When am I eligible for conversion coverage?

• If you were covered under a fully insured group health plan and you leave that plan, you may be able to buy a conversion policy. This is an individual health policy from the insurance company that covered your former group. You can buy a conversion policy if you lost your group coverage because you left your job or because the group coverage was terminated. In addition, in the case of divorce or death, your dependents may purchase a conversion policy.
• You can buy a conversion policy either instead of or after you use up your COBRA or state continuation coverage. You cannot buy conversion coverage if you have comparable coverage under another group or individual health plan.
• If you decide to purchase a conversion policy, you will no longer be considered HIPAA eligible.

What will the conversion policy cover?

• Conversion policies are required to meet minimum standards set out in state regulations. Even so, the benefits may be less generous than what you received under your former group coverage.

What about coverage for my pre-existing condition?

• Your conversion policy cannot impose a new pre-existing condition exclusion period. However, you might have to satisfy the unexpired portion of any pre-existing condition exclusion period from your former health plan.

What can I be charged for A conversion Policy?

• Premiums for conversion health plans can vary depending on your health status, age, the amount of coverage you purchase and other characteristics. Contact the Maryland Department of Insurance if you have questions about conversion policy premiums.

CAN MY CONVERSION POLICY BE CANCELLED?

• Your coverage cannot be cancelled because you get sick. This is called guaranteed renewability. You have this protection provided that you pay the premiums, do not defraud the company, and, in the case of managed care plans, continue to live in the plan service area.