HARRY HUGHES, Governor

1083

468B.

(A) ALL INDIVIDUAL AND GROUP HEALTH INSURANCE POLICIES

PROVIDING COVERAGE ON AN EXPENSE INCURRED BASIS AND

INDIVIDUAL AND GROUP SERVICE OR INDEMNITY TYPE CONTRACTS
ISSUED BY A NONPROFIT CORPORATION WHICH PROVIDE COVERAGE FOR
A FAMILY MEMBER OF THE INSURED OR SUBSCRIBER SHALL, AS TO
SUCH FAMILY MEMBERS' COVERAGE, ALSO PROVIDE THAT THE HEALTH
INSURANCE BENEFITS APPLICABLE FOR CHILDREN SHALL BE PAYABLE
WITH RESPECT TO A NEWLY BORN CHILD OF THE INSURED OR
SUBSCRIBER FROM THE MOMENT OF BIRTH.

(B) THE COVERAGE FOR NEWLY BORN CHILDREN SHALL ALSO
CONSIST OF COVERAGE OF INJURY OR SICKNESS INCLUDING THE

NECESSARY CARE AND TREATMENT OF MEDICALLY DIAGNOSED

CONGENITAL DEFECTS AND BIRTH ABNORMALITIES.

(C) IF PAYMENT OF A SPECIFIC PREMIUM OR SUBSCRIPTION
FEE IS REQUIRED TO PROVIDE COVERAGE FOR A CHILD, THE POLICY
OR CONTRACT MAY REQUIRE THAT NOTIFICATION OF BIRTH OF A
NEWLY BORN CHILD AND PAYMENT OF THE REQUIRED PREMIUM OR FEES
MUST BE FURNISHED TO THE INSURER OR OR NONPROFIT SERVICE OR
INDEMNITY CORPORATION WITHIN 31 DAYS AFTER THE DATE OF BIRTH
IN ORDER TO HAVE THE COVERAGE CONTINUE BEYOND SUCH 31-DAY
PERIOD.

(D) THE REQUIREMENTS OF THIS SECTION SHALL APPLY TO
ALL INSURANCE POLICIES AND SUBSCRIBER CONTRACTS DELIVERED OR
ISSUED FOR DELIVERY IN THIS STATE MORE THAN 120 DAYS AFTER
JANUARY 1, 1975.

468C.

(A)  UNLESS IT COMPLIES WITH THE REQUIREMENTS OF THIS
SECTION, A MEDICARE SUPPLEMENT POLICY MAY NOT BE ISSUED, OR
DELIVERED, OR RENEWED IN THIS STATE BY AN INSURER.

(B)  A MEDICARE SUPPLEMENT POLICY SHALL: (l)PROVIDE AT
LEAST THE FOLLOWING MINIMUM BENEFITS:

(1) (I) COVERAGE OF MEDICARE PART A ELIGIBLE
EXPENSES FOR THE INITIAL MEDICARE DEDUCTIBLE FOR
HOSPITALIZATION IN ANY MEDICARE BENEFIT PERIOD; AND

(2) (II) COVERAGE OF MEDICARE PART A ELIGIBLE
EXPENSES FOR HOSPITALIZATION TO THE EXTENT NOT COVERED BY
MEDICARE FROM THE SIXTY-FIRST DAY THROUGH THE NINETIETH DAY
IN ANY MEDICARE BENEFIT PERIOD; AND

(3) (III) TO THE EXTENT NOT COVERED BY MEDICARE,
COVERAGE OF MEDICARE PART A ELIGIBLE EXPENSES INCURRED AS
DAILY HOSPITAL CHARGES DURING USE OF THE MEDICARE LIFETIME
INPATIENT HOSPITAL RESERVE DAYS; AND

(2) PROVIDE, OR OFFER AS AN OPTION, AT LEAST THE
FOLLOWING BENEFITS: