(1) For each health benefit
plan that is issued or renewed on or after January 1, 2010, a
health carrier shall reduce any organ transplant benefit waiting
period by the amount of time a covered person had prior
creditable coverage. Benefits provided are subject to all other
terms and conditions of the health benefit plan, including but
not limited to any applicable coinsurances, deductibles, and
copayments.
(2) For purposes of this section, "creditable coverage"
means the same as set forth in section 2701 of the federal health
insurance portability and accountability act of 1996 (42 U.S.C.
Sec. 300gg), as it existed on July 26, 2009, or on such
subsequent date as may be provided by the commissioner by rule,
consistent with the purposes of this section, and also includes
coverage which terminated during the period beginning ninety days
and ending sixty-four days before the date of application for the
new plan if that coverage would otherwise have qualified as
creditable coverage under that federal act.
[2009 c 82 § 2.]
NOTES:
Intent -- 2009 c 82: "It is the intent of the legislature to reduce organ transplant benefit waiting periods for covered persons who have had prior continuous coverage and have changed health carriers or health benefit plans." [2009 c 82 § 1.]