(1) Each individual health maintenance agreement that is not grandfathered and that provides coverage for a subscriber’s child must offer the option of covering any child under the age of twenty-six.

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Terms Used In Washington Code 48.46.325

  • Health maintenance agreement: means an agreement for services between a health maintenance organization which is registered pursuant to the provisions of this chapter and enrolled participants of such organization which provides enrolled participants with comprehensive health services rendered to enrolled participants by health professionals, groups, facilities, and other personnel associated with the health maintenance organization. See Washington Code 48.46.020
(2) Each group health maintenance agreement that is not grandfathered and that provides coverage for a participating member’s child must offer each participating member the option of covering any child under the age of twenty-six.
(3) Each grandfathered individual or group health maintenance agreement that provides coverage for a subscriber’s child must offer the option of covering any child under the age of twenty-six, unless that child is eligible to enroll in an eligible health plan sponsored by the child’s employer or the child’s spouse’s employer.
(4) As used in this section, “grandfathered” has the same meaning as “grandfathered health plan” in RCW 48.43.005.

NOTES:

Effective date2007 c 259 §§ 18-22: See note following RCW 41.05.095.
Subheadings not law2007 c 259: See note following RCW 7.70.060.