THE GENERAL ASSEMBLY OF PENNSYLVANIA

SENATE BILL

INTRODUCED BY CORMAN, SCARNATI, PILEGGI, D. WHITE, STACK, ERICKSON, BRUBAKER, WONDERLING, COSTA, ALLOWAY, BAKER, BOSCOLA, EARLL, FERLO, GORDNER, GREENLEAF, KITCHEN, LOGAN, MUSTO, WILLIAMS, ORIE, RAFFERTY, WAUGH, YAW, WARD AND WASHINGTON, FEBRUARY 2, 2009

SENATOR CORMAN, APPROPRIATIONS, RE-REPORTED AS AMENDED, MARCH 23, 2009   

AN ACT

Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An

act relating to insurance; amending, revising, and

consolidating the law providing for the incorporation of

insurance companies, and the regulation, supervision, and

protection of home and foreign insurance companies, Lloyds

associations, reciprocal and inter-insurance exchanges, and

fire insurance rating bureaus, and the regulation and

supervision of insurance carried by such companies,

associations, and exchanges, including insurance carried by

the State Workmen's Insurance Fund; providing penalties; and

repealing existing laws," further providing for conditions

subject to which policies are to be issued; and providing for

health insurance coverage for certain children of insured

parents.

The General Assembly of the Commonwealth of Pennsylvania

hereby enacts as follows:

Section 1.  Section 617(A)(3) of the act of May 17, 1921

(P.L.682, No.284), known as The Insurance Company Law of 1921,

repealed and added May 25, 1951 (P.L.417, No.99), is amended to

read:

Section 617.  Conditions Subject to Which Policies Are to Be

Issued.--(A)  No such policy shall be delivered or issued for

delivery to any person in this Commonwealth unless:

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(3)  it purports to insure only one person, except that a

policy may insure, originally or by subsequent amendment, upon

the application of an adult head of a family who shall be deemed

the policyholder, any two or more eligible members of that

family, including husband, wife, dependent children or any

children under a specified age which, except as provided under

section 617.1, shall not exceed nineteen years and any other

person dependent upon the policyholder; and

* * *

Section 2.  The act is amended by adding a section to read:

Section 617.1.  Health Insurance Coverage for Certain

Children of Insured Parents.--(A)  An insurer that issues,

delivers, executes or renews group health care insurance in this

Commonwealth, under which coverage of a child would otherwise

terminate at a specified age, shall, at the option of the

policyholder, provide coverage to a child of an insured employe

beyond that specified age, up through and including the age of

29, at the insured employe's expense, and provided that the

child meet all of the following requirements:

(1)  Is not married.

(2)  Has no dependents.

(3)  Is a resident of this Commonwealth or is enrolled as a

full-time student at an institution of higher education.

(4)  Is not provided coverage as a named subscriber, insured,

enrollee or covered person under any other group or individual

health insurance policy or enrolled in or entitled to benefits

under any government health care benefits program, including

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benefits under Title XVIII of the Social Security Act (49 Stat.

620, 42 U.S.C. § 1395 et seq.).

(B)  Insurers may determine increases in premiums related to

continuation of coverage for the adult dependent past the

limiting age of nineteen.

(C)  This section shall not include the following types of

insurance or any combination thereof:

(1)  Hospital indemnity.

(2)  Accident.

(3)  Specified disease.

(4)  Disability income.

(5)  Dental.

(6)  Vision.

(7)  Civilian Health and Medical Program of the Uniformed

Services (CHAMPUS) supplement.

(8)  Medicare supplement.

(9)  Long-term care.

(10)  Other limited benefit plans.

(11)  Individual health insurance policies.

(D)  For the purpose of this section:

"Health care insurance" means a group health, sickness or

accident policy or subscriber contract or certificate issued by

an entity subject to any one of the following:

(1)  This act.

(2)  The act of December 29, 1972 (P.L.1701, No.364), known

as the "Health Maintenance Organization Act."

(3)  The act of May 18, 1976 (P.L.123, No.54), known as the

"Individual Accident and Sickness Insurance Minimum Standards

Act."

(4)  40 Pa.C.S. Chs. 61 (relating to hospital plan

corporations) or 63 (relating to professional health services

plan corporations).

(5)  Article XXIV.

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Section 3.  This act shall apply to new contracts and

contract renewals occurring 90 days after the effective date of

this act.

Section 4.  This act shall take effect in 90 days.