NAIC Newborn and Adopted Children Coverage Model Act (#155)

What this document is

NAIC Newborn and Adopted Children Coverage Model Act (#155) is a naic model law published by National Association of Insurance Commissioners (NAIC). It is one of the documents that insurance license exam questions are written from, including life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• NAIC Newborn and Adopted Children Coverage Model Act (#155), Section 6A(2)

  “(2) If notice is not provided, the health carrier may refuse to continue coverage for the child under the health benefit plan beyond the sixty-day period unless within four (4) months after the birth of the child the covered person makes all past-due payments and in addition pays interest on the...”

• NAIC Newborn and Adopted Children Coverage Model Act (#155), Section 3D

  “D. “Dependent” shall be defined in the same manner as in [insert reference to state insurance law defining dependent].”

• NAIC Newborn and Adopted Children Coverage Model Act (#155), Section 6B(2)

  “(2) If the covered person fails to provide the notice or make payment within the sixty-day period, the health carrier shall treat the adopted child or child placed for adoption no less favorably than it treats other dependents, other than newborn children, who seek coverage at a time other than...”

• NAIC Newborn and Adopted Children Coverage Model Act (#155), Section 6A(3)

  “(3) If payment of a specific premium or subscription fee is not required to provide coverage for a newborn child under the health benefit plan, the health carrier may request notification of the birth of the child, but shall not deny or refuse to continue coverage if the covered person does not furnish the notice.”

• NAIC Newborn and Adopted Children Coverage Model Act (#155), Section 6A(1)

  “(1) If payment of a specific premium or subscription fee is required to provide coverage for a newborn child, as described in Section 5 of this Act, the health benefit plan may require the covered person to notify the health carrier of the birth of the child and furnish payment of the required...”

• NAIC Newborn and Adopted Children Coverage Model Act (#155), Section 4B

  “B. The provisions of this Act shall not apply to a health benefit plan that provides coverage only for a specified disease, specified accident or accident-only coverage, credit, dental, disability income, hospital indemnity or other fixed indemnity coverage, long-term care insurance, as defined by...”

• NAIC Newborn and Adopted Children Coverage Model Act (#155), Section 5B(2)

  “B. To the extent the health care service or treatment is a covered benefit under the health benefit plan and the birth, adoption or placement of adoption described under Subsection A occurs while the covered person is eligible for coverage under the health benefit plan, the coverage required under...”

• NAIC Newborn and Adopted Children Coverage Model Act (#155), Section 5A(1)

  “(1) A newborn child of a covered person from the moment of birth;”

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