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HB 1357 IN

Transition from Marketplace plan to Medicare.

IN · session 2023 · Assembly / House · bill

A state bill is a proposed law in a state legislature — separate from the U.S. Congress. Learn more →

Introduced Jan 17, 2023

Latest action (Jan 17, 2023) First reading: referred to Committee on Insurance

Summary

Requires an insurer or health maintenance organization that provides coverage under an Affordable Care Act Marketplace (Marketplace) plan to provide to each individual covered under the Marketplace plan, not more than two months before the birthday on which the individual will become 65 years of age, a written message that includes: (1) a statement that the individual will be eligible to enroll in Medicare during the individual's initial enrollment period, which begins three months before the individual becomes 65 years of age; (2) a statement advising the individual that, in most cases, someone covered by a Marketplace plan will want to end their Marketplace coverage upon becoming eligible for Medicare; and (3) detailed instructions that the individual may follow to cancel the individual's Marketplace plan. Prohibits an insurer or health maintenance organization from collecting a premium for an individual's Marketplace plan coverage after the earlier of: (1) the birthday on which the individual becomes 65 years of age; or (2) the date on which the individual's Medicare coverage begins. Requires an insurer or health maintenance organization to return the part of any premium that was collected for an individual's Marketplace plan coverage but was not earned as of the birthday on which the individual becomes 65 years of age. Empowers the insurance commissioner to impose a civil penalty on or suspend or revoke the certificate of authority of an insurer or health maintenance organization that commits a violation.

Sponsor (1)

Action history (2)

  1. Jan 17, 2023 Authored by Representative Carbaugh · lower
  2. Jan 17, 2023 First reading: referred to Committee on Insurance · lower
Subjects
HEALTH, Health Care Costs; Health Insurance

Text versions (1)

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

  • Introduced House Bill (H) · Jan 17, 2023 · PDF

Full text

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Data from OpenStates. View on OpenStates →