Iowa Admin. Code r. 191-75.11

Current through Register Vol. 47, No. 13, December 25, 2024
Rule 191-75.11 - Maternity benefit rider

Every individual insurance carrier shall offer an optional maternity benefit rider for the basic and standard health benefit plans providing benefits, as any other illness, for a pregnancy and delivery without complications with a 12-month waiting period. Credit toward meeting the waiting period shall be given for prior coverage of a pregnancy without complications provided there was no more than a 63-day break in coverage. A maternity rider offered under this rule shall only be offered when the basic or standard plan is initially purchased. Premiums for the rider shall be calculated based upon generally accepted actuarial principles and shall not be subject to the premium restrictions in Iowa Code subsection 513C10(6).. The earned premiums and paid losses associated with the rider shall not be considered by the Iowa Individual Health Benefit Reinsurance Association for purposes of Iowa Code section 513C.10.

Iowa Admin. Code r. 191-75.11

Amended by IAB March 14, 2018/Volume XL, Number 19, effective 4/18/2018