Health Insurance (Amendment) Act 2014

Amendment of section 8 of Principal Act

4. Section 8 of the Principal Act is amended—

(a) by the substitution of the following subsection for subsection (3):

“(3) For the purposes of this Act, the Minister may prescribe the maximum waiting periods for eligibility for services or payments, or both, under a health insurance contract which a registered undertaking may impose in respect of the person effecting the contract or his or her dependents including, but without prejudice to the generality of the foregoing, in respect of a person who—

(a) is of or under a prescribed age,

(b) is of or over a prescribed age,

(c) is suffering from a medical condition when the contract is effected,

(d) effects a health insurance contract in the State without previously having effected a health insurance contract in the State,

(e) effects a health insurance contract with the undertaking having previously effected a health insurance contract with that undertaking whether in respect of the same or different services or payments, or both, or

(f) effects a health insurance contract with the undertaking having previously effected a health insurance contract with another registered undertaking whether in respect of the same or different services or payments, or both.”,

(b) by the substitution of the following subsection for subsection (5):

“(5) Where a health insurance contract (‘the first-mentioned contract’) effected with a registered undertaking (including such undertaking which is a restricted membership undertaking) ceases to be in force and a person who was a party to or named in that contract effects, within such period after that cesser as may be prescribed, another health insurance contract with a registered undertaking (‘the second-mentioned contract’), then insofar as the second-mentioned contract is in respect of such services or payments, or both, as would have been provided or payable, as appropriate, under the first-mentioned contract—

(a) the waiting period for eligibility for the service or the payment, or both, under the second-mentioned contract to—

(i) the person, or

(ii) any other person who is named in the contract and was also a party to or named in the first-mentioned contract,

shall not be any longer than it would have been if the second-mentioned contract had been effected at the time the first-mentioned contract had been effected, and

(b) there shall be deemed to be expired so much of that waiting period as is equal to so much of the like period under the first-mentioned contract as had expired at the time of the cesser aforesaid.”,

and

(c) by the deletion of subsection (6).