Health Insurance Portability & Accountability Act 

Under HIPAA, you and your family are eligible to participate in any group health plan without pre-existing conditions as a concerned, provided you had coverage under a previous group health plan, and do not, or did not have a break in coverage as explained below.

Under HIPAA, a group health plan or a health insurance issuer offering group health insurance coverage may impose a pre-existing condition exclusion with respect to a participant or beneficiary only if the following requirements are satisfied:

  • a pre-existing condition exclusion must relate to a condition for which medical advice, diagnosis, care or treatment was recommended or received during the 6-month period prior to an individual's enrollment date;
  • a preexisting condition exclusion may not last for more than 12 months (18 months for late enrollees) after an individual's enrollment date; and
  • this 12- (or 18-) month period must be reduced by the number of days of the individual's prior creditable coverage, excluding coverage before any break in coverage of 63 days or more.

Latest comments

12.07 | 11:51

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31.01 | 00:44

I started working for Sal in 1990. It was to be a temporary job, as his assistant was on leave. 10 years of working with him I will never forget the people skills I learned from him!

02.10 | 23:54

Sal: Just received a Birthday greeting card in the mail for my son Roger C. Farrar Jr. Wanted you to know Roger passed away in February.

03.08 | 09:25

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