31A-22-725 - Special enrollment periods relating to Medicaid and Children's Health Insurance Program. - Utah Statutes

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Statutes > Utah > Title-31a > Chapter-22 > 31a-22-725

31A-22-725. Special enrollment periods relating to Medicaid and Children's HealthInsurance Program.
(1) A person is eligible to enroll for coverage under the terms of an employer's grouphealth benefit plan if:
(a) the person is:
(i) an employee who is eligible, but not enrolled, for coverage under the terms of theemployer's group health benefit plan; or
(ii) a dependent of an employee, if the dependent is eligible, but not enrolled, forcoverage under the terms of the employer's group health benefit plan; and
(b) the conditions of either Subsection (2) or (3) are met.
(2) Subsection (1) applies if:
(a) the employee or dependent is covered under:
(i) a Medicaid health benefit plan under Title XIX of the Social Security Act; or
(ii) a state child health benefit plan under Title XXI of the Social Security Act;
(b) coverage of the employee or dependent described in Subsection (2)(a) is terminatedas a result of loss of eligibility for the coverage; and
(c) the employee requests coverage under the employer's group health plan no later than60 days after the date of termination of the coverage described in Subsection (2)(a).
(3) Subsection (1) applies if:
(a) the employee or dependent becomes eligible for assistance, with respect to coverageunder the employer's group health plan under a plan described in Subsection (2)(a), includingunder a waiver or demonstration project conducted under or in relation to a plan described inSubsection (2)(a); and
(b) the employee requests coverage under the employer's group health plan no later than60 days after the date the employee or dependent is determined to be eligible for the assistancedescribed in Subsection (3)(a).

Enacted by Chapter 10, 2010 General Session

State Codes and Statutes

Statutes > Utah > Title-31a > Chapter-22 > 31a-22-725

31A-22-725. Special enrollment periods relating to Medicaid and Children's HealthInsurance Program.
(1) A person is eligible to enroll for coverage under the terms of an employer's grouphealth benefit plan if:
(a) the person is:
(i) an employee who is eligible, but not enrolled, for coverage under the terms of theemployer's group health benefit plan; or
(ii) a dependent of an employee, if the dependent is eligible, but not enrolled, forcoverage under the terms of the employer's group health benefit plan; and
(b) the conditions of either Subsection (2) or (3) are met.
(2) Subsection (1) applies if:
(a) the employee or dependent is covered under:
(i) a Medicaid health benefit plan under Title XIX of the Social Security Act; or
(ii) a state child health benefit plan under Title XXI of the Social Security Act;
(b) coverage of the employee or dependent described in Subsection (2)(a) is terminatedas a result of loss of eligibility for the coverage; and
(c) the employee requests coverage under the employer's group health plan no later than60 days after the date of termination of the coverage described in Subsection (2)(a).
(3) Subsection (1) applies if:
(a) the employee or dependent becomes eligible for assistance, with respect to coverageunder the employer's group health plan under a plan described in Subsection (2)(a), includingunder a waiver or demonstration project conducted under or in relation to a plan described inSubsection (2)(a); and
(b) the employee requests coverage under the employer's group health plan no later than60 days after the date the employee or dependent is determined to be eligible for the assistancedescribed in Subsection (3)(a).

Enacted by Chapter 10, 2010 General Session

State Codes and Statutes

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State Codes and Statutes

Statutes > Utah > Title-31a > Chapter-22 > 31a-22-725

31A-22-725. Special enrollment periods relating to Medicaid and Children's HealthInsurance Program.
(1) A person is eligible to enroll for coverage under the terms of an employer's grouphealth benefit plan if:
(a) the person is:
(i) an employee who is eligible, but not enrolled, for coverage under the terms of theemployer's group health benefit plan; or
(ii) a dependent of an employee, if the dependent is eligible, but not enrolled, forcoverage under the terms of the employer's group health benefit plan; and
(b) the conditions of either Subsection (2) or (3) are met.
(2) Subsection (1) applies if:
(a) the employee or dependent is covered under:
(i) a Medicaid health benefit plan under Title XIX of the Social Security Act; or
(ii) a state child health benefit plan under Title XXI of the Social Security Act;
(b) coverage of the employee or dependent described in Subsection (2)(a) is terminatedas a result of loss of eligibility for the coverage; and
(c) the employee requests coverage under the employer's group health plan no later than60 days after the date of termination of the coverage described in Subsection (2)(a).
(3) Subsection (1) applies if:
(a) the employee or dependent becomes eligible for assistance, with respect to coverageunder the employer's group health plan under a plan described in Subsection (2)(a), includingunder a waiver or demonstration project conducted under or in relation to a plan described inSubsection (2)(a); and
(b) the employee requests coverage under the employer's group health plan no later than60 days after the date the employee or dependent is determined to be eligible for the assistancedescribed in Subsection (3)(a).

Enacted by Chapter 10, 2010 General Session