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Asked: Apr 29, 2010

Automatic Acceptance Into Risk Pool?

I am inquiring to find out if an applicant had lived in Mississippi for the past 6 months and had been denied coverage would they automatically apply and be accepted for coverage with the Risk Pool Insurance? I am trying to recruit someone and his wife now has coverage under a group policy but was told that Blue Cross would not cover her in Mississippi even though she is covered under them now in the state of Teas due to the fact that she had a stroke and currently takes medicines. Can you please let me know?

Categories: In California
Plan Types: In High Risk Pool

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Answers

OK, let's recap this to make sure we understand: 1) The wife of your prospective employee is currently insured under a group health plan with Blue Cross in Teas (probably COBRA if they now live in MS?); 2) They relocated to Mississippi 6 months ago, but Blue Cross in Mississippi told her that they would not insure her under an individual health plan because of her health history, 3) You want to know if she will be automatically enrolled in the risk pool in Mississippi? If our understanding of your question is correct, she will not be automatically enrolled in the Mississippi risk pool when declined coverage by Blue Cross of Mississippi. They may provide her with an application, or the option to enroll in that program, but she will not automatically be enrolled. Not all people want to be enrolled in the risk pool, so the final decision is with the applicant. And, if her current coverage through Blue Cross of Teas is COBRA, she may need to ehaust that before she can go on the risk pool. You would need to verify this with the MS Comprehensive Health Insurance Association. You can get more information about the Mississippi Risk Pool here http://www.doi.state.ms.us/..
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. Can't you put her on your group health plan as a dependent of her husband if he accepts the job? She should be guaranteed coverage in that case.

Answered: Apr 30, 2010

 

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