40 Pa. Stat. § 981-5

Current through Pa Acts 2024-53, 2024-56 through 2024-92
Section 981-5 - Policy choice for eligible individuals
(a) Designated insurers shall offer eligible individuals a choice of policies. The choices shall include:
(1) At least one policy that is comparable to a standard health insurance policy or a comprehensive health insurance policy being actively marketed by the insurer to persons other than eligible individuals in the voluntary individual market.
(2) At least one other policy that is being actively marketed by the insurer to persons other than eligible individuals in the voluntary individual market.
(b) Each designated insurer shall file with and identify to the commissioner the comprehensive policy form or the standard policy form the insurer intends to offer to eligible individuals under subsection (a)(1). A designated insurer may elect to identify more than one comprehensive or standard policy form which will be offered to eligible individuals. Each policy form shall contain benefits and limits comparable to policies being actively marketed to persons other than eligible individuals in the voluntary individual market. The policy forms shall be considered comparable even if the policies marketed in the voluntary individual market include a preexisting condition exclusion.
(c) Nothing in this article shall prohibit an eligible individual from purchasing a policy which includes a preexisting condition provision or is not otherwise offered under this section from a designated insurer or any other insurer.

40 P.S. § 981-5

1921, May 17, P.L. 682, No. 284, § 1005-A, added 1997, Nov. 4, P.L. 492, No. 51, § 4, effective 1/1/1998.