West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-55 - Guaranteed Issue Of Individual Accident And Sickness Insurance
Section 114-55-4 - Dependent Coverage

Current through Register Vol. XLI, No. 38, September 20, 2024

4.1. If an eligible individual elects to enroll in individual accident and sickness insurance coverage that provides coverage for dependents, the insurer may apply a preexisting condition exclusion on any dependent who is not an eligible individual except as otherwise provided by this rule.

4.2. A child is deemed to be an eligible individual if the following conditions are met:

a. The child was covered under any creditable coverage within 30 days of birth, adoption, or placement for adoption; and

b. The child has not had a significant break in coverage.

4.3. An insurer in the individual market is not required to offer a family coverage option with any policy form.

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