6412 AMH SHMK MORI 144

SB 6412 - H AMD TO HCW COMM AMD (H-4384.2/12) 1189

By Representative Schmick

ADOPTED 02/27/2012

    On page 4, line 18 of the striking amendment, after "of" insert "continuous"

    On page 4, line 24 of the striking amendment, after "of" insert "continuous"

    On page 8, beginning on line 4 of the striking amendment, after "(b)" strike all material through "purchase" on line 12 and insert "A carrier shall credit an applicant’s period of coverage in his or her preceding catastrophic health plan toward any preexisting condition waiting period in the catastrophic health plan the applicant seeks to purchase if:

(i)  The preceding catastrophic health plan was discontinued by a carrier that is discontinuing all individual plan coverage by July 1, 2012;

(ii) The applicant was enrolled in the previous catastrophic health plan during the sixty-three day period immediately preceding his or her application date for the new catastrophic health plan; and

(iii) The benefits under the preceding catastrophic health plan provide equivalent or greater overall benefit coverage than that provided in the catastrophic health plan the applicant seeks to purchase"

    On page 8, line 35 of the striking amendment, after "plan" insert "for nonsubsidized enrollees"

EFFECT:   Clarifies that the 24 months of coverage necessary to exempt an applicant from the standard health questionnaire must be continuous.  Clarifies that the provisions of the bill dealing with pre-existing condition waiting periods only apply to person switching from a catastrophic plan to another catastrophic plan.  Clarifies that the provisions of the bill dealing with the Basic Health Plan only apply to nonsubsidized enrollees.

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