§ 513b-9a

513B.9A Eligibility to enroll. 1. A carrier offering group health insurance coverage shall not establish rules for eligibility, including continued eligibility, of an individual to enroll under the terms of thecoverage based on any of the following health status-related factors in relation to theindividual or a dependent of the individual: a. Health status.b. Medical condition, including both physical and mental conditions.c. Claims experience.d. Receipt of health care.e. Medical history.f. Genetic information. g. Evidence of insurability, including conditions arising out of acts of domestic violence.h. Disability.2. Subsection 1 does not require group health insurance coverage to provide particular benefits other than those provided under the terms of the coverage, and does not prevent acoverage from establishing limitations or restrictions on the amount, level, extent, or natureof the benefits or coverage for similarly situated individuals enrolled in the coverage. 3. Rules for eligibility to enroll under group health insurance coverage include rules defining any applicable waiting periods for such enrollment. 4. a.

ituated individuals enrolled in the coverage. 3. Rules for eligibility to enroll under group health insurance coverage include rules defining any applicable waiting periods for such enrollment. 4. a. A carrier offering health insurance coverage shall not require an individual, as a condition of enrollment or continued enrollment under the coverage, to pay a premiumor contribution which is greater than a premium or contribution for a similarly situatedindividual enrolled in the coverage on the basis of a health status-related factor in relationto the individual or to a dependent of an individual enrolled under the coverage. b. Paragraph 'a' shall not be construed to do either of the following:(1) Restrict the amount that an employer may be charged for health insurance coverage.(2) Prevent a carrier offering group health insurance coverage from establishing premium discounts or rebates or modifying otherwise applicable copayments or deductibles in returnfor adherence to programs of health promotion and disease prevention. 97 Acts, ch 103, §23; 2017 Acts, ch 148, §42 - 44 Sat Dec 23 00:43:42 2023 Iowa Code 2024, Section 513B.9A (20, 0)