62T.01 DEFINITIONS. Subdivision 1. Scope. For purposes of this chapter, the terms in this section have the meanings given. Subd. 2. Health care purchasing alliance. “Health care purchasing alliance” means a business organization created under this chapter to negotiate the purchase of health care services for employers. Nothing in this chapter shall be deemed to […]
62T.02 PURCHASING ALLIANCES. Subdivision 1. Registration. Purchasing alliances must register prior to offering coverage, and annually on July 1 thereafter, with the commissioner on a form prescribed by the commissioner. Subd. 2. Common factors. All participants in a purchasing alliance must live within a common geographic region, be employed in a similar occupation, or share […]
62T.025 EMPLOYER-MEMBER CONTRIBUTION. If an employer-member of a purchasing alliance can demonstrate that the member has not offered employee health coverage for a year or more, the member may contribute 25 percent or more of the cost of employee coverage for up to 36 months. This provision only applies to rural purchasing alliances organized under […]
62T.03 APPLICATION OF OTHER LAWS. Subdivision 1. State law. An accountable provider network is subject to all requirements applicable to a health plan company licensed in the state, except as otherwise noted in this chapter. An accountable provider network and a health care purchasing alliance must comply with all requirements of chapter 62L, except for […]
62T.04 COMPLAINT SYSTEM. Accountable provider networks must establish and maintain an enrollee complaint system as required under sections 62Q.68 to 62Q.72 or as required by a contract with a purchasing alliance. The contract must be approved by the commissioner. The accountable provider network may contract with the health care purchasing alliance or a vendor for […]
62T.05 BENEFITS. An accountable provider network may offer and sell any benefits permitted to be offered and sold by health plan companies under Minnesota law. An accountable provider network may, after consultation with the purchasing alliance, offer only one benefit plan to employer-members of the alliance. History: 1997 c 225 art 5 s 5; 2000 […]
62T.06 WAIVERS. Subdivision 1. Authorization. The commissioner may grant waivers from the requirements of law for the contracting arrangement between a health care purchasing alliance and an accountable provider network in the areas listed in subdivisions 2 to 4. The commissioner may not waive the following state consumer protection and quality assurance laws: (1) laws […]
62T.07 CRITERIA FOR GRANTING WAIVERS. The commissioner may approve a request for waiver under section 62T.06 if the applicant demonstrates that the contracting arrangement between a health care purchasing alliance and an accountable provider network will meet the following criteria: (a) The arrangement would be likely to result in: (1) more choice in benefits and […]
62T.08 SUPERVISION AND REVOCATION OF WAIVERS. (a) The commissioner shall appropriately supervise and monitor approved waivers. (b) The commissioner may revoke approval of a waiver if the contracting arrangement no longer satisfies the criteria in section 62T.07, paragraphs (a) and (b). History: 1997 c 225 art 5 s 8
62T.09 MINNESOTA COMPREHENSIVE HEALTH ASSOCIATION. A health care purchasing alliance must pay the assessment required of contributing members pursuant to section 62E.11. History: 1997 c 225 art 5 s 9
62T.10 MINNESOTACARE TAX. An accountable provider network shall file with the commissioner of revenue all returns and pay to the commissioner of revenue all amounts required under chapter 297I. History: 1997 c 225 art 5 s 10; 2000 c 394 art 2 s 17
62T.11 DUTIES OF COMMISSIONER. (a) By July 1, 1997, the commissioner shall make available application forms for licensure as an accountable provider network. The accountable provider network may begin doing business after application has been approved. (b) Upon receipt of an application for a certificate of authority, the commissioner shall grant or deny licensure and […]
62T.12 FEES. Every accountable provider network subject to this chapter shall pay to the commissioner fees as prescribed by the commissioner pursuant to section 144.122. The initial fees are: (1) filing an application for licensure, $500; (2) filing an amendment to a license, $90; (3) filing an annual report, $200; (4) filing of renewal of […]
