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Current as of January 01, 2025 | Updated by Findlaw Staff
A. A hospital service corporation, medical service corporation or hospital and medical service corporation may issue a subscription contract to an uninsured individual that is not subject to the requirements of any of the following:
1. Section 20-461, subsection A, paragraph 17 and subsection B.
3. Section 20-841, subsections A and C.
5. Section 20-841.05, subsections B and E.
B. For the purposes of this section:
1. “Health insurance coverage”:
(a) Means a health care plan or arrangement that pays for or furnishes medical or health services and that is issued by a disability insurer, group disability insurer, blanket disability insurer, health care services organization, hospital service corporation, medical service corporation or medical, hospital, dental and optometric service corporation or a similar entity in another state.
(b) Includes a self-insured or self-funded employee benefit plan or multiemployer employee benefit plan created pursuant to 29 United States Code § 186(c) if the regulation of that plan is preempted by § 514(b) of the employee retirement insurance security act of 1974 (29 United States Code § 1144(b)).
(c) Does not include limited benefit coverage as defined in § 20-1137.
2. “Uninsured individual” means a person who has either:
(a) Not had health insurance coverage for the ninety days immediately before the effective date of coverage issued pursuant to this section, except that this requirement does not apply at the renewal of coverage pursuant to this section.
(b) Lost health insurance coverage in one of the following ways within ninety days immediately before the effective date of coverage issued pursuant to this section:
(i) The individual left a job that provided health insurance coverage.
(ii) The individual's employer discontinued offering health insurance coverage.
(iii) The individual exhausted continuation coverage under a COBRA continuation provision as defined in § 20-2301.
(iv) The individual's family health insurance coverage was discontinued due to the death of a spouse or a divorce.
(v) The individual attained the maximum age for dependent coverage under a health insurance policy.
(vi) The individual's participation in a public health care program was discontinued.
Cite this article: FindLaw.com - Arizona Revised Statutes Title 20. Insurance § 20-846. Individual health insurance policies; mandatory coverage exemption; definitions - last updated January 01, 2025 | https://codes.findlaw.com/az/title-20-insurance/az-rev-st-sect-20-846/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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