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§ 981-4. Alternative mechanism in individual market

Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 40 P.S. Insurance

Purdon's Pennsylvania Statutes and Consolidated Statutes
Title 40 P.S. Insurance (Refs & Annos)
Chapter 2. Insurance Companies (Refs & Annos)
Article X-a. Health Care Insurance Individual Accessibility
40 P.S. § 981-4
§ 981-4. Alternative mechanism in individual market
(a) A designated insurer shall:
(1) Offer continuous year-round open enrollment to eligible individuals.
(2) Offer to eligible individuals, upon request, a choice of at least two individual health insurance policies as specified in section 1005-A1.
(3) Issue to eligible individuals, upon request, an individual policy that meets the requirements of section 1005-A.
(b) Unless an eligible individual chooses to purchase a policy pursuant to section 1005-A(c), a policy offered or issued to an eligible individual under section 1005-A shall not contain preexisting condition limitations or restrictions.
(c) Designated insurers shall provide financial subsidization of policies issued to eligible individuals. Designated insurers shall file for review by the commissioner a method for financial subsidization in all rate filings on policy choices for eligible individuals. The total subsidy provided by the designated insurer to all of its products shall not be affected by the requirement to subsidize products issued to eligible individuals.

Credits

1921, May 17, P.L. 682, No. 284, § 1004-A, added 1997, Nov. 4, P.L. 492, No. 51, § 4, effective Jan. 1, 1998.

Footnotes

40 P.S. § 981-5.
40 P.S. § 981-4, PA ST 40 P.S. § 981-4
Current through Act 10 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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