Exams / Wyoming Accident and Health Insurance License / Wyo. Stat. §26-15-135

Wyo. Stat. §26-15-135 — what it says, and how the exam tests it

This section is cited by 2 of our practice questions and is tested on 2 exams including the Wyoming Accident and Health Insurance License.

The text

26-15-135. Coverage of children. (a) No insurance company, multi-employer trust or other provider of an individual, group or blanket health insurance product in this state shall: (i) Refuse to accept and honor an otherwise valid claim for a covered service which is filed by either parent of a covered child, or by the department of family services in the case of an assignment under W.S. 20-6-106, who submits valid copies of medical bills; (ii) Refuse to provide medical insurance coverage of a child under the health plan of the child's parent on the grounds that: (A) The child was born out of wedlock; (B) The child is not claimed as a dependent on the parent's federal tax return; or (C) The child does not reside with the parent or in the insurer's service area. (iii) Refuse to provide medical insurance coverage for an otherwise insurable child under the policy if the child for whom the claim is made is presumed to be the natural child of the insured under W.S. 14-2-504 or 14-2-822. (b) Where a child has health coverage through an insurer of a noncustodial parent or a parent sharing custody or temporary control of the child the insurer shall: (i) Provide such information to either parent sharing custody or temporary control of the child as may be necessary for the child to obtain benefits through that coverage; (ii) Permit either parent sharing custody or temporary control of the child, or the provider with either parent's approval, to submit claims for covered services without the approval of the other parent; and (iii) Make payments on claims submitted in accordance with paragraph (ii) of this subsection directly to the parent who paid for the services, the provider or the department of health as administrator of the Wyoming Medical Assistance and Services Act. (c) Where a parent is required by a court or administrative order to provide health coverage for a child and the parent is eligible for family health coverage, the insurer shall be required: (i) To permit the parent to enroll under the family coverage, a child who is otherwise eligible for the coverage without regard to any enrollment season restrictions; (ii) If the parent is enrolled but fails to make application to obtain coverage for the child, to enroll the child under family coverage upon application of the child's other parent, the department of health in administering the Wyoming Medical…

Public record. Read the full, current section at the official source: wyoleg.gov

How it comes up on the exam

Practice questions written from this section — answers and explanations are in the drill.

  1. Under Wyo. Stat. §26-15-135, where a child has health coverage through an insurer of a noncustodial parent, the insurer shall permit either parent sharing custody to submit claims for covered services without whose approval?
    drill Wyoming Statutes and Rules Pertinent to Accident and Health Insurance Only →
  2. Under Wyo. Stat. §26-15-135, an insurer may NOT disenroll a child from coverage unless provided satisfactory written evidence that the child will be enrolled in comparable coverage through another insurer taking effect no later than when?
    drill Wyoming Statutes and Rules Pertinent to Accident and Health Insurance Only →

Exams that test this section