<html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <title>Rule 20:06:46 HIPAA RULES -- NONDISCRIMINATION IN THE GROUP MARKET</title> <META NAME="Keywords" Content="Administrative Rules 20:06:46"> <META NAME="Description" Content="Administrative Rules 20:06:46 HIPAA RULES -- NONDISCRIMINATION IN THE GROUP MARKET"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p align=center><b>CHAPTER 20:06:46</b></p> <p align=center><b>&nbsp;</b></p> <p align=center><b>HIPAA RULES -- NONDISCRIMINATION IN THE GROUP MARKET</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:01">20:06:46:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Definitions.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:02">20:06:46:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Criteria that cannot be used to determine benefit eligibility.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:03">20:06:46:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Rules for eligibility may not discriminate based on any health factor.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:04">20:06:46:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Condition of enrollment or continued enrollment may not require additional premium for similarly situated individuals.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:05">20:06:46:05</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Premium or contribution differential based on completion of a bona fide wellness program.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:06">20:06:46:06</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Benefit restrictions must be uniformly applied to all similarly situated individuals.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:07">20:06:46:07</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Treatment resulting from domestic violence or a medical condition.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:08">20:06:46:08</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Preexisting condition exclusion requirements.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:09">20:06:46:09</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Treatment of similarly situated individuals.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:10">20:06:46:10</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Employment based factors in determining two or more distinct groups of participants.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:11">20:06:46:11</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Beneficiaries treated as two or more distinct groups.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:12">20:06:46:12</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Creation or modification of an employment or coverage classification not permitted.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:13">20:06:46:13</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Rule of eligibility or individual's premium or contribution rate.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:14">20:06:46:14</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Actively-at-work not a condition of eligibility or premium or contribution rate.</p> <p><a href="DisplayRule.aspx?Rule=20:06:46:15">20:06:46:15</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Rule of eligibility or individual premium or contribution permitted.</p> </div> </body> </html>