Indiana Administrative Code
Title 407 - OFFICE OF THE CHILDREN'S HEALTH INSURANCE PROGRAM
Article 2 - APPLICANTS AND MEMBERS; ELIGIBILITY AND ENROLLMENT; APPEAL PROCEDURES
Rule 2 - Eligibility Requirements
Section 2-4 - Waiting periods for certain members
Universal Citation: 407 IN Admin Code 2-4
Current through September 18, 2024
Authority: IC 12-17.6-2-11
Affected: IC 12-17.6-4-4
Sec. 4.
(a) Except as provided in subsection (b), an individual who was covered under a group health plan or under health insurance coverage as such terms are defined in 42 U.S.C. §300gg-91 is ineligible for CHIP for three (3) months from the effective date of termination of that coverage.
(b) This section does not apply if the individual's coverage under a group health plan or other health insurance coverage was terminated involuntarily, including, but not limited to, loss of coverage for the following reasons:
(1) The
employer of the individual, parent, guardian, or other family member terminated
the health plan coverage.
(2) The
individual, parent, guardian, or other family member is no longer eligible for
the plan due to termination of employment or a reduction in working
hours.
(3) The individual is no
longer covered under the plan due to the death or divorce of the parent,
guardian, or other family member.
(4) The individual has reached the lifetime
limit of benefits under the plan.
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