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Temporary license
6 months
Pre-Existing
12 months / 63 days
Exclude coverage
6 months
Group
18 months
Max for short term
36 months
Converted
3 months
Dental for how old
5 year old
Maintain records
3 years
Can contest a claim
2 years
Colon cancer check
50 year old
Child Dependent until
26 years old
Blood lead test until
6 years old
Grace period weekly
7 days
Grace period monthly
10 days
Normal Grace
31 days
Proof of loss
15 days
Claim
20 days
Free look disability
10 days
Experimental treatment
5 days
Newborn/birth
60 days
Free look supplement
30 days
Clear request
5 days
Chiropractic fees overdue
30 days
Notify commissioner that group coverage is ending
180 days
Skilled nursing care
30 days
Notify employer and employee’s ending group
90 days
Provide outline of coverage
At application
Do all providers cover diabetes?
no
Higher payments for chemo?
No
Pre-licensing
8 hours
Renewal licensing
24 hours
Group disability
60%
McCarren fine
$10,000
Intentional/ max violation fine
$15,000
Coverage for correction
$1,250
Non-contributory
100%
Medicare B
80%
Kidney disease
$30,000
Small employer max rate
30%
Small employer prohibited from Rasing rate per year more than
15%
How many visits are covered
40
Hearing aid
1 per ear per child every 3 years
Alcohol , drug abuse, mental illness
30 days $7000
Insulin pump
1 per year (30 days notify)
Women 45-49
2 mammograms
Notice written on
First page contrasting or sticker