Indiana Code
Chapter 15. Small Employer Group Health Insurance
27-8-15-10.5. "Late Enrollee"

Sec. 10.5. (a) As used in this chapter, "late enrollee" means an eligible employee or a dependent of an eligible employee who did not request enrollment in a health insurance plan of a small employer during the initial enrollment period during which the individual was entitled to enroll under the health insurance plan.
(b) The term "late enrollee" does not include an eligible employee or the dependent of an eligible employee:
(1) who was covered under a health insurance plan or had health insurance coverage at the time coverage was previously offered to the employee or to the dependent of the employee;
(2) who stated in writing at the time coverage was offered that coverage under another health insurance plan was the reason for declining the enrollment, but only if the insurer required such a statement at the time and provided the employee with notice of the requirement (and the consequences of the requirement) at the time;
(3) whose coverage under this subsection:
(A) was under a COBRA continuation provision and the coverage under the provision was exhausted; or
(B) was not under a COBRA continuation provision and either the coverage was terminated as a result of loss of eligibility for the coverage (including as a result of legal separation, divorce, death, termination of employment, or reduction in the number of hours of employment) or employer contributions toward the coverage were terminated; and
(4) who requests enrollment under the terms of the plan not later than thirty (30) days after the date of exhaustion of coverage as described in subdivision (3)(A) or the termination of coverage or employer contributions as described in subdivision (3)(B).
(c) The term "late enrollee" does not include an eligible employee who is employed by a small employer that offers multiple health insurance plans and who elects a different plan during an open enrollment period.
(d) The term "late enrollee" does not include an eligible employee or the eligible employee's spouse or minor or dependent child where:
(1) a court has ordered that health insurance coverage be provided for the spouse or minor or dependent child of an eligible employee under the eligible employee's insurance plan; and
(2) the request for enrollment is made not more than thirty (30) days after the issuance of the court order.
As added by P.L.93-1995, SEC.12. Amended by P.L.190-1996, SEC.3; P.L.91-1998, SEC.15.

Structure Indiana Code

Indiana Code

Title 27. Insurance

Article 8. Life, Accident, and Health

Chapter 15. Small Employer Group Health Insurance

27-8-15-0.1. Application of Certain Amendments to Chapter

27-8-15-1. Application of Chapter

27-8-15-2. Repealed

27-8-15-3. "Actuarial Certification"

27-8-15-4. "Base Premium Rate"

27-8-15-5. "Benefit Design Characteristics"

27-8-15-6. "Case Characteristics"

27-8-15-7. "Commissioner"

27-8-15-8. "Department"

27-8-15-8.5. "Eligible Employee"

27-8-15-9. "Health Insurance Plan"

27-8-15-10. "Insurer"

27-8-15-10.5. "Late Enrollee"

27-8-15-11. "Midpoint Rate"

27-8-15-12. "New Business Premium Rate"

27-8-15-13. "Rating Period"

27-8-15-14. "Small Employer"

27-8-15-15. "Small Employer Insurer"

27-8-15-16. Premium Rates

27-8-15-17. Rating Factors

27-8-15-18. Offer to Transfer

27-8-15-19. Cancellation or Refusal of Renewal of Plans

27-8-15-20. Renewal Cessation; Notice

27-8-15-21. Renewal Cessation; Prohibitions

27-8-15-22. Disclosure of Premium Rate Changes

27-8-15-23. Maintenance of Rating and Renewal Practice Information and Documentation

27-8-15-24. Maintenance of Actuarial Certification; Submission to Department

27-8-15-25. Availability of Information and Documentation to Commissioner; Disclosure by Commissioner

27-8-15-26. Suspension of Premium Rate Provisions

27-8-15-27. Application in Conformity With Act; Compliance

27-8-15-28. Waiver of Exclusion and Limitation Period

27-8-15-29. Application in Conformity With Act; Exclusion of Coverage

27-8-15-30. Plan Modifications Prohibited

27-8-15-31. Conversion Policy

27-8-15-31.1. Continuing Coverage

27-8-15-32. Employees Becoming Eligible After Employer's Commencement of Health Insurance Plan Entitled to Coverage

27-8-15-33. Mandatory Coverage by Employer Insurer to All Employer's Eligible Employees and Employees' Dependents; Employees Declining Coverage; Minimum Participation and Contribution Requirements

27-8-15-34. Repealed

27-8-15-34.1. All Products Required to Be Offered; All Employers Required to Be Accepted