2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 513B - SMALL GROUP HEALTH COVERAGE
513B.9A - ELIGIBILITY TO ENROLL.

        513B.9A  ELIGIBILITY TO ENROLL.
         1.  A carrier or organized delivery system offering group health
      insurance coverage shall not establish rules for eligibility,
      including continued eligibility, of an individual to enroll under the
      terms of the coverage based on any of the following health
      status-related factors in relation to the individual or a dependent
      of the individual:
         a.  Health status.
         b.  Medical condition, including both physical and mental
      conditions.
         c.  Claims experience.
         d.  Receipt of health care.
         e.  Medical history.
         f.  Genetic information.
         g.  Evidence of insurability, including conditions arising out
      of acts of domestic violence.
         h.  Disability.
         2.  Subsection 1 does not require group health insurance coverage
      to provide particular benefits other than those provided under the
      terms of the coverage, and does not prevent a coverage from
      establishing limitations or restrictions on the amount, level,
      extent, or nature of the benefits or coverage for similarly situated
      individuals enrolled in the coverage.
         3.  Rules for eligibility to enroll under group health insurance
      coverage include rules defining any applicable waiting periods for
      such enrollment.
         4. a.  A carrier or organized delivery system offering health
      insurance coverage shall not require an individual, as a condition of
      enrollment or continued enrollment under the coverage, to pay a
      premium or contribution which is greater than a premium or
      contribution for a similarly situated individual enrolled in the
      coverage on the basis of a health status-related factor in relation
      to the individual or to a dependent of an individual enrolled under
      the coverage.
         b.  Paragraph "a" shall not be construed to do either of
      the following:
         (1)  Restrict the amount that an employer may be charged for
      health insurance coverage.
         (2)  Prevent a carrier or organized delivery system offering group
      health insurance coverage from establishing premium discounts or
      rebates or modifying otherwise applicable copayments or deductibles
      in return for adherence to programs of health promotion and disease
      prevention.  

         97 Acts, ch 103, §23