state which provides coverage for a familymember of the enrollee, insured or subscriber, as to such family members'coverage, shall also offer an option whereby the health insurance benefitsshall include delivery and obstetrical expenses at birth of the birth motherof a child adopted within 90 days of birth of such child by the enrollee,insured or subscriber subject to the same limitations contained in suchpolicy or contract applicable to the enrollee, insured or subscriber. Suchoffer of an option regarding such delivery and obstetrical expense shall bemade to the enrollee of a health maintenance organization and to theinsured and, to the individual subscribers in the case of a group healthinsurance policy.
(2) Contracts issued by a health maintenance organization may providethat the benefits required pursuant to paragraph (1) of this subsection,shall be covered benefits only if the services are rendered by aprovider who is designated by and affiliated with the health maintenanceorganization.
