With respect to coverage for fertility diagnosis and treatment and
fertility preservation services (fertility services) under health benefit plans, the bill clarifies that coverage for fertility services under large employer policies and contracts is not subject to a determination as to whether federal law requires the state to defray the costs of the coverage,
and, therefore, large employer plans issued or renewed in this state must cover fertility services, and the division of insurance in the department of regulatory agencies (division) must implement the coverage requirement.
In addition, for individual and small group policies and contracts,
the bill:
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Requires coverage for fertility services under individual and small group policies and contracts issued on or after the January 1 following the calendar year in which the division receives confirmation from the federal department of health and human services (federal department), or the federal department otherwise determines, that coverage for fertility services does not require defrayal by the state; and
•
Requires the division to implement the fertility services coverage requirement once effective.
