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Session Laws, 1986
Volume 768, Page 3792   View pdf image
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3792

VETOES

PERIOD BEGINNING ON THE DATE OF THE APPLICABLE CHANGE IN STATUS
AND ENDING ON THE EARLIEST OF ANY OF THE FOLLOWING:

(1)  18 MONTHS AFTER THE DATE OF THE APPLICABLE CHANGE
IN STATUS;

(2)  THE DATE ON WHICH THE INSURED FAILS TO MAKE
TIMELY PAYMENT OF ANY AMOUNT REQUIRED UNDER SUBSECTION (E)(2) OF
THIS SECTION;

(3)  THE DATE ON WHICH THE INSURED BECOMES ELIGIBLE
FOR HOSPITAL, MEDICAL, OR SURGICAL BENEFITS UNDER A GROUP AN
INSURED OR SELF-INSURED GROUP HEALTH BENEFIT PROGRAM OR PLAN
OTHER THAN THE GROUP CONTRACT WHICH IS:

(I)  WRITTEN ON AN EXPENSE INCURRED BASIS; OR

(II)  WITH A HEALTH MAINTENANCE ORGANIZATION;

(4)  THE DATE ON WHICH THE INSURED BECOMES ENTITLED TO
BENEFITS UNDER TITLE XVIII OF THE SOCIAL SECURITY ACT; OR

(5)  THE DATE ON WHICH THE INSURED ACCEPTS HOSPITAL,
MEDICAL, OR SURGICAL COVERAGE EITHER UNDER ANY NONGROUP CONTRACT
OR POLICY:

(I)  WRITTEN ON AN EXPENSE INCURRED BASIS; OR

(II)  WITH A HEALTH MAINTENANCE ORGANIZATION;

(6)  THE DATE ON WHICH THE INSURED ELECTS NO LONGER TO
HAVE COVERAGE UNDER THE GROUP CONTRACT; OR

(7)  THE DATE ON WHICH THE EMPLOYER CEASES TO PROVIDE
BENEFITS TO ITS EMPLOYEES UNDER A GROUP CONTRACT.

(E) ANY CONTINUATION COVERAGE UNDER THIS SECTION:

(1)  SHALL BE PROVIDED WITHOUT EVIDENCE OF
INSURABILITY OR ADDITIONAL WAITING PERIODS;

(2)  SHALL PROVIDE FOR THE PAYMENT TO THE EMPLOYER BY
THE INSURED OF AN AMOUNT WHICH DOES NOT EXCEED:

(I)  THE SUM OF THE EMPLOYER CONTRIBUTION AND
ANY CONTRIBUTION WHICH WOULD HAVE BEEN REQUIRED TO BE PAID BY THE
INSURED IF THERE HAD BEEN NO APPLICABLE CHANGE IN STATUS; AND

(II)  A REASONABLE ADMINISTRATIVE FEE WHICH
SHALL BE SUBJECT TO REVIEW AND APPROVAL BY THE COMMISSIONER;

(3)  SHALL PERMIT THE PAYMENT OF ANY SUCH AMOUNT IN
MONTHLY INSTALLMENTS IF SO ELECTED BY THE INSURED;

 

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Session Laws, 1986
Volume 768, Page 3792   View pdf image
 Jump to  
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