58-18-43 "Late enrollee" defined.
"Late enrollee" defined.
For the purposes of this chapter, a late enrollee is an
eligible employee or dependent who requests enrollment in a health benefit plan of an employer
following the initial enrollment period during which the individual is entitled to enroll under the
terms of the health benefit plan, if the initial enrollment period is a period of at least thirty days.
However, no eligible employee or dependent may be considered a late enrollee if:
Was covered under creditable coverage at the time of the initial enrollment;
Lost coverage under creditable coverage as a result of termination of employment
or eligibility, reduction of hours, the involuntary termination of the creditable
coverage, death of a spouse, legal separation, or divorce; and
Requests enrollment within sixty-three days after termination of the creditable
The individual is employed by an employer that offers multiple health benefit plans and
the individual elects a different plan during an open enrollment period;
A court has ordered coverage be provided for a spouse or minor or dependent child under
a covered employee's health benefit plan and request for enrollment is made within thirty
days after issuance of the court order; or
Child custody has changed by agreement of the parties to a child custody agreement or to
a child custody order which agreement has not yet been included in a court order.
SL 1994, ch 383, § 2; SL 1997, ch 289, § 7.