HSB 37 (LSB 1324XD (15) 87)

SENATE/HOUSE FILE _____

BY  (PROPOSED DEPARTMENT OF ADMINISTRATIVE SERVICES BILL)

A BILL FOR

An Act relating to continuation of or reenrollment in certain health care coverage by children of enrollees, and including effective date and applicability provisions.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 509.3, subsection 1, paragraph h, Code 2017, is amended to read as follows:
   h.  A provision that the insurer will permit continuation of existing coverage or reenrollment in previously existing coverage for an individual who meets the requirements of section 513B.2, subsection 14, paragraph “a”, “b”, “c”, “d”, or “e”, and who is an unmarried a child of an insured or enrollee who so elects, at least through the policy anniversary date on or after until the date the child marries, ceases to be a resident of this state, or attains the age of twenty-five years old, whichever occurs first, or so long as the unmarried child maintains full-time status as a student in an accredited institution of postsecondary education twenty-six.
    Sec. 2.  Section 509A.13B, Code 2017, is amended to read as follows:
   509A.13B  Coverage of children —— continuation or reenrollment.
   If a governing body, a county board of supervisors, or a city council has procured accident or health care coverage for its employees under this chapter, such coverage shall permit continuation of existing coverage or reenrollment in previously existing coverage for an individual who meets the requirements of section 513B.2, subsection 14, paragraph “a”, “b”, “c”, “d”, or “e”, and who is an unmarried a child of an insured or enrollee who so elects, at least through the policy anniversary date on or after until the date the child marries, ceases to be a resident of this state, or attains the age of twenty-five years old, whichever occurs first, or so long as the unmarried child maintains full-time status as a student in an accredited institution of postsecondary education twenty-six.
    Sec. 3.  Section 514A.3B, subsection 2, Code 2017, is amended to read as follows:
   2.  An insurer issuing an individual policy or contract of accident and health insurance which provides coverage for children of the insured shall permit continuation of existing coverage or reenrollment in previously existing coverage for an individual who meets the requirements of section 513B.2, subsection 14, paragraph “a”, “b”, “c”, “d”, or “e”, and who is an unmarried a child of an insured or enrollee who so elects, at least through the policy anniversary date on or after until the date the child marries, ceases to be a resident of this state, or attains the age of twenty-five years old, whichever occurs first, or so long as the unmarried child maintains full-time status as a student in an accredited institution of postsecondary education twenty-six.
    Sec. 4.  Section 514B.9A, Code 2017, is amended to read as follows:
   514B.9A  Coverage of children —— continuation or reenrollment.
   A health maintenance organization which provides health care coverage pursuant to an individual or group health maintenance organization contract regulated under this chapter for children of an enrollee shall permit continuation of existing coverage or reenrollment in previously existing coverage for an individual who meets the requirements of section 513B.2, subsection 14, paragraph “a”, “b”, “c”, “d”, or “e”, and who is an unmarried a child of an enrollee who so elects, at least through the policy anniversary date on or after until the date the child marries, ceases to be a resident of this state, or attains the age of twenty-five years old, whichever occurs first, or so long as the unmarried child maintains full-time status as a student in an accredited institution of postsecondary education twenty-six.
    Sec. 5.  EFFECTIVE UPON ENACTMENT.  This Act, being deemed of immediate importance, takes effect upon enactment.
    Sec. 6.  APPLICABILITY.  This Act applies to policies, contracts, or plans of accident or health care coverage delivered, issued for delivery, continued, or renewed in this state, on or after the effective date of this Act.
EXPLANATION
The inclusion of this explanation does not constitute agreement with

the explanation’s substance by the members of the general assembly.
   This bill relates to continuation of or reenrollment of certain dependents of enrollees in group, public employee, individual, and health maintenance organization health care coverage. The bill provides that a child of an enrollee who so elects can continue or reenroll in the parent’s health care coverage until the date the child attains the age of 26. This provision is consistent with federal law concerning coverage of adult children. 
   The bill deletes a provision that requires such health care coverage to permit an unmarried child of an enrollee to continue or reenroll in such coverage until the child ceases to be a resident of this state or attains the age of 25 years old, whichever occurs first, or so long as the unmarried child is a full-time student in an accredited institution of postsecondary education.
   The bill is effective upon enactment. The provisions of the bill are applicable to policies, contracts, or plans of accident or health care coverage delivered, issued for delivery, continued, or renewed in this state, on or after enactment of the bill.