S.B. 843

VETOES

2.        COVERAGE SUPPLEMENTAL TO THE COVERAGE
PROVIDED UNDER CHAPTER 55 OF TITLE 10, UNITED STATES CODE; AND

3.        SIMILAR SUPPLEMENTAL COVERAGE PROVIDED TO
COVERAGE UNDER AN EMPLOYER-SPONSORED PLAN.

(K) "HEALTH STATUS-RELATED FACTOR" MEANS A FACTOR RELATED TO:

(1)      HEALTH STATUS;

(2)      MEDICAL CONDITION;

(3)      CLAIMS EXPERIENCE;

(4)      RECEIPT OF HEALTH CARE;

(5)      MEDICAL HISTORY;

(6)      GENETIC INFORMATION;

(7)      EVIDENCE OF INSURABILITY INCLUDING CONDITIONS ARISING OUT
OF ACTS OF DOMESTIC VIOLENCE; OR

(8)      DISABILITY.

(L) "LATE ENROLLEE" MEANS A MEMBER, SUBSCRIBER, OR DEPENDENT WHO
ENROLLS IN A GROUP HEALTH BENEFIT PLAN OTHER THAN DURING:

(1)      THE FIRST PERIOD IN WHICH THE INDIVIDUAL IS ELIGIBLE TO
ENROLL UNDER THE PLAN; OR

(2)      A SPECIAL ENROLLMENT PERIOD.

(M) "PREEXISTING CONDITION" MEANS;

(1) A CONDITION EXISTING DURING A SPECIFIED PERIOD

IMMEDIATELY PRECEDING THE EFFECTIVE DATE OF COVERAGE THAT WOULD
HAVE CAUSED AN ORDINARILY PRUDENT PERSON TO SEEK MEDICAL ADVICE,
DIAGNOSIS, CARE, OR TREATMENT, OR

(2) A CONDITION FOR WHICH MEDICAL ADVICE, DIAGNOSIS, CARE, OR
TREATMENT WAS RECOMMENDED OR RECEIVED DURING A SPECIFIED PERIOD
IMMEDIATELY PRECEDING THE EFFECTIVE DATE OF TIES COVERAGE A CONDITION
THAT WAS PRESENT BEFORE THE DATE OF ENROLLMENT FOR COVERAGE,
WHETHER OR NOT ANY MEDICAL ADVICE. DIAGNOSIS. CARE, OR TREATMENT WAS
RECOMMENDED OR RECEIVED BEFORE THAT DATE.

(N) "PREEXISTING CONDITION PROVISION" MEANS A PROVISION IN A
HEALTH BENEFIT PLAN THAT DENIES, EXCLUDES, OR LIMITS BENEFITS FOR AN
ENROLLEE FOR EXPENSES OR SERVICES RELATED TO A PREEXISTING CONDITION.

(O) "SECRETARY" MEANS THE SECRETARY OF THE FEDERAL DEPARTMENT
OF HEALTH AND HUMAN SERVICES.

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