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elaws - employment laws assistance for workers and small businesses - Health Benefits Advisor

Glossary

Pre-existing Condition Exclusion Period

The period of time that a group health plan can legally limit your access to the health benefits offered by that plan because of a pre-existing condition. Under HIPAA, the maximum pre-existing condition exclusion period that can be applied to an individual is 12 months (18 months for late enrollees).


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