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New Hampshire Code of Administrative Rules Ins §1907.05

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“Application of Ins §1907.03 to plan benefits; preexisting condition exclusions; similarly situated individuals under the insurance department regulations”

A health insurer offering group health plans are not required to offer any particular benefit to its beneficiaries. However, any benefit that it offers must be made uniformly available to all of its beneficiaries. Limits on benefits, deductibles, copayments, coinsurance, or other cost-sharing requirements must be applied uniformly to all of its beneficiaries. A preexisting exclusion period must comply with federal law and not be directed at individual beneficiaries based on their health status, medical condition, claims experience, receipt of health care, medical history, genetic information, disability, or evidence of insurability including conditions arising out of acts of domestic violence or participation in risky activities.

 

 


Current as of June 2015