Text: HF00186 Text: HF00188 Text: HF00100 - HF00199 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. NEW SECTION. 514C.13 ALLOCATION OF PREGNANCY- 1 2 RELATED EXPENSES AMONG INSURED OR COVERED INDIVIDUALS. 1 3 1. A third-party payor offering a policy or contract 1 4 providing for third-party payment or prepayment of health or 1 5 medical expenses on an individual or nongroup basis shall, for 1 6 ratemaking purposes, allocate maternity, pregnancy, and 1 7 childbirth-related expenses equally between female and male 1 8 subscribers, policyholders, or enrollees of all such policies 1 9 and contracts, regardless if a class of policy or contract 1 10 purports to exclude coverage for such benefits for a male, or 1 11 if policies or contracts written for females are materially 1 12 different from those written for males. A contract or policy 1 13 for Medicare supplemental benefits may exclude expenses 1 14 related to maternity, pregnancy, and childbirth for both males 1 15 and females, and a Medicare supplemental policy shall not have 1 16 such expenses allocated against it. 1 17 2. For purposes of this section, "third-party payor" 1 18 includes, but is not limited to, the following: 1 19 a. A person offering individual accident and sickness 1 20 coverage on an expense-incurred basis. 1 21 b. A person offering an individual hospital or medical 1 22 service contract issued pursuant to chapter 514. 1 23 c. A person offering an individual health maintenance 1 24 organization contract regulated under chapter 514B. 1 25 EXPLANATION 1 26 This bill would require that expenses related to maternity, 1 27 pregnancy, and childbirth paid by a third-party payor be 1 28 allocated equally to individual or nongroup female and male 1 29 policyholders, subscribers, or enrollees for purposes of 1 30 ratemaking. Medicare supplemental policies are permitted to 1 31 exclude such benefits from the scope of coverage and shall not 1 32 have maternity, pregnancy, and childbirth expenses allocated 1 33 against them. 1 34 LSB 1157HH 77 1 35 mj/sc/14
Text: HF00186 Text: HF00188 Text: HF00100 - HF00199 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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