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CHAPTER 20:06:46

 

HIPAA RULES -- NONDISCRIMINATION IN THE GROUP MARKET

Section

20:06:46:01        Definitions.

20:06:46:02        Criteria that cannot be used to determine benefit eligibility.

20:06:46:03        Rules for eligibility may not discriminate based on any health factor.

20:06:46:04        Condition of enrollment or continued enrollment may not require additional premium for similarly situated individuals.

20:06:46:05        Premium or contribution differential based on completion of a bona fide wellness program.

20:06:46:06        Benefit restrictions must be uniformly applied to all similarly situated individuals.

20:06:46:07        Treatment resulting from domestic violence or a medical condition.

20:06:46:08        Preexisting condition exclusion requirements.

20:06:46:09        Treatment of similarly situated individuals.

20:06:46:10        Employment based factors in determining two or more distinct groups of participants.

20:06:46:11        Beneficiaries treated as two or more distinct groups.

20:06:46:12        Creation or modification of an employment or coverage classification not permitted.

20:06:46:13        Rule of eligibility or individual's premium or contribution rate.

20:06:46:14        Actively-at-work not a condition of eligibility or premium or contribution rate.

20:06:46:15        Rule of eligibility or individual premium or contribution permitted.


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