Tennessee § 56-7-2301 - Health insurance — Newly born children — Coverage — Notification.

§ 56-7-2301. Health insurance — Newly born children — Coverage — Notification.

All individual and group health insurance policies providing coverage on an expense incurred basis and individual and group service or indemnity type contracts issued by a nonprofit corporation that provide coverage for a child of the insured or subscriber shall, as to the child's coverage, also provide that the health insurance benefits applicable to children, if any, shall be payable with respect to a newly born child of the insured or subscriber from the moment of birth. The coverage for newly born children shall, in addition to coverage for infants placed in the well-child care unit, consist of coverage of injury or sickness, including the necessary care and treatment of medically diagnosed congenital defects and birth abnormalities. The coverage of newly born infants and pregnant women shall also include coverage for testing as provided in § 68-5-401(a)(2). If payment of a specific premium or subscription fee is required to provide coverage for a child, the policy or contract may require that notification of birth of a newly born child and payment of the required premium or fee must be furnished to the insurer or nonprofit service or indemnity corporation within thirty-one (31) days after the date of birth in order to have the coverage continue beyond the thirty-one-day period. The requirements of this section apply to all insurance policies and subscriber contracts delivered or issued for delivery in this state more than one hundred twenty (120) days after July 1, 1974, and to those policies and subscriber contracts that are substantially amended after July 1, 1980. If and only if a person or the person's spouse is pregnant at the time health insurance coverage is purchased, then at the time of the purchase this section may be contractually waived with respect to health insurance coverage for an unborn child and/or the right of the person to purchase health insurance coverage for the unborn child. Acts 1974, ch. 422, § 1; 1976, ch. 493, § 1; T.C.A., § 56-1165; Acts 1980, ch. 525, § 1; 1982, ch. 710, §§ 1-3; 1992, ch. 984, § 1; T.C.A. § 56-7-1001(a) -(d); Acts 1995, ch. 334, § 1; 1997, ch. 312, § 2. Compiler's Notes. Acts 1992, ch. 984, § 1 transferred numerous sections in this title to this part, effective upon the 1994 replacement of the bound volume. See the following parallel reference table for the old and new locations. Former Sections New Sections 56-7-113 56-7-2303 56-7-114 56-7-2304 56-7-301—56-7-304 56-7-2307—56-7-2310 56-7-307 56-7-2311 56-7-601 56-7-2305 56-7-602 56-7-2306 56-7-1001 56-7-2301 56-7-1005 56-7-2302 56-7-1007 56-7-2325 56-7-1501—56-7-1511 56-7-2312—56-7-2322 56-26-130 56-7-2323 56-26-131 56-7-2324 56-39-101—56-39-112 Repealed 56-39-115—56-39-122 Repealed 56-39-124 Repealed Acts 1997, ch. 312, § 3, provided that the amendment by that act shall apply to insurance policies or contracts entered into or renewed on or after July 1, 1997. Cross-References. Bills concerning health coverage — Impact notes and statements, § 3-2-111 . Cancellation of commercial risk insurance, title 56, ch. 7, part 18. Indemnified employee welfare benefit plans, ch. 40 of title 56.