2-18-701. Definitions. As used in this part, the following definitions apply: (1) ”Dependent” has the meaning provided in 33-22-140. (2) ”Employee”, as the term applies to a person employed in the executive, judicial, or legislative branches of state government, means: (a) a permanent full-time employee, as provided in 2-18-601; (b) a permanent part-time employee, as provided in 2-18-601, who is […]
2-18-702. Group insurance for public employees and officers. (1) (a) Except as provided in subsection (1)(c), all counties, cities, towns, school districts, and the board of regents shall upon approval by two-thirds vote of their respective officers and employees enter into group hospitalization, medical, health, including long-term disability, accident, or group life insurance contracts or plans for […]
2-18-703. Contributions. (1) Each agency, as defined in 2-18-601, and the state compensation insurance fund shall contribute the amount specified in this section toward the group benefits cost. (2) (a) Except as provided in subsection (2)(b), for employees defined in 2-18-701 and for members of the legislature, the employer contribution for group benefits is $1,054 a month. (b) For […]
2-18-704. Mandatory provisions. (1) An insurance contract or plan issued under this part must contain provisions that permit: (a) the member of a group who retires from active service under the appropriate retirement provisions of a defined benefit plan provided by law or, in the case of the defined contribution plan provided in Title 19, chapter 3, […]
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.
2-18-711. 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.
2-18-715. 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. (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. 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. (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. (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. (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 […]
