31 Pa. Code § 89.97a

Current through Register Vol. 54, No. 45, November 9, 2024
Section 89.97a - Maternity benefits in group converted policies- statement of policy
(a) Section 621.2 of the act (40 P. S. § 756.2(d)) mandates that every group accident and sickness policy providing hospital, surgical or major medical expense coverage contain a conversion privilege. The converted policy may not contain provisions less favorable to the insured than the group policy.
(b) An insurer shall offer a converted policy which includes maternity coverage whenever the group policy contains the coverage. Insurers not offering maternity benefits in converted policies under these circumstances are in violation of Commonwealth law and shall make form and rate filings necessary to comply.

31 Pa. Code § 89.97a

The provisions of this §89.97a adopted April 9, 1982, effective 4/10/1982, 12 Pa.B. 1176.