All health maintenance organization individual and group health contracts that provide
coverage for prescription drugs or outpatient medical services must provide coverage
for all prescription contraceptives approved by the federal Food and Drug Administration
or for outpatient contraceptive services, respectively, to the same extent that coverage
is provided for other prescription drugs or outpatient medical services. For purposes
of this section, the term "outpatient contraceptive services" means consultations,
examinations, procedures and medical services provided on an outpatient basis and
related to the use of contraceptive methods to prevent an unintended pregnancy. This
section may not be construed to apply to prescription drugs or devices that are designed
to terminate a pregnancy.
RR 1999, c. 1, §37 (RAL)
2.Exclusion for religious employer.
A religious employer may request and a health maintenance organization shall grant
an exclusion under the policy or contract for the coverage required by this section
if the required coverage conflicts with the religious employer's bona fide religious
beliefs and practices. A religious employer that obtains an exclusion under this
subsection shall provide prospective insureds and those individuals insured under
its policy written notice of the exclusion. This section may not be construed as authorizing
a health maintenance organization to exclude coverage for prescription drugs prescribed
for reasons other than contraceptive purposes or for prescription contraception that
is necessary to preserve the life or health of a covered person. For the purposes
of this section, "religious employer" means an employer that is a church, convention
or association of churches or an elementary or secondary school that is controlled,
operated or principally supported by a church or by a convention or association of
churches as defined in 26 United States Code, Section 3121 (w) (3) (A) and that qualifies
as a tax-exempt organization under 26 United States Code, Section 501(c) (3).
RR 1999, c. 1, §37 (RAL)
The requirements of this section apply to all individual and group policies, contracts
and certificates executed, delivered, issued for delivery, continued or renewed in
this State. For purposes of this section, all contracts are deemed to be renewed no
later than the next yearly anniversary of the contract date.
2003, c. 517, Pt. B, §27 (NEW)
RR 1999, c. 1, §37 (RAL).
2003, c. 517, §B27 (AMD).
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