(a) A health care insurer that offers, issues for delivery, delivers, or renews a health care insurance plan in the group market may not establish rules for eligibility, including continued eligibility and waiting periods under the plan, for an individual or dependent of an individual based on
(1) health status;
(2) medical condition, including physical and mental illnesses;
(3) claims experience;
(4) receipt of health care;
(5) medical history;
(6) genetic information;
(7) evidence of insurability, including conditions arising from acts of domestic violence; or
(8) disability.
(b) A health care insurer may not require an individual, as a condition of enrollment or continued enrollment under a health care insurance plan offered in the group market, to pay a premium, contribution, or policy fee greater than a premium, contribution, or policy fee for a similarly situated individual already enrolled in the plan on the basis of a health status factor for the individual or a dependent of the individual.
Section: 21.54.100 21.54.105 21.54.110 21.54.120 21.54.130 21.54.140 21.54.150 21.54.151 21.54.160 21.54.170 21.54.180 NextLast modified: November 15, 2016