33-22-514. Preexisting conditions relating to group market. (1) A group health plan or a health insurance issuer offering group health insurance coverage may not exclude coverage for a preexisting condition unless:
(a) medical advice, diagnosis, care, or treatment was recommended or received by the participant or beneficiary within the 6-month period ending on the enrollment date;
(b) exclusion of coverage extends for a period of not more than 12 months or 18 months in the case of a late enrollee; and
(c) the period of the preexisting condition exclusion is reduced by the aggregate of the periods of creditable coverage applicable to the participant or beneficiary as of the enrollment date.
(2) Genetic information may not be excluded as a preexisting condition in the absence of a diagnosis of the condition related to the genetic information.
(3) Pregnancy may not be excluded as a preexisting condition.
History: En. Sec. 39, Ch. 416, L. 1997; amd. Sec. 44, Ch. 472, L. 1999.
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