Minnesota Health Insurance Regulations

All Minnesota health insurance policies are guaranteed to be renewable at the end of each term. This law and others are in place to protect individuals who have Minnesota health insurance from being dropped from their plans due to illness or age. Minnesota health insurance companies can, however, refuse to offer a plan to an applicant if he or she is deemed a high-risk individual for the company. In some cases, a Minnesota health insurance company will offer individuals policies with elimination riders that do not cover pre-existing conditions.

Minnesota health insurance applicants are rated on risk factors that help Minnesota health insurance companies determine whether or not to provide policies, and also to determine how much to charge for premiums. There are no laws regarding how much a Minnesota health insurance company can charge for a premium. Though Minnesota health insurance policies are guaranteed to be renewable, Minnesota health insurance companies are entitled to raising the premium prices at the end of each term as a way to compensate for increased age or sickness during the previous term.

The Minnesota Comprehensive Health Association is in place to help those who cannot get regular individual Minnesota health insurance due to pre-existing conditions or severely high risk factors. Minnesota health insurance applicants must be able to prove that they have been denied coverage within the six months prior to applying for MCHA insurance, or that the applicant has been offered Minnesota health insurance that excludes coverage of his or her pre-existing condition. There are several pre-existing conditions that automatically qualify an individual for the MCHA Minnesota health insurance plan. These include AIDS, cancer and other terminal diseases. Minnesota health insurance applicants must also show that they cannot receive adequate Minnesota health insurance coverage for less than what is offered through the MCHA program. The MCHA program offers a variety of different Minnesota health insurance plans with various deductible levels.

Minnesota health insurance is guaranteed to cover newborns and adopted children for the first thirty-one days. After that period, Minnesota health insurance policyholders must file the needed paperwork to continue dependent coverage. Minnesota health insurance companies are also required to indefinitely extend the age limit for dependent coverage when the dependent is disabled. Minnesota health insurance policyholders must provide documentation stating that the disabled dependent is completely reliant on the Minnesota health insurance policyholder as his or her sole source of support.

Minnesota health insurance companies have regulations to which they must adhere regarding pre-existing conditions. A Minnesota health insurance company providing an individual policy can exclude pre-existing condition coverage for up to one year, but no more than that. Pre-existing conditions are defined by Minnesota health insurance law as any condition for which a policyholder received treatment during the six months prior to his or her obtaining the new Minnesota health insurance policy. Minnesota health insurance companies are not allowed to have elimination rider clauses in their contracts. This means that a Minnesota health insurance company cannot permanently exclude a pre-existing condition from coverage for the entire life of an insurance policy.

Minnesota Health Insurance Regulations

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