West Virginia Code § 33-16-3n

Eligibility for enrollment
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(a) Notwithstanding any provision of any policy, provision, contract, plan or agreement to
which this article applies, a health insurer offering coverage in connection with a group
health plan may not, for plan years beginning after June 30, 1997, establish rules for
eligibility, including continued eligibility, of any employee or dependent to enroll under a
health benefit plan based on a health status-related factor. e
(b) For plan years beginning after June 30, 1997, a health benefit plan offered in connection
with a group health plan shall provide that an employee or dependent of an employee who is
eligible, but not enrolled, under terms of a health benefit plan muay enroll under terms of the
plan if the employee or dependent:
(1) Was covered under other creditable coverage when coverage was previously offered to
the employee or dependent and, if required by the insurer, the employee stated in writing
that the existence of other creditable coverage was the reason for declining enrollment
under the health benefit plan; l
(2) Lost coverage under the other creditable coverage because of legal separation, divorce,
death, termination of employment, reductiion in the number of hours of employment,
exhaustion of COBRA continuation cgoverage or termination of the employer's contributions
towards the other creditable coverage; and
(3) The employee requests enrollment no more than thirty days after loss of the other
creditable coverage.
(c) For plan years beginning after June 30, 1997, if a health benefit plan makes coverage
available to an emplo yee's dependents, the plan shall provide that if an employee is enrolled
under the plaVn or has met any waiting period requirement and is eligible for enrollment but
for a failure to enroll during a previous enrollment period:
(1) The employee or a person who becomes a dependent of the employee through marriage,
birth, adoption or placement for adoption may be enrolled under the plan, and in the case of
the birth or adoption of a child, the employee's spouse who is otherwise eligible for coverage
may be enrolled as a dependent, during a period of at least thirty days beginning on the later
of the date dependent coverage is made available or the date of the marriage, birth,
adoption or placement for adoption; and
(2) If the employee requests enrollment of a dependent during the first thirty days that
dependent coverage is available, the dependent's coverage shall become effective:
(A) In the case of marriage, no later than the first day of the first month after the date the
completed enrollment request is received; or
(B) In the case of a dependent's birth, adoption or placement for adoption, as of the date of
birth, adoption or placement for adoption.

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