31A-22-610.6 - Special enrollment for individuals receiving premium assistance. - Utah Statutes

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Statutes > Utah > Title-31a > Chapter-22 > 31a-22-610-6

31A-22-610.6. Special enrollment for individuals receiving premium assistance.
(1) As used in this section:
(a) "Premium assistance" means assistance under Title 26, Chapter 18, MedicalAssistance Act, in the payment of premium.
(b) "Qualified beneficiary" means an individual who is approved to receive premiumassistance.
(2) Subject to the other provisions in this section, an individual may enroll under thissection at a time outside of an employer health benefit plan open enrollment period, regardless ofpreviously waiving coverage, if the individual is:
(a) a qualified beneficiary who is eligible for coverage as an employee under theemployer health benefit plan; or
(b) a dependent of the qualified beneficiary who is eligible for coverage under theemployer health benefit plan.
(3) To be eligible to enroll outside of an open enrollment period, an individual describedin Subsection (2) shall enroll in the employer health benefit plan by no later than 30 days fromthe day on which the qualified beneficiary receives initial written notification, after July 1, 2008,that the qualified beneficiary is eligible to receive premium assistance.
(4) An individual described in Subsection (2) may enroll under this section only in anemployer health benefit plan that is available at the time of enrollment to similarly situatedeligible employees or dependents of eligible employees.
(5) Coverage under an employer health benefit plan for an individual described inSubsection (2) may begin as soon as the first day of the month immediately following enrollmentof the individual in accordance with this section.
(6) This section does not modify any requirement related to premiums that applies underan employer health benefit plan to a similarly situated eligible employee or dependent of aneligible employee under the employer health benefit plan.
(7) An employer health benefit plan may require an individual described in Subsection(2) to satisfy a preexisting condition waiting period that:
(a) is allowed under the Health Insurance Portability and Accountability Act of 1996,Pub. L. 104-191, 110 Stat. 1936; and
(b) is not longer than 12 months.

Enacted by Chapter 345, 2008 General Session
Enacted by Chapter 383, 2008 General Session
Enacted by Chapter 390, 2008 General Session

State Codes and Statutes

Statutes > Utah > Title-31a > Chapter-22 > 31a-22-610-6

31A-22-610.6. Special enrollment for individuals receiving premium assistance.
(1) As used in this section:
(a) "Premium assistance" means assistance under Title 26, Chapter 18, MedicalAssistance Act, in the payment of premium.
(b) "Qualified beneficiary" means an individual who is approved to receive premiumassistance.
(2) Subject to the other provisions in this section, an individual may enroll under thissection at a time outside of an employer health benefit plan open enrollment period, regardless ofpreviously waiving coverage, if the individual is:
(a) a qualified beneficiary who is eligible for coverage as an employee under theemployer health benefit plan; or
(b) a dependent of the qualified beneficiary who is eligible for coverage under theemployer health benefit plan.
(3) To be eligible to enroll outside of an open enrollment period, an individual describedin Subsection (2) shall enroll in the employer health benefit plan by no later than 30 days fromthe day on which the qualified beneficiary receives initial written notification, after July 1, 2008,that the qualified beneficiary is eligible to receive premium assistance.
(4) An individual described in Subsection (2) may enroll under this section only in anemployer health benefit plan that is available at the time of enrollment to similarly situatedeligible employees or dependents of eligible employees.
(5) Coverage under an employer health benefit plan for an individual described inSubsection (2) may begin as soon as the first day of the month immediately following enrollmentof the individual in accordance with this section.
(6) This section does not modify any requirement related to premiums that applies underan employer health benefit plan to a similarly situated eligible employee or dependent of aneligible employee under the employer health benefit plan.
(7) An employer health benefit plan may require an individual described in Subsection(2) to satisfy a preexisting condition waiting period that:
(a) is allowed under the Health Insurance Portability and Accountability Act of 1996,Pub. L. 104-191, 110 Stat. 1936; and
(b) is not longer than 12 months.

Enacted by Chapter 345, 2008 General Session
Enacted by Chapter 383, 2008 General Session
Enacted by Chapter 390, 2008 General Session

State Codes and Statutes

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State Codes and Statutes

Statutes > Utah > Title-31a > Chapter-22 > 31a-22-610-6

31A-22-610.6. Special enrollment for individuals receiving premium assistance.
(1) As used in this section:
(a) "Premium assistance" means assistance under Title 26, Chapter 18, MedicalAssistance Act, in the payment of premium.
(b) "Qualified beneficiary" means an individual who is approved to receive premiumassistance.
(2) Subject to the other provisions in this section, an individual may enroll under thissection at a time outside of an employer health benefit plan open enrollment period, regardless ofpreviously waiving coverage, if the individual is:
(a) a qualified beneficiary who is eligible for coverage as an employee under theemployer health benefit plan; or
(b) a dependent of the qualified beneficiary who is eligible for coverage under theemployer health benefit plan.
(3) To be eligible to enroll outside of an open enrollment period, an individual describedin Subsection (2) shall enroll in the employer health benefit plan by no later than 30 days fromthe day on which the qualified beneficiary receives initial written notification, after July 1, 2008,that the qualified beneficiary is eligible to receive premium assistance.
(4) An individual described in Subsection (2) may enroll under this section only in anemployer health benefit plan that is available at the time of enrollment to similarly situatedeligible employees or dependents of eligible employees.
(5) Coverage under an employer health benefit plan for an individual described inSubsection (2) may begin as soon as the first day of the month immediately following enrollmentof the individual in accordance with this section.
(6) This section does not modify any requirement related to premiums that applies underan employer health benefit plan to a similarly situated eligible employee or dependent of aneligible employee under the employer health benefit plan.
(7) An employer health benefit plan may require an individual described in Subsection(2) to satisfy a preexisting condition waiting period that:
(a) is allowed under the Health Insurance Portability and Accountability Act of 1996,Pub. L. 104-191, 110 Stat. 1936; and
(b) is not longer than 12 months.

Enacted by Chapter 345, 2008 General Session
Enacted by Chapter 383, 2008 General Session
Enacted by Chapter 390, 2008 General Session