Chapter 180

2010 -- H 8198

Enacted 06/25/10

 

A N A C T

RELATING TO INSURANCE - EXTENDED MEDICAL LEAVE

 

     Introduced By: Representative Brian P. Kennedy

     Date Introduced: May 27, 2010

  

It is enacted by the General Assembly as follows:

 

     SECTION 1. Title 27 of the General Laws entitled "INSURANCE" is hereby amended

by adding thereto the following chapter:

 

CHAPTER 18.7

EXTENDED MEDICAL LEAVE

 

     27-18.7-1. Medical benefits for employees on extended medical leave -- Whenever an

employee who has been employed on a full-time basis by an employer for at least three (3)

months and who is an insured member of a group hospital, surgical, or medical insurance plan is

placed on extended medical leave by the employer, the employee may remain on the group

hospital, surgical, or medical insurance plan and the benefits of the plan may be continued for no

more than eighteen (18) months from the date the employee was placed on extended medical

leave.

 

     27-18.7-2. Costs of the plan. – An employer may continue to contribute to the cost of the

plan benefits for an employee on extended medical leave or may require an employee on

extended medical leave to pay up to one hundred percent (100%) of the cost of the plan benefits.

 

     27-18.7-3. Eligibility for medical benefits while on extended medical leave. – (a) An

employee shall be considered eligible for continuing coverage under the group hospital, surgical,

or medical insurance plan as an employee on extended medical leave if an employer provides to

the group hospital, surgical, or medical insurance plan a written statement that explains that, due

to medical reasons pertaining to the employee or a member of the employee's family (parent,

child, step-child, spouse, sibling or a person for whom the employee serves as a legal guardian),

the employee can no longer work full-time, the employee and the employer anticipate that the

employee will someday return to full-time employment, and the employer has placed the

employee on extended medical leave.

     (b) Nothing in this statute shall be construed to give an insurance company, a health

maintenance organization or a nonprofit hospital and medical service corporation the ability to

determine whether an employee is eligible for extended medical leave. The determination of

whether an employee is eligible for extended medical leave rests solely with, and in the discretion

of, the employer. Nothing in this statute shall be construed to require an employer to offer

extended medical leave to its full-time employees.

 

     27-18.7-4. Transition to extended medical benefits. – Once an employee on extended

medical leave has remained on a group hospital, surgical, or medical insurance plan for eighteen

(18) months and is no longer eligible to participate in that plan, the employee shall be eligible for

extended medical benefits under chapter 19.1 of title 27 as if the employee were involuntarily

terminated from employment the day he or she is no longer eligible to participate in the plan as an

employee on extended medical leave.

 

     SECTION 2. This act shall take effect upon passage.

     

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LC02747

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