House File 552 - Introduced HOUSE FILE 552 BY COMMITTEE ON STATE GOVERNMENT (SUCCESSOR TO HSB 48) A BILL FOR An Act relating to continuation of or reenrollment in group 1 health insurance by certain children of insureds or 2 enrollees and including applicability and effective date 3 provisions. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 1133HV (3) 86 av/rj
H.F. 552 Section 1. Section 509.3, subsection 1, paragraph h, Code 1 2015, is amended to read as follows: 2 h. A provision that the insurer will permit continuation 3 of existing coverage or reenrollment in previously existing 4 coverage for an individual who meets the requirements of 5 section 513B.2, subsection 14 , paragraph “a” , “b” , “c” , “d” , or 6 “e” , and who is an unmarried child of an insured or enrollee 7 who so elects, at least through the policy anniversary date on 8 or after the date the child marries, ceases to be a resident 9 of this state, or attains the age of twenty-five years old, 10 whichever occurs first , or so long as the unmarried child 11 maintains full-time status as a student in an accredited 12 institution of postsecondary education . 13 Sec. 2. Section 509A.13B, Code 2015, is amended to read as 14 follows: 15 509A.13B Coverage of children —— continuation or 16 reenrollment. 17 If a governing body, a county board of supervisors, or a 18 city council has procured accident or health care coverage for 19 its employees under this chapter , such coverage shall permit 20 continuation of existing coverage or reenrollment in previously 21 existing coverage for an individual who meets the requirements 22 of section 513B.2, subsection 14 , paragraph “a” , “b” , “c” , 23 “d” , or “e” , and who is an unmarried child of an insured or 24 enrollee who so elects, at least through the policy anniversary 25 date on or after the date the child marries, ceases to be a 26 resident of this state, or attains the age of twenty-five 27 years old, whichever occurs first , or so long as the unmarried 28 child maintains full-time status as a student in an accredited 29 institution of postsecondary education . 30 Sec. 3. Section 514A.3B, subsection 2, Code 2015, is amended 31 to read as follows: 32 2. An insurer issuing an individual policy or contract 33 of accident and health insurance which provides coverage for 34 children of the insured shall permit continuation of existing 35 -1- LSB 1133HV (3) 86 av/rj 1/ 3
H.F. 552 coverage or reenrollment in previously existing coverage for 1 an individual who meets the requirements of section 513B.2, 2 subsection 14 , paragraph “a” , “b” , “c” , “d” , or “e” , and who 3 is an unmarried child of an insured or enrollee who so elects, 4 at least through the policy anniversary date on or after 5 the date the child marries, ceases to be a resident of this 6 state, or attains the age of twenty-five years old, whichever 7 occurs first , or so long as the unmarried child maintains 8 full-time status as a student in an accredited institution of 9 postsecondary education . 10 Sec. 4. Section 514B.9A, Code 2015, is amended to read as 11 follows: 12 514B.9A Coverage of children —— continuation or reenrollment. 13 A health maintenance organization which provides health care 14 coverage pursuant to an individual or group health maintenance 15 organization contract regulated under this chapter for 16 children of an enrollee shall permit continuation of existing 17 coverage or reenrollment in previously existing coverage for 18 an individual who meets the requirements of section 513B.2, 19 subsection 14 , paragraph “a” , “b” , “c” , “d” , or “e” , and 20 who is an unmarried child of an enrollee who so elects, at 21 least through the policy anniversary date on or after the 22 date the child marries, ceases to be a resident of this 23 state, or attains the age of twenty-five years old, whichever 24 occurs first , or so long as the unmarried child maintains 25 full-time status as a student in an accredited institution of 26 postsecondary education . 27 Sec. 5. APPLICABILITY. This Act applies to policies, 28 contracts, or plans of accident or health care coverage 29 delivered, issued for delivery, continued, or renewed in this 30 state, on or after January 1, 2016. 31 Sec. 6. EFFECTIVE DATE. This Act takes effect January 1, 32 2016. 33 EXPLANATION 34 The inclusion of this explanation does not constitute agreement with 35 -2- LSB 1133HV (3) 86 av/rj 2/ 3
H.F. 552 the explanation’s substance by the members of the general assembly. 1 This bill relates to continuation of or reenrollment of 2 certain children of insured enrollees in accident or health 3 care coverage. The bill deletes a provision that requires 4 certain accident or health care coverage to permit an unmarried 5 child of an insured or enrollee to continue or reenroll in such 6 coverage so long as the unmarried child is a full-time student 7 in an accredited institution of postsecondary education. 8 The provisions of the bill take effect January 1, 2016, and 9 are applicable to policies, contracts, or plans of accident or 10 health insurance delivered, issued for delivery, continued, or 11 renewed in this state on or after January 1, 2016. 12 -3- LSB 1133HV (3) 86 av/rj 3/ 3