In my experience as an insurance agent the disability insurance policy I can offer specifically excludes pregnancy. Also, from what I have seen with other policies is that since pregnancy is planned, in most cases, it is not considered a disability. It is similar to being pregnant and not being able to be excepted if you apply for health insurance until after the pregnancy.
This may be true for policies sold direct. However, Short Term Disability policies sold as Voluntary Employee Benefits do provide the coverage you are asking about. * When bought preconception, Short Term Disability provides a six week benefit period for vaginal birth - less the elimination period, and an eight week benefit period for cesarean birth - less the elimination period.
You must buy these programs at work, but since you will be paying for the programs, it is very easy to ask your employer to make the option available.
== == 1st of all, we would only be taling about a pre-existing clause for maternity. Is this an HMO or PPO? Is this group or individual coverage? HMO's don't have pre-x clauses. Group Plans under Federal Law can't exclude Maternity as a pre x TITLE 26 - INTERNAL REVENUE CODE Subtitle K - Group Health Plan Requirements CHAPTER 100 - GROUP HEALTH PLAN REQUIREMENTS Subchapter A - Requirements Relating to Portability, Access, and Renewability (3) Exclusion not applicable to pregnancy For purposes of this section, a group health plan may not impose any preexisting condition exclusion relating to pregnancy as a preexisting condition. The pregnancy would be considered a "pre-existing condition" and as such anything to do with the pregnancy would not be covered.
Being pregnant by itself does not constitute a disability. If you suffer from one or more complications of pregnancy and your doctor orders you to stay home from work, then short term disability will cover that disability. If your occupation has many physical demands, and your healthy pregnancy prevents you from performing your job duties, then short term disability may pay a benefit. Check your policy for specific language.
Yes, if it's a Employer Group plan. Can a preexisting condition exclusion be applied to my coverage because I'm pregnant? No. Pregnancy can never be subject to a preexisting condition exclusion in group health plans. http://www.cms.hhs.gov/hipaa/online/Group/Family/Pregnancy_content.asp?record=480021 For more information see www.steveshorr.com/maternity.htm Yes, if he adds you to the policy. Even if you don't get married the policy should cover a well baby (but not a sick baby).
It appears you are asking about the California Family Medical Leave and the California Pregnancy Disability Leave Acts. You are entitled under the pregnancy disability leave act to up to 4 months of unpaid, job protected leave for a disability due to pregnancy complications, and to recover from your delivery. Once you have recovered the family medical leave act permits you an additional 12 weeks of unpaid leave to bond with your baby. They do not run concurrently under these scenarios.
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