Key: (1) language to be deleted (2) new language
CHAPTER 506-S.F.No. 1912
An act relating to insurance; accident and health;
permitting short-term coverage; amending Minnesota
Statutes 1993 Supplement, section 62A.65, by adding a
subdivision.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1. Minnesota Statutes 1993 Supplement, section
62A.65, is amended by adding a subdivision to read:
Subd. 7. [SHORT-TERM COVERAGE.] (a) For purposes of this
section, "short-term coverage" means an individual health plan
that:
(1) is issued to provide coverage for a period of 185 days
or less, except that the health plan may permit coverage to
continue until the end of a period of hospitalization for a
condition for which the covered person was hospitalized on the
day that coverage would otherwise have ended;
(2) is nonrenewable, provided that the health carrier may
provide coverage for one or more subsequent periods that satisfy
clause (1), if the total of the periods of coverage do not
exceed a total of 185 days out of any 365-day period, plus any
additional days covered as a result of hospitalization on the
day that a period of coverage would otherwise have ended;
(3) does not cover any preexisting conditions, including
ones that originated during a previous identical policy or
contract with the same health carrier where coverage was
continuous between the previous and the current policy or
contract; and
(4) is available with an immediate effective date without
underwriting upon receipt of a completed application indicating
eligibility under the health carrier's eligibility requirements,
provided that coverage that includes optional benefits may be
offered on a basis that does not meet this requirement.
(b) Short-term coverage is not subject to subdivisions 2
and 5. Short-term coverage may exclude as a preexisting
condition any injury, illness, or condition for which the
covered person had medical treatment, symptoms, or any
manifestations before the effective date of the coverage, but
dependent children born or placed for adoption during the policy
period must not be subject to this provision.
(c) Notwithstanding subdivision 3, and section 62A.021, a
health carrier may combine short-term coverage with its most
commonly sold individual qualified plan, as defined in section
62E.02, other than short-term coverage, for purposes of
complying with the loss ratio requirement.
(d) The 185 day coverage limitation provided in paragraph
(a) applies to the total number of days of short-term coverage
that covers a person, regardless of the number of policies,
contracts, or health carriers that provide the coverage. A
written application for short-term coverage must ask the
applicant whether the applicant has been covered by short-term
coverage by any health carrier within the 365 days immediately
preceding the effective date of the coverage being applied for.
Short-term coverage issued in violation of the 185-day
limitation is valid until the end of its term and does not lose
its status as short-term coverage, in spite of the violation. A
health carrier that knowingly issues short-term coverage in
violation of the 185-day limitation is subject to the
administrative penalties otherwise available to the commissioner
of commerce or the commissioner of health, as appropriate.
(e) Time spent under short-term coverage counts as time
spent under a preexisting condition limitation for purposes of
group or individual health plans, other than short-term
coverage, subsequently issued to that person, or to cover that
person, by any health carrier, if the person maintains
continuous coverage as defined in section 62L.02. Short-term
coverage is a health plan and is qualifying coverage as defined
in section 62L.02. Notwithstanding any other law to the
contrary, a health carrier is not required under any
circumstances to provide a person covered by short-term coverage
the right to obtain coverage on a guaranteed issue basis under
another health plan offered by the health carrier, as a result
of the person's enrollment in short-term coverage.
Sec. 2. [EFFECTIVE DATE.]
Section 1 is effective the day following final enactment.
Presented to the governor April 22, 1994
Signed by the governor April 25, 1994, 12:01 p.m.
Official Publication of the State of Minnesota
Revisor of Statutes