<?xml version='1.0' encoding='utf-8'?>
<section article="gin" article_name="Insurance" number="15-1A-05" title_number="15" title_name="Health Insurance" subtitle_number="1A" subtitle_name="Consumer Protections">
  <level label="a">
    <text>This section applies to all grandfathered plans except grandfathered plans that are individual plans and to every health benefit plan that is not a grandfathered plan.</text>
  </level>
  <level label="b">
    <text>A carrier may not:</text>
    <level label="1">
      <text>exclude or limit benefits because a health condition was present before the effective date of coverage; or</text>
    </level>
    <level label="2">
      <text>deny coverage because a health condition was present before or on the date of denial.</text>
    </level>
  </level>
  <level label="c">
    <text>The prohibition in subsection (b) of this section applies whether or not:</text>
    <level label="1">
      <text>any medical advice, diagnosis, care, or treatment was recommended or received for the condition; or</text>
    </level>
    <level label="2">
      <text>the health condition was identified as a result of:</text>
      <level label="i">
        <text>a pre–enrollment questionnaire or physical examination given to an individual; or</text>
      </level>
      <level label="ii">
        <text>a review of records relating to the pre–enrollment period.</text>
      </level>
    </level>
  </level>
</section>
