House File 2284

                                       HOUSE FILE       
                                       BY  EICHHORN


    Passed House, Date                Passed Senate,  Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                      A BILL FOR

  1 An Act relating to the issuance of policies for health or medical
  2    expense coverages that do not include mandated coverages.
  3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  4 TLSB 5642YH 80
  5 av/sh/8

PAG LIN

  1  1    Section 1.  NEW SECTION.  514C.6A  EXCLUSION OF MANDATED
  1  2 COVERAGE ALLOWED.
  1  3    1.  A person that issues a policy or contract providing for
  1  4 third=party payment or prepayment of health or medical
  1  5 expenses may offer at least one policy or contract providing
  1  6 for third=party payment or prepayment of health or medical
  1  7 expenses that does not include coverage for specific mandated
  1  8 health or medical expense benefits otherwise required under
  1  9 this chapter.  Such a policy or contract that does not include
  1 10 coverage for specific mandated health or medical expense
  1 11 benefits shall include a statement specifying what mandated
  1 12 benefits are not included in the policy or contract.
  1 13    2.  For the purposes of this section, third=party payment
  1 14 or prepayment of health or medical expenses includes an
  1 15 individual or group policy of accident or health insurance or
  1 16 an individual or group hospital or health care service
  1 17 contract issued pursuant to chapter 509, 514, or 514A; an
  1 18 individual or group health maintenance organization contract
  1 19 issued and regulated under chapter 514B; an organized delivery
  1 20 system contract regulated under rules adopted by the director
  1 21 of public health; or a preferred provider organization
  1 22 contract regulated pursuant to chapter 514F.
  1 23    3.  This section applies to a policy or contract providing
  1 24 for third=party payment or prepayment of health or medical
  1 25 expenses that does not include coverage for specific mandated
  1 26 health or medical expense benefits otherwise required under
  1 27 this chapter that is delivered, issued for delivery,
  1 28 continued, or renewed in this state on or after July 1, 2004.
  1 29                           EXPLANATION
  1 30    This bill provides that a person that issues a policy or
  1 31 contract providing for third=party payment or prepayment of
  1 32 health or medical expenses may offer at least one such policy
  1 33 or contract that does not include coverage for specific
  1 34 mandated health or medical expense benefits otherwise required
  1 35 by Code chapter 514C.  The bill requires such a policy or
  2  1 contract to include a statement specifying what mandated
  2  2 benefits are not included in the policy or contract.
  2  3    The bill provides that for the purposes of the bill, third=
  2  4 party payment or prepayment of health or medical expenses
  2  5 includes an individual or group policy of accident or health
  2  6 insurance or an individual or group hospital or health service
  2  7 contract issued pursuant to Code chapter 509, 514, or 514A; an
  2  8 individual or group health maintenance organization contract
  2  9 issued and regulated under Code chapter 514B; an organized
  2 10 delivery system contract regulated under rules adopted by the
  2 11 director of public health; or a preferred provider
  2 12 organization contract regulated pursuant to Code chapter 514F.
  2 13    The bill applies to such a policy or contract that is
  2 14 delivered, issued for delivery, continued, or renewed in this
  2 15 state on or after July 1, 2004.
  2 16 LSB 5642YH 80
  2 17 av/sh/8