Health Care Reform, Insurance and Employee Benefits

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A State-by-State Guide to Guaranteed Issue Individual Health Insurance

Note:  None of this should be taken as legal or tax advice. 

In my previous post, I wrote about the 1996 HIPAA legislation and its requirement that states offer guaranteed-issue health insurance to all of its HIPAA-eligible residents.  I also mentioned that 40 states go far and above what HIPAA mandates.  These states offer forms of guaranteed issue individual health insurance (e.g. risk pools) to their medically uninsurable residents, regardless of the HIPAA requirements.
 
Health insurance sold on a guaranteed issue basis cannot reject applicants based on health or risk status. In a few states (e.g. New Jersey) all individual market insurers must guarantee issue all individual plans. In others states guaranteed issue requirements are much less restrictive.
If you have questions, please comment.

State > HIPAA? Risk Pool Notes
Alabama No AHIP
Alaska Yes ACHIA
Arizona No N/A
Arkansas Yes CHIP
California Yes MRMIP
Colorado Yes CoverColorado
Connecticut Yes HRACT
Delaware No N/A
D.C. No N/A
Florida Yes N/A Eligible individuals, who are uninsured for 6 months, can buy a guaranteed issue limited benefit policy through the Cover Florida Health Care Program
Georgia No N/A
Hawaii No N/A
Idaho Yes N/A Individual market insurers must guarantee issue standardized policies to the medically uninsurable.  These policies are called High Risk Pool Policies.
Illinois Yes ICHIP
Indiana Yes ICHIA

Iowa Yes HIPIOWA
Kansas Yes KHIA
Kentucky Yes Kentucky Access
Louisiana Yes LHP
Maine Yes N/A All Insurers must Guaranteed Issue all products
Maryland Yes MHIP
Massachusetts Yes N/A All Insurers must Guaranteed Issue all products
Michigan Yes N/A BCBS of Michigan is Insurer of last resort
Minnesota Yes MCHA
Mississippi Yes MCHIRPA
Missouri Yes MHIP
Montana Yes MCHA
Nebraska Yes NECHIP
Nevada No N/A
New Hampshire Yes NHHP
New Jersey Yes N/A All Insurers must Guaranteed Issue all products
New Mexico Yes NMMIP
New York Yes N/A All Insurers must Guaranteed Issue all products
North Carolina Yes Inclusive Health
North Dakota Yes CHAND
Ohio Yes N/A Individual Market Insurers must guarantee issue standardized policies on a periodic basis.
Oklahoma Yes OKHRP
Oregon Yes OMIP Individual Market Insurers must guaranteed issue portability policies to individuals with 6 months creditable coverage
Pennsylvania No N/A
Rhode Island Yes N/A Individual market insurers must guarantee issue all products with 12 months of creditable coverage, provided that the applicant is not eligible for alternative group coverage, Medicare or any other state insurance plan
South Carolina Yes SCHIP
South Dakota Yes SDRP
Tennessee Yes AccessTN
Texas Yes TXHIP
Utah Yes HIPUtah
Vermont Yes N/A All Insurers must Guaranteed Issue all products
Virginia No N/A
Washington Yes WSHIP
West Virginia Yes AccessWV
Wisconsin Yes HIRSP
Wyoming Yes WHIP

  
SRC:  State Health Facts Website

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Clarifying Health is a blog about health insurance, health benefits, and everything else related to how Americans pay for medical expenses.

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