Alabama Administrative Code
Title 482 - ALABAMA DEPARTMENT OF INSURANCE
Chapter 482-1-115 - ALABAMA HEALTH INSURANCE PLAN
Section 482-1-115-.05 - Eligibility
Universal Citation: AL Admin Code R 482-1-115-.05
Current through Register Vol. 42, No. 11, August 30, 2024
(1) Any individual person, who is and continues to be a resident and who has prior continuous coverage shall be eligible for Plan coverage if evidence is provided of all of the following:
(a) That prior coverage was
not terminated because of fraud or nonpayment of premium by the
individual.
(b) That if the person
was offered the option of continuation coverage under federal or state law, the
person has both elected and exhausted the continuation coverage.
(c) That the person's most recent prior
continuous coverage was under a "group health plan", a "government plan" or a
"church plan," (or health insurance offered in connection with any of these
plans) as these plans are defined by federal law or regulation.
(1) Each resident dependent of an individual
person who is eligible for Plan coverage shall be eligible for Plan
coverage.
(2) An individual person
shall not be eligible for coverage under the Plan in any of the following
instances:
(a) The person is eligible for
group coverage under other health insurance.
(b) The person is determined to be eligible
for health insurance under Medicaid.
(c) The person is determined to be eligible
for health insurance under Medicare.
(d) The person is enrolled in any other
health insurance plan.
(4) Coverage shall cease upon any of the
following events:
(a) On the date a person
requests coverage to end.
(b) Upon
the death of the covered person.
(c) On the date state law requires
cancellation of the policy.
(d)
Nonpayment of the required premiums.
(e) On the date a person ceases to be a
resident.
(f) On the last day of
the month in which a covered person is no longer eligible for the Plan.
Author: Elizabeth Bookwalter, Associate Counsel
Statutory Authority: Code of Ala. 1975, §§ 27-2-17, 27-52-1, et seq.
Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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