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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>70694</law_id><section_number>38.2-3411.2</section_number><catch_line>Coverage of adopted children required</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>38.2-4319</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="38.2">Insurance</unit><unit label="chapter" level="2" order_by="1" identifier="34">Provisions Relating to Accident and Sickness Insurance</unit><unit label="article" level="3" order_by="1" identifier="2">Mandated Benefits</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> Notwithstanding the provisions of &#xA7; <a class="law" title="Additional mandated coverage made optional to group policy or contract holder" href="/38.2-3419/">38.2-3419</a>, each <span class="dictionary">insurer</span> proposing to <span class="dictionary">issue</span> individual or group accident and sickness <span class="dictionary">insurance policies</span> providing hospital, medical and surgical or major medical coverage on an expense incurred basis, each corporation providing individual or group accident and sickness subscription <span class="dictionary">contracts</span>, and each health maintenance organization providing a health care plan for health care services that offers coverage for a family member of the insured, subscriber, or plan enrollee, shall, as to the family members&#x2019; coverage, also provide that the accident and sickness insurance benefits applicable for children shall be payable with respect to adopted children of the insured, subscriber, or plan enrollee. <a id="paragraph-255006" class="section-permalink" href="https://vacode.org/38.2-3411.2/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> The coverage of such policy, subscription, or plan, applicable to family members of the insured, subscriber or enrollee, shall apply in the same manner and to the same but no greater extent to adopted children of the insured, subscriber or enrollee. <a id="paragraph-255007" class="section-permalink" href="https://vacode.org/38.2-3411.2/#B"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> An adopted child shall be eligible for the coverage required by this section from the date of adoptive or parental placement with an insured, subscriber or plan enrollee for the purpose of adoption; and, in addition as to a child whose adoptive or parental placement has occurred within thirty-one days of birth, such child shall be considered a newborn child of the insured, subscriber or plan enrollee as of the date of adoptive or parental placement. Once coverage is in effect, it shall continue according to the terms of the policy, subscription <span class="dictionary">contract</span>, or plan, unless the said placement is disrupted prior to final <span class="dictionary">decree</span> of adoption, and the child is removed from placement with the insured, subscriber or plan enrollee. <a id="paragraph-255008" class="section-permalink" href="https://vacode.org/38.2-3411.2/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> If payment of a specific premium or subscription fee is required to provide coverage for a child, the policy or subscription <span class="dictionary">contract</span> may require notification of the placement of an adoptive child and payment of the required premium or fees shall be furnished to the <span class="dictionary">insurer</span> issuing the policy or corporation issuing the subscription <span class="dictionary">contract</span> within thirty-one days after the date of parental or adoptive placement in <span class="dictionary">order</span> to have the coverage continue beyond the thirty-one-day period. <a id="paragraph-255009" class="section-permalink" href="https://vacode.org/38.2-3411.2/#D"><i class="fa fa-link"/></a></p></section>
						<section id="E"><p><span class="prefix-number">E.</span> No <span class="dictionary">insurer</span>, <span class="dictionary">health services plan</span> or health maintenance organization shall restrict coverage for any dependent child adopted or placed for adoption solely because of a preexisting condition of such child at the time that such child would otherwise become eligible for coverage under the plan. <a id="paragraph-255010" class="section-permalink" href="https://vacode.org/38.2-3411.2/#E"><i class="fa fa-link"/></a></p></section></text><history>1991, c. 103; 1994, c. 213.</history><metadata></metadata></law>
