Section 503 – Request for proposals for pharmacy benefits manager for Public Employees’ Benefit and Insurance Program.
49-20-503. Request for proposals for pharmacy benefits manager for Public Employees’ Benefit and Insurance Program. (1) When the board issues a request for proposals for a pharmacy benefits manager to provide pharmacy benefits management services for the program, the request for proposals shall: (a) require each responder to comply with the pharmacy audit provisions of […]
Section 103 – Creation of program.
49-21-103. Creation of program. There is created for eligible employees the “Public Employees’ Long-Term Disability Program.” Renumbered and Amended by Chapter 250, 2002 General Session
Section 105 – Purpose — Flexibility — Administration.
49-21-105. Purpose — Flexibility — Administration. (1) The purpose of this chapter is to provide long-term disability benefits for an eligible employee. (2) Subject to the provisions of Section 49-21-201, the program may include one or more long-term disability benefit plans that differ from the benefit plan specified by this chapter for an eligible employee […]
Section 201 – Program membership — Eligibility.
49-21-201. Program membership — Eligibility. (1) The state shall cover all of its eligible employees under this chapter. (2) Public safety service employees, as defined in Sections 49-14-102, 49-15-102, and 49-23-102 shall be covered under this chapter or a substantially similar long-term disability program in accordance with the provisions of Section 49-14-601, 49-15-601, or 49-23-601. […]
Section 421 – Prescription discount program.
Effective 7/1/2021 49-20-421. Prescription discount program. (1) As used in this section: (a) “Diabetes” means: (i) complete insulin deficiency or type 1 diabetes; (ii) insulin resistant with partial insulin deficiency or type 2 diabetes; or (iii) elevated blood glucose levels induced by pregnancy or gestational diabetes. (b) “Discount program” means a process developed by the […]
Section 501 – Title.
49-20-501. Title. This part is known as the “Pharmacy Benefits Manager Act.” Enacted by Chapter 83, 2011 General Session
Section 409 – Long-term disability — Cost of health coverage benefit.
49-20-409. Long-term disability — Cost of health coverage benefit. (1) Under the direction of the board, the program shall provide for health insurance coverage for state employees who receive a monthly disability benefit under Title 49, Chapter 21, Public Employees’ Long-Term Disability Act. (2) A risk pool, other than the state risk pool, may elect […]
Section 410 – High deductible health plan — Health savings account — Contributions.
Effective 7/1/2021 49-20-410. High deductible health plan — Health savings account — Contributions. (1) (a) In addition to other employee benefit plans offered under Subsection 49-20-201(1), the office shall offer at least one federally qualified high deductible health plan with a health savings account as an optional health plan. (b) The provisions and limitations of […]
Section 413 – Pilot program for on-site employee clinic.
Effective 5/12/2015 49-20-413. Pilot program for on-site employee clinic. (1) Within state premiums paid to the state risk pool from the Legislature, the program shall establish a primary care clinic: (a) for state employees and their dependents; (b) within a state building that is accessible to a large number of state employees; and (c) in […]
Section 414 – Telemedicine services — Reimbursement — Reporting.
Effective 5/14/2019 49-20-414. Telemedicine services — Reimbursement — Reporting. (1) As used in this section: (a) “Network provider” means a health care provider who has an agreement with the program to provide health care services to a patient with an expectation of receiving payment, other than coinsurance, copayments, or deductibles, directly from the managed care […]