Rhode Island establishes pregnancy special enrollment

Rhode Island has enacted legislation that mandates a special enrollment into health care coverage based on pregnancy.

The Details:

Effective January 1, 2023, a pregnant individual must be offered a special enrollment opportunity after the commencement of the pregnancy. The coverage will be effective as of the first day of the month in which the pregnant individual applies for coverage.

This special enrollment mandate apples to individual and group (both small and large) policies written in Rhode Island as well as coverage under the “Rhode Island Health Benefit Exchange.”

Next Steps:

An employee or dependent who is pregnant may prospectively revoke the employee’s or dependent’s medical plan election under the ADP TotalSource, Inc. Health & Welfare Plan provided that the employee or dependent provides proof that the employee (and any related individuals whose coverage is being revoked) or dependent has enrolled or intends to enroll in new the Rhode Island Health Benefit Exchange coverage that is effective no later than the day immediately following the last day of medical plan coverage under the ADP TotalSource, Inc. Health and Welfare Plan. 

Please contact your dedicated service professional with any questions.