Mississippi Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights

State:
Multi-State
Control #:
US-AHI-010
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is a certificate of group health plan coverage. This form is evidence that the employee is covered under the group health care plan.
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How to fill out Certificate Of Group Health Plan Coverage With Statement Of HIPAA Portability Rights?

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FAQ

The HIPAA certificate, also known as certificate of creditable coverage, documents the health coverage you had before you lost coverage. If you had less than 18 months of continuous coverage, the certificate includes the dates any waiting period began and when coverage began and ended.

Health plans: Medicare, Medicaid, Medicare+Choice, and Medicare supplement insurers. Long-term care insurers (excluding nursing home fixed-indemnity policies) Employer-sponsored group health plans. Government- and church-sponsored health plans.

This is a letter that says how long you have been covered and provides proof that you have had at least 18 months of coverage. If you are unable to provide a Certificate of Creditable Coverage, you can talk to the health plan about other ways you can prove that you had a least 18 months of coverage.

HIPAA's "portability" protection means that once a person obtains creditable health plan coverage, he or she can use evidence of that coverage to reduce or eliminate any preexisting medical condition exclusion period that might otherwise be imposed when moving to another health plan.

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Mississippi Certificate of Group Health Plan Coverage with Statement of HIPAA Portability Rights