33-22-504. Newborn infant coverage. (1) A group disability policy or certificate of insurance delivered or issued for delivery in this state may not be issued or amended in this state if it contains any disclaimer, waiver, preexisting condition exclusion, or other limitation of coverage relative to the accident and sickness coverage or insurability of newborn infants of persons covered under the policy from and after the moment of birth.
(2) A policy or certificate subject to this section, must contain a provision granting immediate accident and sickness coverage, from and after the moment of birth, to each newborn infant of any person covered under the policy.
(3) The coverage for newborn infants must be the same as provided by the policy for other covered persons. However, for newborn infants there may not be waiting or elimination periods. A deductible or reduction in benefits applicable to the coverage for newborn infants is not permissible unless it conforms and is consistent with the deductible or reduction in benefits applicable to all other covered persons.
(4) This section does not apply to medicare supplement policies issued by reason of age.
(5) When a group disability policy or certificate issued under the policy provides for coverage or benefits for a resident of this state, the policy or certificate is considered delivered in this state within the meaning of this section regardless of whether the insurer issuing the policy or certificate is located in this state.
(6) The policy or certificate may require notification of the birth of a child and payment of a required premium or subscription fee to be furnished to the insurer or nonprofit or indemnity corporation within 31 days of the birth in order to have the coverage extend beyond 31 days.
History: En. Secs. 385, 386, Ch. 286, L. 1959; amd. Secs. 3, 4, Ch. 74, L. 1973; amd. Secs. 3, 4, Ch. 83, L. 1974; R.C.M. 1947, 40-4101(7), 40-4102(part); amd. Sec. 1, Ch. 384, L. 1987; amd. Sec. 62, Ch. 379, L. 1995; amd. Sec. 8, Ch. 416, L. 1997.
Structure Montana Code Annotated
Title 33. Insurance and Insurance Companies
Chapter 22. Disability Insurance
Part 5. Group Disability Insurance
33-22-501. Group disability insurance defined -- eligible groups
33-22-502. Required provisions of group policies
33-22-503. Continuation of benefits to dependents
33-22-504. Newborn infant coverage
33-22-505. Direct payment of hospital and medical services
33-22-506. Continuation of coverage for persons with disabilities -- group contracts
33-22-507. Continuing group coverage after reduction of work schedule
33-22-508. Conversion on termination of eligibility
33-22-509. Preexisting conditions
33-22-510. Insured's family -- conversion entitlement
33-22-512. Coverage for well-child care
33-22-513. Limitation of eligibility on conversion
33-22-514. Preexisting conditions relating to group market
33-22-515. Coverage of autism spectrum disorders
33-22-516. through 33-22-520 reserved
33-22-521. Disclosure standards -- group policy
33-22-523. Special enrollment periods
33-22-524. Guaranteed renewability of coverage for employers in group market
33-22-525. Guaranteed renewability in multiple employer welfare arrangements
33-22-526. Group health discrimination prohibited
33-22-527. through 33-22-529 reserved
33-22-530. Notice required for cancellation for nonpayment of group health insurance