§ 62D.104 — Required Out-of-area Conversion
Plain-Language Summary
This section requires HMOs to offer conversion coverage to enrollees with individual plans who move out of the HMO's service area but stay in Minnesota. Enrollees can convert to a qualified health plan or, if on Medicare, a Medicare supplement plan. The conversion must happen without proving health status and without a gap in coverage. If the HMO cannot arrange conversion coverage, it must tell enrollees about plans available in other areas.
62D.104 REQUIRED OUT-OF-AREA CONVERSION.
Enrollees who have individual health maintenance organization contracts and who have become nonresidents of the health maintenance organization’s service area but remain residents of the state of Minnesota shall be given the option, to be arranged by the health maintenance organization if an agreement with an insurer can reasonably be made, of a number three qualified plan, a number two qualified plan, or a number one qualified plan as provided by section 62E.06, subdivisions 1 to 3, or, if such enrollees are covered by title XVIII of the Social Security Act (Medicare), they shall be given the option of a Medicare supplement plan as provided by chapter 62A.
This option shall be made available at the enrollee’s expense, without further evidence of insurability and without interruption of coverage.
If a health maintenance organization cannot make arrangements for conversion coverage, the health maintenance organization shall notify enrollees of health plans available in other service areas.
History:
1988 c 434 s 8; 1989 c 258 s 9
History: History: 1988 c 434 s 8; 1989 c 258 s 9