| |
1. You must apply for
portability coverage
within 63 days after the
date your group or COBRA
coverage ends.
|
|
|
2. Your most recent
health insurance
coverage was a group
health plan provided
through an employer with
at least two or more
employees. This includes
continuation coverage,
such as COBRA, under the
group plan. |
| |
3. You have at least 18
months of prior health
insurance coverage,
including any
combination of group
health coverage provided
by your employer
(insured or
self-insured),
individual health
coverage, Medicare,
Medicaid, a federal or
state public health plan
(including but not
limited to AHCCCS) and
public health plans
provided by a foreign
government, TRICARE, a
health benefits risk
pool, the Peace Corps,
Bonafide Association,
Indian Health Services
Federal Employee Health
Benefits Plan (FEHBP) or
the State Children’s
Health Insurance Program
(SCHIP). |
| |
4. In the past 18
months, you did not have
a break in coverage that
lasted more than 63
days. Insurance waiting
periods required by your
employer and application
processing times are not
counted toward the
63-day break in
coverage. |
| |
5. You are not eligible
for other group health
insurance, Medicare,
Medicaid or AHCCCS.
|
| |
6. You are not covered
under any other health
insurance. |
| |
7. If your employer
offered continuation
coverage under the group
plan (COBRA) or your
state offered
continuation coverage
(mini-COBRA), you must
have accepted this
coverage and exhausted
it. If you are a federal
employee, you must have
accepted TCC (temporary
continuation coverage)
and exhausted it.
|
| |
8. You are a resident of
Arizona. |
