this section are illustrated by the following examples.
example, the group health plan provides benefits for lengths of stay in connection with childbirth and is the requirements of this section, as follows:
hospital subject to
Example 1. health plan goes p.m. on June 11. on June 12.
(i) into She
A pregnant woman covered under a group labor and is admitted to the hospital at 10 gives birth by vaginal delivery at 6 a.m.
In this Example 1, the 48-hour period described (a)(1)(i) of this section ends at 6 a.m. on June
Example 2. (i) gives birth at home
woman covered under a group health plan
woman begins bleeding excessively in connection with the childbirth and is admitted to the hospital for treatment excessive bleeding at 7 p.m. on October 1.
In this Example 2, the 48-hour period described in (a)(1)(i) of this section ends at 7 p.m. on October
A woman covered under a group
gives birth by vaginal delivery at develops pneumonia and is admitted attending provider determines that connection with childbirth.
health later The not in
In this Example 3, the hospital length-of-stay
requirements admission to
of this section do not apply to the child’s the hospital because the admission is not in
connection with childbirth. (4) Authorization not required
or issuer may not require that a physician or other health care
provider obtain authorization from the plan or issuer for
prescribing the hospital length of stay required under paragraph
(a)(1) of this section.
(See also paragraphs (b)(2) and
of this section for rules authorization and certain
and examples regarding notice requirements.)