2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 514A - ACCIDENT AND HEALTH INSURANCE
514A.3B - ADDITIONAL REQUIREMENTS.

        514A.3B  ADDITIONAL REQUIREMENTS.
         1.  An insurer which accepts an individual for coverage under an
      individual policy or contract of accident and health insurance shall
      waive any time period applicable to a preexisting condition exclusion
      or limitation period requirement of the policy or contract with
      respect to particular services in an individual health benefit plan
      for the period of time the individual was previously covered by
      qualifying previous coverage as defined in section 513C.3, by chapter
      249A or 514I, or by Medicare coverage provided pursuant to Tit. XVIII
      of the federal Social Security Act that provided benefits with
      respect to such services, provided that the coverage was continuous
      to a date not more than sixty-three days prior to the effective date
      of the new policy or contract.
         2.  An insurer issuing an individual policy or contract of
      accident and health insurance which provides coverage for children of
      the insured shall permit continuation of existing coverage or
      reenrollment in previously existing coverage for an individual who
      meets the requirements of section 513B.2, subsection 14, paragraph
      "a", "b", "c", "d", or "e", and who is an
      unmarried child of an insured or enrollee who so elects, at least
      through the policy anniversary date on or after the date the child
      marries, ceases to be a resident of this state, or attains the age of
      twenty-five years old, whichever occurs first, or so long as the
      unmarried child maintains full-time status as a student in an
      accredited institution of postsecondary education.
         3.  For the purposes of any policies of accident and sickness
      insurance issued in this state, "creditable coverage" means
      health benefits or coverage provided to an individual under any of
      the following:
         a.  A group health plan.
         b.  Health insurance coverage.
         c.  Part A or Part B Medicare pursuant to Tit. XVIII of the
      federal Social Security Act.
         d.  Medicaid pursuant to Tit. XIX of the federal Social
      Security Act, other than coverage consisting solely of benefits under
      section 1928 of that Act.
         e.  10 U.S.C. ch. 55.
         f.  A health or medical care program provided through the
      Indian health service or a tribal organization.
         g.  A state health benefits risk pool.
         h.  A health plan offered under 5 U.S.C. ch. 89.
         i.  A public health plan as defined under federal regulations.

         j.  A health benefit plan under section 5(e) of the federal
      Peace Corps Act, 22 U.S.C. § 2504(e).
         k.  An organized delivery system licensed by the director of
      public health.
         l.  A short-term limited duration policy.
         m.  The hawk-i program authorized by chapter 514I.  
         

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