Written certification of coverage required for determining period of creditable coverage accumulated by person; provision of certificate to insured.
1. To determine the period of creditable coverage of a person, a health insurance issuer offering individual health insurance coverage shall provide written certification of coverage on a form prescribed by the Commissioner to the person that certifies:
(a) The period of creditable coverage of the person under the individual health insurance coverage; and
(b) The date that a substantially completed application was received by the health insurance issuer from the person for individual health insurance coverage.
2. The certification of coverage must be provided to the insured:
(a) At the time that the insured ceases to be covered under the individual health insurance coverage or otherwise becomes covered under any provision of the Consolidated Omnibus Budget Reconciliation Act of 1985, as that act existed on July 16, 1997, relating to the continuation of coverage;
(b) If the insured becomes covered under such a provision, at the time that the insured ceases to be covered by that provision; and
(c) Upon the request of the insured, if the request is made not later than 24 months after the date on which the insured ceased to be covered as described in paragraphs (a) and (b).
Last modified: February 27, 2006