Section 2 AAC 39.370 - Pre-existing condition limitation(a) If major medical insurance coverage is elected during an open enrollment period, the new law benefit recipient and any eligible dependents are subject to a pre-existing condition limitation. Under this limitation, only the first $1,000 of covered medical expenses relating to a pre-existing condition will be paid by the insurer. After a person has been covered for 12 consecutive months, the limitation no longer applies.(b) The pre-existing condition limitation does not apply to (1) a new law benefit recipient who makes an election of major medical insurance under 2 AAC 39.310(a);(2) a benefit recipient appointed to a disability benefit;(3) a new law benefit recipient eligible due to reaching the age of 65; or(c) In this section "pre-existing condition" means a condition for which an individual has received diagnosis, tests, or treatment, including the taking of medication, during the three month period before the effective date of coverage.Eff. 2/1/93, Register 125Authority:AS 14.25.168
AS 14.25.170
AS 22.25.027
AS 22.25.090
AS 39.30.090
AS 39.35.535