Indiana Code
Chapter 15. Small Employer Group Health Insurance
27-8-15-31. Conversion Policy

Sec. 31. (a) If an eligible employee who has been continuously covered under a health insurance plan for at least ninety (90) days:
(1) loses coverage under the plan as the result of:
(A) termination of employment;
(B) reduction of hours;
(C) marriage dissolution; or
(D) attainment of any age specified in the plan;
(2) is not eligible for continuation coverage under the federal Consolidated Omnibus Budget Reconciliation Act of 1985; and
(3) requests a conversion policy from the small employer insurer that insured the health insurance plan;
the individual is entitled to receive a conversion policy from the small employer insurer.
(b) A request under subsection (a) must be made within thirty (30) days after the individual loses coverage under the health insurance plan.
(c) The premium for a conversion policy issued under this section shall not exceed one hundred fifty percent (150%) of the rate that would have been charged under the small employer health insurance plan with respect to the individual if the individual had been covered as an eligible employee under the plan during the same period. If the health insurance plan under which the individual was covered is canceled or is not renewed, the rates shall be based on the rate that would have been charged with respect to the individual if the plan had continued in force, as determined by the small employer insurer in accordance with standard actuarial principles.
(d) A conversion policy issued under this section must be approved by the insurance commissioner as described in IC 27-8-5-1. The commissioner may not approve a conversion policy unless the policy and its benefits are:
(1) comparable to those required under IC 27-13-1-4(a)(2) through IC 27-13-1-4(a)(5);
(2) reasonable in relation to the premium charged; and
(3) in compliance with IC 27-8-6-1.
If the benefit limits of the conversion policy are not more than the benefit limits of the small employer's health insurance plan, the small employer insurer shall credit the individual with any waiting period, deductible, or coinsurance credited to the individual under the small employer's health insurance plan.
(e) This section expires on the effective date of a mechanism enacted by the general assembly to offset the potential fiscal impact on small employers and small employer insurers that results from the establishment of a continuation policy under section 31.1 of this chapter.
As added by P.L.93-1995, SEC.19. Amended by P.L.11-2011, SEC.35.

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