W. Va. Code R. § 114-55-4

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 114-55-4 - Dependent Coverage

4.1. If an eligible individual elects to enroll in individual accident and sickness insurance coverage that provides coverage for dependents, the insurer may apply a preexisting condition exclusion on any dependent who is not an eligible individual except as otherwise provided by this rule.

4.2. A child is deemed to be an eligible individual if the following conditions are met:

a. The child was covered under any creditable coverage within 30 days of birth, adoption, or placement for adoption; and

b. The child has not had a significant break in coverage.

4.3. An insurer in the individual market is not required to offer a family coverage option with any policy form.

W. Va. Code R. § 114-55-4