Table of Contents TITLE 33. INSURANCE AND INSURANCE COMPANIES CHAPTER 22. DISABILITY INSURANCE Part 1. General Provisions
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33-22-101 33-22-102 33-22-107 33-22-109 33-22-110 33-22-111 33-22-112 33-22-113 33-22-114 33-22-115 33-22-121 33-22-122 33-22-123 33-22-125 33-22-129 33-22-130 33-22-131 33-22-132 33-22-133 33-22-134 33-22-135 33-22-136 33-22-137 33-22-138 33-22-139 33-22-140 33-22-141 33-22-142 33-22-143 33-22-150 33-22-151 33-22-152 33-22-153 33-22-156 33-22-157 33-22-158 33-22-159 33-22-170 33-22-171 33-22-172 33-22-173

Mont. Code Ann. § 33-22-142

(2015)

Certification of creditable coverage

(1) (a) A group health plan and a health insurance issuer offering group or individual health insurance coverage shall issue the certification described in subsection (3) within 10 days after a request by an individual who ceases to be covered under the group or individual health plan.

(b) A request for the certification may be made no later than 24 months after the date of termination of coverage.

(2) The certification may be provided, to the extent practicable, at a time consistent with notices required under any applicable COBRA continuation provision.

(3) Certification is the written:

(a) certification of the period of creditable coverage of the individual under a group or individual health plan and the coverage under any applicable COBRA continuation provision;

(b) certification of the waiting period, if any, and affiliation period, as defined in 33-31-102, if applicable, imposed with respect to the individual for any coverage under a group health plan;

(c) certification of the date of issuance of the certificate specified on the form; and

(d) notification to the individual of:

(i) the individual's conversion rights;

(ii) the availability of COBRA continuation coverage; and

(iii) other notification as determined necessary and in the form prescribed by rule by the commissioner.

(4) To the extent that medical care under a group health plan consists of group health insurance coverage, a group health plan satisfies the certification requirement of this section if the health insurance issuer offering the coverage provides the certification in accordance with this section.

(5) In the case of an election described in 33-22-141 by a group health plan or health insurance issuer, if the group health plan or health insurance issuer enrolls an individual for coverage under the group health plan and the individual provides a certification of coverage of the individual, the entity that issued the certification shall upon request of the group health plan or health insurance issuer promptly disclose information on coverage of classes and categories of health benefits available under the certified coverage. The entity may charge the requesting group health plan or health insurance issuer the reasonable cost of disclosing the information.

(6) At the time that an individual ceases to be covered by a group or individual health plan, the group health plan or health insurance issuer shall notify the individual that the individual may request the certification described in subsection (3) within the timeframes described in subsection (1).

Official Annotations archive.org, 2015 edition
History:
En. Sec. 36, Ch. 416, L. 1997
Amd. Sec. 5, Ch. 384, L. 2003 (HB 183 - Steinbeisser, Donald (R) HD 100)
Amd. Sec. 25, Ch. 271, L. 2009 (SB 133)
Amd. Sec. 20, Ch. 63, L. 2015 (HB 103 - Brown, Zach (D) HD 63)
Amd. Sec. 1, Ch. 225, L. 2015 (HB 324 - Welborn, Jeffrey (R) HD 72)
Source text on leg.mt.gov