Bill Text: PA SB189 | 2009-2010 | Regular Session | Amended

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Bill Title: Further providing for conditions subject to which policies are to be issued; and providing for health insurance coverage for certain children of insured parents.

Spectrum: Slight Partisan Bill (Republican 17-9)

Status: (Passed) 2009-06-10 - Act No. 4 [SB189 Detail]

Download: Pennsylvania-2009-SB189-Amended.html

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PRIOR PRINTER'S NO. 159 PRINTER'S NO. 746
THE GENERAL ASSEMBLY OF PENNSYLVANIA
SENATE BILL
No. 189 Session of2009
INTRODUCED BY CORMAN, SCARNATI, PILEGGI, D. WHITE, STACK, ERICKSON, BRUBAKER, WONDERLING, COSTA, ALLOWAY, BAKER, BOSCOLA, EARLL, FERLO, GORDNER, GREENLEAF, KITCHEN, LOGAN, MUSTO, WILLIAMS, ORIE, RAFFERTY, WAUGH, YAW, WARD AND WASHINGTON, FEBRUARY 2, 2009
SENATOR CORMAN, APPROPRIATIONS, RE-REPORTED AS AMENDED, MARCH 23, 2009
AN ACT
Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An
act relating to insurance; amending, revising, and
consolidating the law providing for the incorporation of
insurance companies, and the regulation, supervision, and
protection of home and foreign insurance companies, Lloyds
associations, reciprocal and inter-insurance exchanges, and
fire insurance rating bureaus, and the regulation and
supervision of insurance carried by such companies,
associations, and exchanges, including insurance carried by
the State Workmen's Insurance Fund; providing penalties; and
repealing existing laws," further providing for conditions
subject to which policies are to be issued; and providing for
health insurance coverage for certain children of insured
parents.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Section 617(A)(3) of the act of May 17, 1921
(P.L.682, No.284), known as The Insurance Company Law of 1921,
repealed and added May 25, 1951 (P.L.417, No.99), is amended to
read:
Section 617. Conditions Subject to Which Policies Are to Be
Issued.--(A) No such policy shall be delivered or issued for
delivery to any person in this Commonwealth unless:
* * *
(3) it purports to insure only one person, except that a
policy may insure, originally or by subsequent amendment, upon
the application of an adult head of a family who shall be deemed
the policyholder, any two or more eligible members of that
family, including husband, wife, dependent children or any
children under a specified age which, except as provided under
section 617.1, shall not exceed nineteen years and any other
person dependent upon the policyholder; and
* * *
Section 2. The act is amended by adding a section to read:
Section 617.1. Health Insurance Coverage for Certain
Children of Insured Parents.--(A) An insurer that issues,
delivers, executes or renews group health care insurance in this
Commonwealth, under which coverage of a child would otherwise
terminate at a specified age, shall, at the option of the
policyholder, provide coverage to a child of an insured employe
beyond that specified age, up through and including the age of
29, at the insured employe's expense, and provided that the
child meet all of the following requirements:
(1) Is not married.
(2) Has no dependents.
(3) Is a resident of this Commonwealth or is enrolled as a
full-time student at an institution of higher education.
(4) Is not provided coverage as a named subscriber, insured,
enrollee or covered person under any other group or individual
health insurance policy or enrolled in or entitled to benefits
under any government health care benefits program, including <--
benefits under Title XVIII of the Social Security Act (49 Stat.
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620, 42 U.S.C. § 1395 et seq.).
(B) Insurers may determine increases in premiums related to
continuation of coverage for the adult dependent past the
limiting age of nineteen.
(C) This section shall not include the following types of
insurance or any combination thereof:
(1) Hospital indemnity.
(2) Accident.
(3) Specified disease.
(4) Disability income.
(5) Dental.
(6) Vision.
(7) Civilian Health and Medical Program of the Uniformed
Services (CHAMPUS) supplement.
(8) Medicare supplement.
(9) Long-term care.
(10) Other limited benefit plans.
(11) Individual health insurance policies.
(D) For the purpose of this section:
"Health care insurance" means a group health, sickness or
accident policy or subscriber contract or certificate issued by
an entity subject to any one of the following:
(1) This act.
(2) The act of December 29, 1972 (P.L.1701, No.364), known
as the "Health Maintenance Organization Act."
(3) The act of May 18, 1976 (P.L.123, No.54), known as the
"Individual Accident and Sickness Insurance Minimum Standards
Act."
(4) 40 Pa.C.S. Chs. 61 (relating to hospital plan
corporations) or 63 (relating to professional health services
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plan corporations).
(5) Article XXIV. <--
Section 3. This act shall apply to new contracts and
contract renewals occurring 90 days after the effective date of
this act.
Section 4. This act shall take effect in 90 days.
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