2013 Idaho Statutes
Title 41 - INSURANCE
Chapter 55 - IDAHO INDIVIDUAL HIGH RISK REINSURANCE POOL
Section 41-5510 - ELIGIBILITY.
(2) A rejection or refusal by a carrier offering only stop loss, excess of loss or reinsurance coverage with respect to an applicant under subsection (1) of this section shall not constitute sufficient evidence for purposes of subsection (1) of this section.
(3) Each resident dependent of a person who is eligible for coverage under the pool shall also be eligible for coverage under the pool.
(4) Any eligible individual person meeting the eligibility requirements of subsection (1), (2) or (3) of this section shall be eligible for coverage under a pool plan even though the person has existing coverage under other health insurance or under a group health plan provided: (a) there is a reasonable probability that the lifetime benefit maximum of the existing coverage will be exceeded within ninety (90) days; and (b) the lifetime benefit maximum under the existing coverage is at least five hundred thousand dollars ($500,000). In all cases, coverage under a pool plan is secondary to the existing coverage and all other insurance.
(5) A person shall not be eligible for coverage under a pool plan if:
(6) Notwithstanding any other provision of this chapter, eligibility for continuation of coverage under COBRA shall not render a person ineligible for coverage under a pool plan.
(7) Coverage shall cease:
(8) A person who ceases to meet the eligibility requirements of this section may be terminated on the first day of the month following the date when the individual becomes ineligible.
History:
[41-5510, added 2000, ch. 472, sec. 17, p. 1640; am. 2004, ch. 285, sec. 4, p. 808; am. 2004, ch. 332, sec. 3, p. 992; am. 2005, ch. 71, sec. 1, p. 247; am. 2005, ch. 353, sec. 8, p. 1120; am. 2008, ch. 297, sec. 2, p. 832.]
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