§ 38.2-3531. Additional exclusions and limitations
A. Each group accident and sickness insurance policy shall contain a provision specifying all additional exclusions or limitations applicable under the policy for any disease or physical condition of a person, not otherwise excluded from the person's coverage by name or specific description effective on the date of the person's loss, which existed prior to the effective date of the person's coverage under the policy.
B. Any such exclusion or limitation may only apply to a disease or physical condition for which medical advice or treatment was received by the person during the twelve months prior to the effective date of the person's coverage. The exclusion or limitation shall not apply to loss incurred or disability commencing after the earlier of (i) the end of a continuous period of twelve months commencing on or after the effective date of the person's coverage during which the person receives no medical advice or treatment in connection with the disease or physical condition, or (ii) the end of the two-year period commencing on the effective date of the person's coverage.
C. This section shall not apply to group accident and sickness policies providing hospital, medical and surgical or major medical coverage on an expense incurred basis to an employer's employees and their dependents.
(1986, c. 562; 1998, c. 24.)
Sections: Previous 38.2-3524 38.2-3525 38.2-3526 38.2-3527 38.2-3528 38.2-3529 38.2-3530 38.2-3531 38.2-3532 38.2-3533 38.2-3534 38.2-3535 38.2-3536 38.2-3537 38.2-3538 NextLast modified: April 3, 2009