Virginia
House Bill 315 Conversion or Continuation of Group Health
Coverage
The
Virginia General Assembly passed House Bill 315 on April
10, 2010, which
is an act to amend and reenact § 38.2-3541
of the Code of Virginia, relating to conversion or continuation
of group health coverage upon termination of eligibility. The bill expands the ability of a person who becomes ineligible
for coverage under a group health insurance policy to exercise
the option to continue coverage under the group policy. The
measure (i) extends the maximum length of continued coverage
from 90
days to 12 months; (ii) allows premiums to be paid monthly;
and (iii) requires the policyholder to inform the persons insured
under the group policy of the option. The notice shall be provided
within 14 days of the policyholder's knowledge of the covered
person's loss of eligibility under the group policy. The measure
also retains the policyholder's option to have the issuer issue
an individual policy to the covered person who loses eligibility,
and the maximum period for applying for such a policy is extended
from 31 to 60 days after loss of eligibility. House
Bill is located by clicking
here.
(Added
05/19/2010)
North
Carolina
House
Bill 589 - Payment for Hearing Aids
House
Bill 589, regarding payment for hearing aids, was signed
into law by North Carolina’s Governor. This bill requires
every health benefit plan, including the State Health Plan
for Teachers and State Employees, to provide coverage for
one hearing aid per hearing-impaired ear (up to $2,500 per
hearing aid) every 36 months for covered individuals under
age 22. Nothing prevents an insurer from applying utilization
review criteria to determine medical necessity as defined
by G.S. 58-50-61, as long as it does so in accordance with
all requirements for utilization review programs and medical
necessity determinations specified in that section, including
the offering of an insurer appeal process and, if applicable,
a health benefit plans external review.
House
Bill 589 is located by clicking
here.
(Added
06/08/10)
South
Carolina
Senate Bill 1224
The
South Carolina General Assembly recently ratified Senate
Bill 1224
and sent it to the Governor for signature. This bill
addresses numerous issues, including: amending the code of
laws of South Carolina, 1976, so as to enact "Michelle’s
Law;" amending section 38-71-850, relating to the definition
of "creditable coverage" for group health insurance
coverage and special enrollment in group health insurance coverage;
and amending Chapter 93, Title 38, relating to the privacy
of genetic information.
Senate
bill is located by clicking
here.
(Added 06/08/10)
House
Bill 3371 – Health Care Insurance Continuation
of Care Provisions
The
Governor of South Carolina signed House Bill 3371 into law
on March 31, 2010, addressing insurer liability for continuity
of care for members, following the network termination or
nonrenewal of a healthcare provider. Although effective at
signature date, the law applies to individual health plans,
group health plans, or health benefit plans (including the
state health plan) that are issued, renewed, delivered, or
entered into after December 31, 2010.
House
Bill 3371 is located by clicking
here.
(Added
04/15/10)
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