RS 22:1003 Coverage of children for group and individual health and accident insurance; exception
§1003. Coverage of unmarried students
A.(1) Except as provided in Paragraph (2) of this Subsection, students who are unmarried children who have not yet attained the age of twenty-four and who are enrolled as full-time students at an accredited college or university, or at a vocational, technical, vocational-technical or trade school or institute, or secondary school, and who are dependent upon the primary insured under any group health and accident or association health and accident insurance policy or health maintenance organization subscriber agreement issued in this state for their support, shall be considered as dependents under the provisions of said policy.
(2) Every unmarried child under the age of twenty-four who is enrolled as a full-time student at an accredited college or university, or a vocational, technical, vocational-technical, or trade school or institute, or secondary school and who is dependent for their support on the primary insured under any group health and accident or association health and accident insurance policy issued in this state shall continue to be considered a dependent under the provisions of such policy if the unmarried child develops a mental or nervous condition, problem, or disorder which renders the unmarried child, in the opinion of a qualified psychiatrist, subject, if deemed necessary by the insurer or health maintenance organization, to a second opinion, unable to attend school as a full-time student and from holding self-sustaining employment until the student reaches the age of twenty-four.
B. The provisions of this Section shall apply to all policies issued or renewed or issued for delivery in this state after September 1, 1997. Any insurer who, on September 1, 1997, has health and accident insurance policies or health maintenance organization subscriber agreements in force in this state shall have until September 1, 1998, to convert such existing policies to conform to the provisions of this Section.
Added by Acts 1974, No. 505, §1; Acts 1997, No. 1175, §1; Acts 2003, No. 129, §1, eff. May 28, 2003; Redesignated from R.S. 22:215.4 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.
NOTE: Former R.S. 22:1003 redesignated as R.S. 22:693 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.