689A.515 - “Eligible person” defined.
689A.515 “Eligible person” defined. “Eligible person” means:
1. A person:
(a) Who, as of the date on which the person seeks coverage pursuant to this chapter, has an aggregate period of creditable coverage that is 18 months or more;
(b) Whose most recent prior creditable coverage, other than coverage under a short-term health insurance policy, was under a group health plan, governmental plan, church plan or health insurance coverage offered in connection with any such plan;
(c) Who is not eligible for coverage under a group health plan, Part A or Part B of Title XVIII of the Social Security Act, 42 U.S.C. §§ 1395c et seq., also known as Medicare, a state plan pursuant to Title XIX of the Social Security Act, 42 U.S.C. §§ 1396 et seq., also known as Medicaid, or any successor program, and who does not have any other health insurance coverage;
(d) Whose most recent health insurance coverage within the period of aggregate creditable coverage was not terminated because of a failure to pay premiums or fraud;
(e) Who has exhausted his or her continuation of coverage under the Consolidation Omnibus Budget Reconciliation Act of 1985, Public Law 99-272, or under a similar state program, if any; and
(f) Who has not had a break of more than 63 consecutive days in his or her creditable coverage.
2. A person whose most recent prior creditable coverage was under a basic or standard health benefit plan and was not renewed by a carrier who discontinued offering and renewing individual health benefit plans in this state pursuant to NRS 689A.630.
3. Notwithstanding the provisions of paragraph (a) of subsection 1, a newborn child or a child placed for adoption, if the child was enrolled timely and would have otherwise met the requirements of an eligible person as set forth in subsection 1.
(Added to NRS by 1997, 2884; A 1999, 2803)