§ 23-86-512. Health insurance purchasing group health carrier market
No health insurance purchasing group health carrier shall be required to offer health insurance purchasing group health benefits plans or health benefits plans not subject to state-mandated health benefits to nonhealth insurance purchasing group organizations, associations, or employer groups, including, but not limited to, the small employer health insurance group marketplace in this state.
§ 23-86-313. Disclosure of information
(a) Disclosure of Information by Health Insurance Issuers. In connection with the offering of any health insurance coverage to a small employer, a health insurance issuer: (1) Shall make a reasonable disclosure to the small employer as part of its solicitation and sales materials of the availability of information described in subsection (b) of this […]
§ 23-86-509. Health insurance purchasing group operations and coordination
(a) Nothing in this subchapter shall be construed as preventing one (1) or more health insurance purchasing groups serving different areas, whether or not contiguous, from providing for some or all of the following through a single administrative organization or otherwise: (1) Coordinating the offering of the same or similar health benefits coverage in different […]
§ 23-86-314. Exclusion of certain plans
(a) Exception for Certain Small Group Health Plans. The requirements of § 23-86-304, limitation on preexisting conditions, § 23-86-306, prohibiting discrimination based on health status, § 23-86-311, guaranteed renewability, § 23-86-312, guaranteed availability, and § 23-86-313, disclosure of information, of this subchapter shall not apply to any group health plan and health insurance coverage offered […]
§ 23-86-510. Premium rates
(a) The health insurance purchasing group may determine what rating characteristics it will allow in the health benefit plan, including, but not limited to, age, sex, industry, geography, or health. (b) If health is used as a rating characteristic, then the rates for the size groups two through twenty-five (2-25) will be subject to the […]
§ 23-86-401. Title
This subchapter may be cited as the “Freedom of Choice Among Health Benefit Plans Act of 1999”.
§ 23-86-511. Rules
The Insurance Commissioner may promulgate rules necessary to implement the provisions of this subchapter.
§ 23-86-402. Legislative finding
The General Assembly finds that: (1) Citizens covered by health benefit plans should have the opportunity to obtain healthcare services at an affordable price; (2) The cost of health benefit plans can vary depending upon the kind of arrangement the health benefit plan has with providers of healthcare services; (3) In order to provide affordable […]
§ 23-86-403. Definitions
As used in this subchapter: (1) “Benefit level” means an obligation of the health maintenance organization or insurance company under its health benefit plan. The benefit level is actuarially determined considering the copayments, deductibles, and dollar limits of the health benefit plan; (2) “Covered healthcare services” means services rendered or products sold by a healthcare […]
§ 23-86-404. Optional health benefit plans
(a) A health maintenance organization may offer and issue health benefit plans that reimburse or arrange for covered healthcare services to covered persons through a limited network plan if: (1) The health maintenance organization provides itself, or arranges through an insurance company, for an annual option for covered persons to choose a health benefit plan […]