NAC687B.2056. Guaranteed issue periods for eligible persons; special enrollment period.

     1. In the case of a person described in paragraph (a) of subsection 3 of NAC 687B.2053, the guaranteed issue period begins on the later of:

     (a) The date the person receives a notice of termination or cessation of all supplemental health benefits or, if a notice is not received, notice that a claim has been denied because of a termination or cessation; or

     (b) The date that the applicable coverage terminates or ceases,

Ê and ends 63 days thereafter.

     2. In the case of a person described in paragraph (b), (c), (e) or (f) of subsection 3 of NAC 687B.2053 whose enrollment is terminated involuntarily, the guaranteed issue period begins on the date that the person receives a notice of termination and ends 63 days after the date the applicable coverage is terminated.

     3. In the case of a person described in subparagraph (1) of paragraph (d) of subsection 3 of NAC 687B.2053, the guaranteed issue period begins on the earlier of:

     (a) The date that the person receives a notice of termination, a notice of the issuer’s bankruptcy or insolvency, or other such similar notice if any; or

     (b) The date that the applicable coverage is terminated,

Ê and ends on the date that is 63 days after the date the coverage is terminated.

     4. In the case of a person described in paragraphs (b), (e) and (f), and subparagraphs (2) and (3) of paragraph (d), of subsection 3 of NAC 687B.2053 who disenrolls voluntarily, the guaranteed issue period begins on the date that is 60 days before the effective date of the disenrollment and ends on the date that is 63 days after the effective date.

     5. In the case of a person described in paragraph (g) of subsection 3 of NAC 687B.2053, the guaranteed issue period begins on the date the person receives notice pursuant to section 1882(v)(2)(B) of the Social Security Act, 42 U.S.C. § 1395ss(v)(2)(B), from the Medicare supplement issuer during the 60-day period immediately preceding the initial Medicare Part D enrollment period and ends on the date that is 63 days after the effective date of the person’s coverage under Medicare Part D.

     6. In the case of a person described in subsection 3 of NAC 687B.2053 but not described in subsections 1 to 5, inclusive, the guaranteed issue period begins on the effective date of disenrollment and ends on the date that is 63 days after the effective date.

     7. A special enrollment period is available to persons who postpone enrollment in Medicare Part B until after the age of 65 years because they are working and are enrolled in a group health insurance plan. The special enrollment period for Medicare Part B may take place anytime through their or their spouse’s current employment or during the 8 months following the month that the group health plan coverage of the employer or union ends or when the employment ends, whichever is first.

     (Added to NAC by Div. of Insurance by R078-05, 11-17-2005, eff. 9-8-2005 for Plans K and L, and 1-1-2006 for Medicare Part D Prescription Drug Benefit)