Bill Text: AZ SB1427 | 2013 | Fifty-first Legislature 1st Regular | Introduced


Bill Title: Insurance; child-only plans

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced - Dead) 2013-02-06 - Referred to Senate HHS Committee [SB1427 Detail]

Download: Arizona-2013-SB1427-Introduced.html

 

 

 

REFERENCE TITLE: insurance; child‑only plans

 

 

 

 

State of Arizona

Senate

Fifty-first Legislature

First Regular Session

2013

 

 

SB 1427

 

Introduced by

Senator Meza: Representative Cardenas

 

 

AN ACT

 

Amending title 20, chapter 2, article 1, Arizona Revised Statutes, by adding section 20‑238; relating to health insurance.

 

 

(TEXT OF BILL BEGINS ON NEXT PAGE)

 



Be it enacted by the Legislature of the State of Arizona:

Section 1.  Title 20, chapter 2, article 1, Arizona Revised Statutes, is amended by adding section 20-238, to read:

START_STATUTE20-238.  Child-only plans; requirements; open enrollment; definitions

A.  Notwithstanding any other provision of this title, as a condition of issuing health insurance coverage in this state, an insurer shall issue child‑only plans pursuant to this section.

B.  During the open enrollment periods prescribed by subsection C of this section or within thirty days after a qualifying event, an insurer shall accept and grant an application to insure an individual for a child‑only plan on a guaranteed issue basis without any limitation or exclusions of policy benefits based on the applicant's health status.

C.  There shall be two open enrollment periods each year during which insurers shall accept applications for child‑only plan coverage.  The first open enrollment period shall begin on the first day of the month immediately following ninety days after the effective date of this section.  The open enrollment periods shall be six months apart.  Each open enrollment period shall last one month.

D.  Each insurer shall continuously and prominently display on its website notice of each open enrollment period and instructions on how to enroll a child in a child‑only plan, including information regarding the ability to enroll due to a qualifying event.

E.  For the purposes of this section:

1.  "Child‑only plan" means health insurance coverage that provides coverage for medical and health care services to an individual who is eighteen years of age or less.

2.  "Health insurance coverage":

(a)  Means a health care plan or arrangement that pays for or furnishes medical or health services and that is issued by a disability insurer, group disability insurer, blanket disability insurer, health care services organization, hospital service corporation, medical service corporation or medical, hospital, dental and optometric service corporation or a similar entity in another state.

(b)  Does not include limited benefit coverage as defined in section 20‑1137.

3.  "Qualifying event" includes birth, adoption, marriage, dissolution of marriage, death of a parent, loss of employer sponsored coverage, loss of eligibility under title 36, chapter 29 and involuntary loss of other existing coverage for any reason other than fraud, misrepresentation or failure to pay a premium. END_STATUTE

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