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How Does HIPAA Affect Health Plan Eligibility?

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Key HIPAA actively at work questions

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How Does HIPAA Affect Health Plan Eligibility?
 

How Does HIPAA Affect Health Plan Eligibility?Online version

Key HIPAA actively at work questions

by Wednesday Wisdom
1

HIPAA "actively at work" rules protect an employee's ongoing health coverage status if they stop meeting the plan's eligibility criteria (e.g., working required hours).

2

If a new employee is not working for reasons unrelated to their own health (e.g., child's illness), enrollment into their employer's health plan can be delayed.

3

If a new employee is absent due to their own medical condition at the end of a waiting period, the employer must offer them health coverage.

4

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that enforces rules about how health plans treat individuals.

5

Non-group health plans, like life and disability insurance can have "actively at work" rules that are not waived for health reasons.

6

An employer can require a new employee who is out sick to wait until they return to work for their health coverage to start.

7

A family member’s illness is considered a “health factor” for HIPAA's actively at work provisions.

8

The Health Insurance Portability and Accountability Act (HIPAA) prevents health plans from discriminating against employees based on their health.

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