33-24-22
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33-24-22.
(a)
All individual and group health insurance policies providing coverage on an
expense incurred basis and individual and group service or indemnity type
contracts issued by a nonprofit corporation which, under the terms of such
policies, provide coverage for a family member of the insured or subscriber
shall, as to the family members´ coverage, also provide that the health
insurance benefits applicable for children shall be payable with respect to a
newly born child of the insured or subscriber from the moment of birth. A newly
born child of the insured or subscriber shall include an adopted child. The
coverage for the adopted child shall be effective from the date of the placement
for adoption or final decree of adoption, whichever occurs first.
(b)
The coverage for newly born children or adopted children shall consist of
coverage of injury or sickness, including the necessary care and treatment of
medically diagnosed congenital defects and birth abnormalities, but need not
include benefits for routine well baby care.
(c)
If payment of a specific premium or subscription fee is required to provide
coverage for a child, the policy or contract may require that notification of
birth of a newly born child or the date of the placement for adoption or final
adoption of a child and payment of the required premium or fees must be
furnished to the insurer or nonprofit service or indemnity corporation within 31
days after the date of birth, placement for adoption, or final decree of
adoption, whichever is applicable, in order to have the coverage continue beyond
the 31 day period.
(d)
This Code section shall not apply to persons adopted as adults pursuant to the
provisions of Code Section 19-8-21, relating to the adoption of adult persons.
(e)
The requirements of this Code section shall apply to all insurance policies and
subscriber contracts delivered or issued for delivery in this state on or after
July 1, 1998.