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    v1.0.30
    OpenPayerPolicy UpdatesMississippi Insurance DepartmentMississippi Military Duty Coverage Policy | OpenPa…
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    CurrentMississippi Insurance DepartmentPolicy 91-2161

    Health Coverage Reinstatement After Active Military Duty

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    Directs Mississippi health insurance carriers to resume coverage for insured individuals and dependents after deactivation from active military duty, generally matching prior or applicable group or nongroup coverage, including covered preexisting conditions.

    Policy Summary
    PayerMississippi Insurance Department
    PolicyHealth Coverage Reinstatement After Active Military Duty
    Policy CodePolicy 91-2161
    Change TypeAdministrative/Operational Requirement
    Effective DateApril 9, 1991
    Next Review DateN/A
    Key ActionResume the same health insurance coverage for the person and dependents provided before active military duty, including covered preexisting conditions.
    SourceLink
    POLICY UPDATE CHANGES

    No material clinical or coverage changes in this revision.

    4Required carrier obligations
    2Coverage contexts addressed
    SameCoverage standard after deactivation
    RegardlessMilitary-duty conditions

    Coverage Resumption Eligibility

    Coverage resumption following active military duty

    Coverage resumption applies when all of the following conditions are met:

    ALL of the following

    • The person was covered by the carrier when called to active military duty.
    • The person becomes deactivated from active military duty.

    • Apply the applicable coverage standard

      • For group coverage, provide the same coverage available to other employees in the group at the time of deactivation.

      • ALL of the following

    Policy Summary
    PayerMississippi Insurance Department
    PolicyHealth Coverage Reinstatement After Active Military Duty
    Policy CodePolicy 91-2161
    Change TypeAdministrative/Operational Requirement
    Effective DateApril 9, 1991
    Next Review DateN/A
    Key ActionResume the same health insurance coverage for the person and dependents provided before active military duty, including covered preexisting conditions.
    SourceLink
    On This Page
    Coverage Resumption EligibilityCarrier Requirements After Deactivation

    OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.

    The prior group policy is no longer in effect at deactivation.
  1. Provide group coverage offered by the carrier in the nongroup market.
  2. For nongroup coverage, provide the coverage held before active military duty.

  3. ALL of the following

    • The prior nongroup coverage is no longer available.
    • Provide other coverage offered by the carrier in the nongroup market.
  4. Resume coverage for the person and dependents, including any preexisting condition that was covered before active military duty.
  5. Do not deny or limit resumed coverage based on any condition developed by the person or dependents during active military duty.

    6. Carrier Requirements After Deactivation

    Billing Rule

    Resume prior coverage after deactivation

    Upon deactivation from active military duty, resume the same health insurance coverage for the person and dependents that was provided before the person entered active duty, including any covered preexisting condition.

    Billing Rule

    Apply current group coverage

    For group coverage, provide the deactivated employee the same coverage available to the other employees in the group that is in effect at the time of deactivation.

    Billing Rule

    Use nongroup alternative when group policy ends

    If the prior group policy is no longer in effect when the employee is deactivated, provide group coverage offered by the carrier in its nongroup market.

    Billing Rule

    Apply nongroup coverage alternative

    For nongroup coverage, provide the coverage held before active military duty. If that coverage is no longer available, provide any other coverage offered by the carrier in the nongroup market.

    Denial Risk

    Do not condition reinstatement on military-duty health conditions

    Resume the required coverage regardless of any condition developed by the person or dependents during active military duty. Coverage may not be denied or limited on that basis.