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Kentucky Senate Bill institutes a special enrollment for pregnancy and expands maternity coverage

Large Group, Small Group, Individual | KY

KY SB74 shares guidance on a new special enrollment period for pregnancy and expands maternity coverage.

Special Enrollment Period:

  • Allow a pregnant woman, and any individual who is eligible for coverage because of a relationship to a pregnant woman, to enroll for coverage under the plan or on the exchange at any time during the pregnancy.
  • The coverage must begin no later than the first day of the first calendar month in which a medical professional determines that the pregnancy began, except that a pregnant woman may direct coverage to begin on the first day of any month occurring after that date but during the pregnancy; and if this falls outside of the pregnancy period, the coverage must begin no later than the first day of the last month that occurred during the pregnancy.
  • The insured is responsible for the payment of premiums for each month during which coverage is provided.
  • The first premium is due no earlier than thirty days after the date of enrollment.

This is valid for plans on or after January 1, 2025 effective dates.