Sec. 21.54.105. Special enrollment requirements related to Medicaid and state child health plan coverage.

226 words·~1 min read·/ak/title-21/chapter-54/21-54-105

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

A health care insurer that offers, issues, delivers, or renews a health care insurance plan in the group market shall allow an eligible employee or dependent of an employee to enroll for coverage under the terms of the plan if the employee or dependent

(1)is covered by Medicaid under 42 U.S.C. 1396 — 1396u (Title XIX of the Social Security Act) or under a state child health plan under 42 U.S.C. 1397aa — 1397mm (Title XXI of the Social Security Act), coverage is terminated because of loss of eligibility, and the employee requests coverage under the health care insurance plan not later than 60 days after the date of termination; or

(2)becomes eligible for assistance under Medicaid under 42 U.S.C. 1396 — 1396u (Title XIX of the Social Security Act) or under a state child health plan under 42 U.S.C. 1397aa — 1397mm (Title XXI of the Social Security Act), with respect to coverage under a health care insurance plan, including under any waiver or demonstration project conducted under or in relation to the Medicaid or state child health plan, and the employee requests coverage under the health care insurance plan not later than 60 days after the date the employee or dependent is determined to be eligible for assistance.