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HIPAA – Health Insurance Portability and Accountability Act

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The Health Insurance Portability and Accountability Act (HIPAA) requires that employers offer a safety net for workers who could lose or be denied health insurance. Portability options, pre-existing condition exclusions, disclosure demands, and certificates of creditable coverage all combined with privacy restrictions over medical information create difficult compliance issues for employers.

HIPAA offers protection by allowing employees to buy insurance on their own as long as they had insurance through their jobs for at least 18 months and exhausted coverage under COBRA.  The Act also establishes requirements for insured and self-insured health plans and modifies existing COBRA requirements.


Key Definitions

Certification of prior coverage: A group health plan or health insurance issuer offering group health insurance is required to provide certification of the period of creditable coverage under the plan, the...(register to read more)

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{ 1 comment… read it below or add one }

Lori King June 8, 2012 at 10:58 am

Can a self funded health plan exclude coverage for a pregnancy care for covered dependents up to age 26 when the plan does cover pregnancy care for covered adults on the plan?


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