44-4222 Purchase of pool coverage; ineligibility. - Nebraska Statutes

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Statutes > Nebraska > Chapter44 > 44-4222

44-4222. Purchase of pool coverage; ineligibility.(1) An individual shall not be eligible for initial or continued poolcoverage if:(a) He or she is eligible for medicare benefits by reason of age ormedical assistance established pursuant to the Medical Assistance Act;(b) He or she is a resident or inmate of a correctional facility, exceptthat this subdivision shall not apply if such individual is eligible for poolcoverage under subdivision (1)(b) of section 44-4221;(c) He or she has terminated pool coverage unless twelve months haveelapsed since such termination, except that this subdivision shall not applyif such individual has received and become ineligible for medical assistancepursuant to the Medical Assistance Act during the immediately preceding twelvemonths, if such individual is eligible for pool coverage under subdivision(1)(b) of section 44-4221, or if such individual is eligible for waiver ofany waiting period or preexisting condition exclusions pursuant to section 44-4228;(d) The pool has paid out one million dollars in claims for the individual;(e) He or she is no longer a resident of Nebraska; or(f) The premium for hisor her pool coverage is paid for by a person other than the following:(i) The individual;(ii) An individual relatedto the individual by blood, marriage, or adoption; or(iii) An entity operating underthe federal Ryan White HIV/AIDS Treatment Modernization Act of 2006, PublicLaw 109-415, as such act existed on August 30, 2009.(2)Pool coverage shall terminate for any individual on the date the individualbecomes ineligible under subsection (1) of this section. SourceLaws 1985, LB 391, § 22; Laws 1987, LB 319, § 2; Laws 1989, LB 279, § 8; Laws 1990, LB 1136, § 106; Laws 1992, LB 1006, § 36; Laws 1997, LB 862, § 27; Laws 1998, LB 1035, § 8; Laws 2000, LB 1253, § 25; Laws 2006, LB 1248, § 62; Laws 2009, LB358, § 5. Cross ReferencesMedical Assistance Act, see section 68-901.

State Codes and Statutes

Statutes > Nebraska > Chapter44 > 44-4222

44-4222. Purchase of pool coverage; ineligibility.(1) An individual shall not be eligible for initial or continued poolcoverage if:(a) He or she is eligible for medicare benefits by reason of age ormedical assistance established pursuant to the Medical Assistance Act;(b) He or she is a resident or inmate of a correctional facility, exceptthat this subdivision shall not apply if such individual is eligible for poolcoverage under subdivision (1)(b) of section 44-4221;(c) He or she has terminated pool coverage unless twelve months haveelapsed since such termination, except that this subdivision shall not applyif such individual has received and become ineligible for medical assistancepursuant to the Medical Assistance Act during the immediately preceding twelvemonths, if such individual is eligible for pool coverage under subdivision(1)(b) of section 44-4221, or if such individual is eligible for waiver ofany waiting period or preexisting condition exclusions pursuant to section 44-4228;(d) The pool has paid out one million dollars in claims for the individual;(e) He or she is no longer a resident of Nebraska; or(f) The premium for hisor her pool coverage is paid for by a person other than the following:(i) The individual;(ii) An individual relatedto the individual by blood, marriage, or adoption; or(iii) An entity operating underthe federal Ryan White HIV/AIDS Treatment Modernization Act of 2006, PublicLaw 109-415, as such act existed on August 30, 2009.(2)Pool coverage shall terminate for any individual on the date the individualbecomes ineligible under subsection (1) of this section. SourceLaws 1985, LB 391, § 22; Laws 1987, LB 319, § 2; Laws 1989, LB 279, § 8; Laws 1990, LB 1136, § 106; Laws 1992, LB 1006, § 36; Laws 1997, LB 862, § 27; Laws 1998, LB 1035, § 8; Laws 2000, LB 1253, § 25; Laws 2006, LB 1248, § 62; Laws 2009, LB358, § 5. Cross ReferencesMedical Assistance Act, see section 68-901.

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State Codes and Statutes

Statutes > Nebraska > Chapter44 > 44-4222

44-4222. Purchase of pool coverage; ineligibility.(1) An individual shall not be eligible for initial or continued poolcoverage if:(a) He or she is eligible for medicare benefits by reason of age ormedical assistance established pursuant to the Medical Assistance Act;(b) He or she is a resident or inmate of a correctional facility, exceptthat this subdivision shall not apply if such individual is eligible for poolcoverage under subdivision (1)(b) of section 44-4221;(c) He or she has terminated pool coverage unless twelve months haveelapsed since such termination, except that this subdivision shall not applyif such individual has received and become ineligible for medical assistancepursuant to the Medical Assistance Act during the immediately preceding twelvemonths, if such individual is eligible for pool coverage under subdivision(1)(b) of section 44-4221, or if such individual is eligible for waiver ofany waiting period or preexisting condition exclusions pursuant to section 44-4228;(d) The pool has paid out one million dollars in claims for the individual;(e) He or she is no longer a resident of Nebraska; or(f) The premium for hisor her pool coverage is paid for by a person other than the following:(i) The individual;(ii) An individual relatedto the individual by blood, marriage, or adoption; or(iii) An entity operating underthe federal Ryan White HIV/AIDS Treatment Modernization Act of 2006, PublicLaw 109-415, as such act existed on August 30, 2009.(2)Pool coverage shall terminate for any individual on the date the individualbecomes ineligible under subsection (1) of this section. SourceLaws 1985, LB 391, § 22; Laws 1987, LB 319, § 2; Laws 1989, LB 279, § 8; Laws 1990, LB 1136, § 106; Laws 1992, LB 1006, § 36; Laws 1997, LB 862, § 27; Laws 1998, LB 1035, § 8; Laws 2000, LB 1253, § 25; Laws 2006, LB 1248, § 62; Laws 2009, LB358, § 5. Cross ReferencesMedical Assistance Act, see section 68-901.