“Source of 45 CFR §146.121 If a plan generally provides benefits for a type of injury, the issuer Injury” (b)(2)(iii)(A) may not deny benefits otherwise provided for treatment of the injury Unfair and “Source of if the injury results from an act of domestic violence or a medical Discriminatory Injury” condition (including both physical and mental health conditions). This Practices Exclusions rule applies in the case of an injury resulting from a medical condition (Cont’d) Prohibited even if the condition is not diagnosed before the injury.
Unfair and Discriminatory Practices (Cont’d) “Source of Injury” “Source of Injury” Exclusions Prohibited 45 CFR §146.121 (b)(2)(iii)(A) If a plan generally provides benefits for a type of injury, the issuer may not deny benefits otherwise provided for treatment of the injury if the injury results from an act of domestic violence or a medical condition (including both physical and mental health conditions). This rule applies in the case of an injury resulting from a medical condition even if the condition is not diagnosed before the injury.
checklist-forms-2018-hcsc-small-group-analyst-checklist.docx