Section 62E.01 — Citation.
62E.01 CITATION. Sections 62E.01 to 62E.17 may be cited as the “Minnesota Comprehensive Health Insurance Act of 1976.” History: 1976 c 296 art 1 s 1
Section 62E.02 — Definitions.
62E.02 DEFINITIONS. Subdivision 1. Application. For the purposes of sections 62E.01 to 62E.19, the terms and phrases defined in this section have the meanings given them. Subd. 2. Employer. “Employer” means any person, partnership, association, trust, estate or corporation, including the state of Minnesota or any agency, instrumentality or governmental subdivision thereof, which employs ten […]
Section 62E.04 — Duties Of Insurers.
62E.04 DUTIES OF INSURERS. Subdivision 1. Individual policies. For each type of qualified plan described in section 62E.06, an insurer or fraternal issuing individual policies of accident and health insurance in this state, other than group conversion policies, shall develop and file with the commissioner an individual policy which meets the minimum standards of that […]
Section 62E.05 — Information On Qualified Plans.
62E.05 INFORMATION ON QUALIFIED PLANS. Subdivision 1. Certification. Upon application by an insurer, fraternal, or employer for certification of a plan of health coverage as a qualified plan or a qualified Medicare supplement plan for the purposes of sections 62E.01 to 62E.19, the commissioner shall make a determination within 90 days as to whether the […]
Section 62E.06 — Minimum Benefits Of Qualified Plan.
62E.06 MINIMUM BENEFITS OF QUALIFIED PLAN. Subdivision 1. Number three plan. A plan of health coverage shall be certified as a number three qualified plan if it otherwise meets the requirements established by chapters 62A, 62C, and 62Q, and the other laws of this state, whether or not the policy is issued in Minnesota, and […]
Section 62E.07 — Qualified Medicare Supplement Plan.
62E.07 QUALIFIED MEDICARE SUPPLEMENT PLAN. (a) Any plan which provides benefits may be certified as a qualified Medicare supplement plan if the plan is designed to supplement Medicare and provides coverage of 100 percent of the deductibles required under Medicare, with exclusion under paragraph (b) for any part of the Medicare Part B deductible, and […]
Section 62E.08 — State Plan Premium.
62E.08 STATE PLAN PREMIUM. Subdivision 1. Establishment. The association shall establish the following maximum premiums to be charged for membership in the comprehensive health insurance plan: (a) the premium for the number one qualified plan shall range from a minimum of 101 percent to a maximum of 125 percent of the weighted average of rates […]
Section 62E.09 — Duties Of Commissioner.
62E.09 DUTIES OF COMMISSIONER. The commissioner may: (a) formulate general policies to advance the purposes of sections 62E.01 to 62E.19; (b) supervise the creation of the Minnesota Comprehensive Health Association within the limits described in section 62E.10; (c) approve the selection of the writing carrier by the association, approve the association’s contract with the writing […]
Section 62E.091 — Approval Of State Plan Premiums.
62E.091 APPROVAL OF STATE PLAN PREMIUMS. The association shall submit to the commissioner any premiums it proposes to become effective for coverage under the comprehensive health insurance plan, pursuant to section 62E.08, subdivision 3. No later than 45 days before the effective date for premiums specified in section 62E.08, subdivision 3, the commissioner shall approve, […]
Section 62E.10 — Comprehensive Health Association.
62E.10 COMPREHENSIVE HEALTH ASSOCIATION. Subdivision 1. Creation; tax exemption. There is established a Comprehensive Health Association to promote the public health and welfare of the state of Minnesota with membership consisting of all insurers; self-insurers; fraternals; joint self-insurance plans regulated under chapter 62H; the Minnesota employees insurance program established in section 43A.317, effective July 1, […]
Section 62E.101 — Managed Care Delivery Method.
62E.101 MANAGED CARE DELIVERY METHOD. The association may form a preferred provider network or contract with an existing provider network, health maintenance organization, or nonprofit health service plan corporation to deliver the services and benefits provided for in the plans of health coverage offered. If the association does not contract with an existing provider network, […]
Section 62E.11 — Operation Of Comprehensive Plan.
62E.11 OPERATION OF COMPREHENSIVE PLAN. Subdivision 1. Enrollment. Upon certification as an eligible person in the manner provided by section 62E.14, an eligible person may enroll in the comprehensive health insurance plan by payment of the state plan premium to the writing carrier. Subd. 2. Employer premium payment. Any employer which has in its employ […]
Section 62E.12 — Minimum Benefits Of Comprehensive Health Insurance Plan.
62E.12 MINIMUM BENEFITS OF COMPREHENSIVE HEALTH INSURANCE PLAN. (a) The association through its comprehensive health insurance plan shall offer policies which provide the benefits of a number one qualified plan and a number two qualified plan, except that the maximum lifetime benefit on these plans shall be $5,000,000; and an extended basic Medicare supplement plan […]
Section 62E.13 — Administration Of Plan.
62E.13 ADMINISTRATION OF PLAN. Subdivision 1. Submission of plans of coverage. Any member of the association may submit to the commissioner the policies of accident and health insurance or the health maintenance organization contracts which are being proposed to serve in the comprehensive health insurance plan. The time and manner of the submission shall be […]
Section 62E.14 — Enrollment By An Eligible Person.
62E.14 ENROLLMENT BY AN ELIGIBLE PERSON. Subdivision 1. Application, contents. The comprehensive health insurance plan shall be open for enrollment by eligible persons. An eligible person shall enroll by submission of an application to the writing carrier. The application must provide the following: (a) name, address, age, list of residences for the immediately preceding six […]
Section 62E.141 — Inclusion In Employer-sponsored Plan.
62E.141 INCLUSION IN EMPLOYER-SPONSORED PLAN. No employee of an employer that offers a health plan, under which the employee is eligible for coverage, is eligible to enroll, or continue to be enrolled, in the Comprehensive Health Association, except for enrollment or continued enrollment necessary to cover a condition that is subject to an unexpired preexisting […]
Section 62E.15 — Solicitation Of Eligible Persons.
62E.15 SOLICITATION OF ELIGIBLE PERSONS. Subdivision 1. Commissioner’s duty. The association pursuant to a plan approved by the commissioner shall disseminate appropriate information to the residents of this state regarding the existence of the comprehensive health insurance plan and the means of enrollment. Means of communication may include use of the press, radio and television, […]
Section 62E.18 — Health Insurance For Retired Employees Not Eligible For Medicare.
62E.18 HEALTH INSURANCE FOR RETIRED EMPLOYEES NOT ELIGIBLE FOR MEDICARE. A Minnesota resident who is age 65 or over and is not eligible for the health insurance benefits of the federal Medicare program is entitled to purchase the benefits of a qualified plan, one or two, or the $2,000, $5,000, or $10,000 annual deductible plan […]
Section 62E.19 — Payments For Preexisting Conditions.
62E.19 PAYMENTS FOR PREEXISTING CONDITIONS. Subdivision 1. Employer liability. An employer is liable to the association for the costs of any preexisting conditions of the employer’s former employees or their dependents during the first six months of coverage under the state comprehensive health insurance plan under the following conditions: (1)(i) the employer has terminated or […]
Section 62E.21 — Definitions.
62E.21 DEFINITIONS. Subdivision 1. Application. For the purposes of sections 62E.21 to 62E.25, the terms defined in this section have the meanings given them. Subd. 2. Affordable Care Act. “Affordable Care Act” means the federal act as defined in section 62A.011, subdivision 1a. Subd. 3. Attachment point. “Attachment point” means an amount as provided in […]