Monday, December 1, 2008
The General Assembly is not in session.
Tracking Virginia’s General Assembly
since 2007.
HB196: Accident and sickness insurance, group; coverage for full-time students.
Be it enacted by the General Assembly of Virginia:
1. That § 38.2-3525 of the Code of Virginia is amended and reenacted as follows:
§ 38.2-3525. Group accident and sickness insurance coverages of spouses, dependent children or other persons.
A. Coverage under a group accident and sickness insurance policy, except a policy issued pursuant to subsection B of § 38.2-3521.1, may be extended to insure:
1. The spouse and any child who is (i) under the age of 19 years, (ii) who is a dependent and under the age of 25 years, or (iii) who is a dependent and a full-time student under 25 years of age, without regard to whether such child resides in the same household as the insured group member, or any class of spouse and dependent children, of each insured group member who so elects; and
2. Any other class of persons as may mutually be agreed upon by the insurer and the group policyholder.
B. The amount of accident and sickness insurance for the spouse, dependent child or other person shall not exceed the amount of accident and sickness insurance for the insured group member.
C. At the insurer's option and subject to the policyholder's election, the coverage for children of the insured group member may be extended beyond the ages established in subsection A. Any such extension of coverage shall be as mutually agreed upon by the insurer and the group policyholder.
D. Notwithstanding the provisions of § 38.2-3538, one certificate may be issued for each insured group member if a statement concerning any spouse's, dependent child's, or other person's coverage is included in the certificate.
E. When a policy provides coverage for a dependent child
under the age of 25 who is enrolled [ based upon the child’s status
] as a full-time student and such child is unable due to a medical condition to
continue as a full-time student, coverage under the policy for such child
nevertheless shall continue in force provided the child’s treating physician
certifies to the insurer at the time the child withdraws as a full-time student
that the child’s absence is medically necessary. Coverage for such child
shall continue in force until the earlier of (i) for a period of not
more than the date that is 12 months from the date the child ceases
to be a full-time student or (ii) until such the date the child
attains age 25, whichever first occurs, provided the child's treating physician
certifies to the insurer at the time the child withdraws as a full-time student
that the child's absence is medically necessary no longer qualifies as a
dependent child under the terms of the group policy. A child's status as a
full-time student shall be determined in accordance with the criteria specified
by the institution in which the child is enrolled.
Be it enacted by the General Assembly of Virginia:
1. That § 38.2-3525 of the Code of Virginia is amended and reenacted as follows:
§ 38.2-3525. Group accident and sickness insurance coverages of spouses, dependent children or other persons.
A. Coverage under a group accident and sickness insurance policy, except a policy issued pursuant to subsection B of § 38.2-3521.1, may be extended to insure:
1. The spouse and any child who is (i) under the age of 19 years, (ii) who is a dependent and under the age of 25 years, or (iii) who is a dependent and a full-time student under 25 years of age, without regard to whether such child resides in the same household as the insured group member, or any class of spouse and dependent children, of each insured group member who so elects; and
2. Any other class of persons as may mutually be agreed upon by the insurer and the group policyholder.
B. The amount of accident and sickness insurance for the spouse, dependent child or other person shall not exceed the amount of accident and sickness insurance for the insured group member.
C. At the insurer's option and subject to the policyholder's election, the coverage for children of the insured group member may be extended beyond the ages established in subsection A. Any such extension of coverage shall be as mutually agreed upon by the insurer and the group policyholder.
D. Notwithstanding the provisions of § 38.2-3538, one certificate may be issued for each insured group member if a statement concerning any spouse's, dependent child's, or other person's coverage is included in the certificate.
E. When a policy provides coverage for a dependent child under the age of 25 who is enrolled as a full-time student and
such child is unable due to a medical condition to continue as a full-time
student, coverage under the policy for such child nevertheless shall continue
in force provided the child’s treating physician certifies
to the insurer at the time the child withdraws as a full-time student that the
child’s absence is medically necessary. Coverage for such child shall continue
in force until the earlier of (i) for a period of not
more than the date that is 12 months from the
date the child ceases to be a full-time student or (ii) until such the
date the child attains age 25, whichever first occurs, provided
the child's treating physician certifies to the insurer at the time the child
withdraws as a full-time student that the child's absence is medically
necessary no longer qualifies as a dependent child under the
terms of the group policy. A child's status as a full-time student
shall be determined in accordance with the criteria specified by the
institution in which the child is enrolled.
Additional Data
Explanation
This is the actual text of the bill — the legislation itself. Generally this is amending existing law, proposing the addition or removal of words from laws that are already on the books.
Words that are highlighted in yellow are
proposed additions, and words that are crossed out in
red are proposed removals.
The numbers with the § symbol before them are references to existing laws, and if you click on them they’ll take you to that part of the law on the state's website.