2-18-705. Terminated
2-18-705. Terminated. Sec. 14, Ch. 363, L. 2013. History: En. Sec. 6, Ch. 363, L. 2013.
2-18-706. through 2-18-710 reserved
2-18-706 through 2-18-710 reserved.
2-18-711. Cooperative purchasing of employee benefit services and insurance products — procedures
2-18-711. Cooperative purchasing of employee benefit services and insurance products — procedures. (1) To provide employee group benefits, an agency, as defined in 2-18-601, and the state compensation insurance fund may participate with other agencies, nonprofit organizations, or business entities and in voluntary disability insurance purchasing pools provided for under 33-22-1815 if the agency or the […]
2-18-712. through 2-18-714 reserved
2-18-712 through 2-18-714 reserved.
2-18-715. Legislative findings and purpose
2-18-715. Legislative findings and purpose. (1) The legislature finds that: (a) air ambulance services provide a necessary, and sometimes lifesaving, means of transporting Montanans experiencing health emergencies; (b) Montanans desire adequate access to air ambulance services; (c) in many cases the high charges assessed by out-of-network air ambulance services and limited insurer and health plan reimbursements have resulted […]
2-18-716. Hold harmless
2-18-716. Hold harmless. (1) If a covered person receives services from a non-Montana hospital-controlled out-of-network air ambulance service for an emergency medical condition, an insurer or health plan shall assume the covered person’s responsibility, if any, for amounts charged in excess of allowed amounts for covered services and supplies, applicable copayments, coinsurance, and deductibles. (2) An insurer […]
2-18-717. Disclosures by air ambulance service
2-18-717. Disclosures by air ambulance service. An out-of-network nonhospital-controlled air ambulance service must disclose by July 1 of each year any relationships or financial arrangements with health care providers, insurers, or health plans. This includes but is not limited to employment arrangements, ownership interests, first call agreements, and board memberships. This information must be filed with […]
2-18-718. Independent dispute resolution
2-18-718. Independent dispute resolution. (1) If an insurer or health plan and air ambulance service enter into dispute resolution, the procedure in 2-18-719 is to be used to determine the fair market price of the services that are the subject of the claim. (2) Payment of the fair market price calculated pursuant to 2-18-719 constitutes payment in […]
2-18-719. Independent dispute resolution procedure — exemptions
2-18-719. Independent dispute resolution procedure — exemptions. (1) To initiate a dispute resolution procedure under 2-18-715 through 2-18-720, the parties shall file a written notice of dispute with the insurance commissioner. (2) Except as provided in subsection (3), within 30 days after the date of receipt of the notice of dispute, and if no independent reviewer is […]
2-18-720. Insurance commissioner duties — independent reviewer qualifications
2-18-720. Insurance commissioner duties — independent reviewer qualifications. (1) The insurance commissioner shall: (a) approve any independent reviewer that is eligible to adjudicate disputes under 2-18-715 through 2-18-720; (b) maintain a list of independent reviewers eligible to adjudicate disputes under 2-18-715 through 2-18-720; (c) terminate approval of an independent reviewer and remove the independent reviewer from the list of […]