HIPAA RULES -- NONDISCRIMINATION IN THE GROUP MARKET
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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