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Pennsylvania Statutes Title 40 P.S. Insurance § 981-4. Alternative mechanism in individual market

Current as of January 01, 2025 | Updated by Findlaw Staff

(a) A designated insurer shall:

(1) Offer continuous year-round open enrollment to eligible individuals.

(2) Offer to eligible individuals, upon request, a choice of at least two individual health insurance policies as specified in section 1005-A  1.

(3) Issue to eligible individuals, upon request, an individual policy that meets the requirements of section 1005-A.

(b) Unless an eligible individual chooses to purchase a policy pursuant to section 1005-A(c), a policy offered or issued to an eligible individual under section 1005-A shall not contain preexisting condition limitations or restrictions.

(c) Designated insurers shall provide financial subsidization of policies issued to eligible individuals. Designated insurers shall file for review by the commissioner a method for financial subsidization in all rate filings on policy choices for eligible individuals. The total subsidy provided by the designated insurer to all of its products shall not be affected by the requirement to subsidize products issued to eligible individuals.

1 40 P.S. § 981-5.
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Cite this article: FindLaw.com - Pennsylvania Statutes Title 40 P.S. Insurance § 981-4. Alternative mechanism in individual market - last updated January 01, 2025 | https://codes.findlaw.com/pa/title-40-ps-insurance/pa-st-sect-40-981-4/

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