ARM 6.6.5032

ARM 6.6.5032. CRITERIA OF POLICIES OFFERED UNDER BASIC PLAN

Last amended: 1998Length: 136 wordsOfficial source

Cite as Mont. Admin. R. 6.6.5032

(1) Any health benefit plan offered to a small employer group that has a benefit value, as calculated in ARM 6.6.5036, of less than the benefit value of the insurer's standard plan will qualify as a basic health benefit plan contemplated by 33-22-1827 , MCA. (2) Any HMO plan offered by a small employer carrier that offers fewer benefits than the carrier's standard HMO plan is subject to the commissioner's final determination, as contemplated by 33-22-1827 , MCA. (3) All basic health benefit plans and basic HMO plans contemplated by 33-22-1827 , MCA, may exclude coverage for services of any category of licensed practitioners and any type of health care service otherwise required by law or rule, except as specified in 33-22-1827 and 33-22-1903 , MCA. Basic health benefit plans must comply with 49-2-309 , MCA.
ARM 6.6.5032: ARM 6.6.5032. CRITERIA OF POLICIES OFFERED UNDER BASIC PLAN | Justis AI