Current through November 7, 2024
Section 230-RICR-20-30-1.5 - Coverage of Newborn ChildrenA. All health benefit contracts which provide coverage for a family member of the insured or subscriber shall, as to such family member's coverage, also provide that the health benefits applicable for children shall be payable with respect to a newly born child of the insured or subscriber from the moment of birth. In the event that no other children are covered under the contract, benefits for the newborn must be provided to the same extent as those provided to the insured.B. The coverage for newly born children shall consist of coverage of injury or sickness including the necessary care and treatment of medically diagnosed congenital defects and birth abnormalities. This provision is not intended to imply, and should not be construed so as to imply, the inclusion of coverages for routine well-baby care services.C. If payment of a specific premium is required to provide coverage for a child, the contract may require that notification of birth of a newly born child and payment of the required premium must be furnished to the insurer within thirty-one (31) days after the date of birth in order to have the coverage continue beyond such thirty-one (31) day period.230 R.I. Code R. 230-RICR-20-30-1.5