Can anyone give me a reference that defines disabled employee for purposes of continuing health coverage?
I understand large group health plans that cover employers who have at least 100 employees must cover disabled employees.
Thanks
KIP KRAUS
Feb 8 2003, 06:04 AM
Typically continuation of medical coverage under a group health plan is a state mandated coverage required of fully insured medical plans. The insurer will have a definition of what is determined to be total disability for purposes of continuing medical coverage. In addition, in the provisions I recall seeing coverage is only continued for the condition related to the total disability.
I’m not aware of any requirement to have this provision in a self-insured plan of any size.
Kirk Maldonado
Feb 8 2003, 06:55 AM
You could start your search with IRC Section 5000.
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