§ 38.2-3416. Conversion on termination of eligibility; insurer required to offer conversion policy or group cove...
A. Before an insurer who delivers or issues for delivery in this Commonwealth or who renews, reissues or extends if already issued, any group hospital, medical and surgical or group major medical policy, the insurer shall be required to be able to offer without evidence of insurability to residents of this Commonwealth who are covered under the policy, whose eligibility may terminate under the policy, and who may elect Option 1 under § 38.2-3541 a nongroup policy of accident and sickness insurance, either individual or family, whichever is appropriate, pursuant to the provisions of § 38.2-3541 unless such termination is due to termination of the group policy under circumstances in which the insured person is insurable under other replacement group coverage or health care plan without waiting periods or preexisting conditions under the replacement coverage or plan.
B. Any insurer who has in effect prior to January 1, 1985, any group policy described in subsection A of this section, may be exempted from the provisions of subsection A of this section. However, for persons affected by the termination of eligibility, the insurer shall be required to continue coverage under the existing group policy, without evidence of insurability and at the insurer's current rate applicable to the group policy, for as long as the affected persons elect or as long as the insurer is not required to offer an acceptable conversion policy.
(1984, c. 300, § 38.1-348.10:1; 1986, c. 562; 1988, c. 551.)
Sections: Previous 38.2-3412 38.2-3412.1 38.2-3412.1:01 38.2-3413 38.2-3414 38.2-3414.1 38.2-3415 38.2-3416 38.2-3417 38.2-3418 38.2-3418.1 38.2-3418.1:1 38.2-3418.1:2 38.2-3418.2 38.2-3418.3 NextLast modified: April 16, 2009