Documentation for HR-XML - Human Resources XML
Definition Type: ComplexType
Name: HIPAAType
Namespace: http://www.hr-xml.org/3
Containing Schema: USEnrollment.xsd
Abstract
Documentation:
Contains details relavent to compliance with provisions under the U.S. Health Insurance Portability and Accountability Act of 1996 (HIPAA). Reports the number of prior months during which the person had medical coverage. HIPAA Title I limits restrictions that a group health plan can place on benefits for preexisting conditions. Group health plans may refuse to provide benefits relating to preexisting conditions for a period of 12 months after enrollment in the plan or 18 months in the case of late enrollment. However, individuals may reduce this exclusion period if they had group health plan coverage or health insurance prior to enrolling in the plan. Title I allows individuals to reduce the exclusion period by the amount of time that they had "creditable coverage" prior to enrolling in the plan and after any "significant breaks" in coverage.
Collapse XSD Schema Diagram:
Drilldown into UserArea in schema fields_xsd Drilldown into PriorCoverageMonths in schema fields_xsd Drilldown into validTo in schema fields_xsd Drilldown into validFrom in schema fields_xsd Drilldown into EffectiveDateAttributeGroup in schema fields_xsdXSD Diagram of HIPAAType in schema usenrollment_xsd (HR-XML - Human Resources XML)
Collapse XSD Schema Code: 
<xsd:complexType name="HIPAAType">
    <xsd:annotation>
        <xsd:documentation>Contains details relavent to compliance with provisions under the 
			U.S. Health Insurance Portability and Accountability Act of 1996 (HIPAA). Reports the 
			number of prior months during which the person had medical coverage.
			
HIPAA Title I limits restrictions that a group health plan can place on benefits for 
preexisting conditions. Group health plans may refuse to provide benefits relating 
to preexisting conditions for a period of 12 months after enrollment in the plan or 18 
months in the case of late enrollment. However, individuals may reduce this exclusion 
period if they had group health plan coverage or health insurance prior to enrolling in 
the plan. Title I allows individuals to reduce the exclusion period by the amount of 
time that they had "creditable coverage" prior to enrolling in the plan and after any 
"significant breaks" in coverage.</xsd:documentation>
    </xsd:annotation>
    <xsd:sequence>
        <xsd:element ref="PriorCoverageMonths" />
        <xsd:element ref="UserArea" minOccurs="0" />
    </xsd:sequence>
    <xsd:attributeGroup ref="EffectiveDateAttributeGroup" />
</xsd:complexType>
Collapse Child Elements:
Name Type Min Occurs Max Occurs
PriorCoverageMonths nsA:PriorCoverageMonths (1) (1)
UserArea nsA:UserArea 0 (1)
Collapse Child Attributes:
Name Type Default Value Use
validFrom nsA:validFrom Optional
validTo nsA:validTo Optional
Collapse Derivation Tree:
Collapse References:
nsA:HIPAA
Documentation for HR-XML - Human Resources XML

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