31A-30-205. Health benefit plans offered in the defined contribution market.
(1) An insurer who chooses to offer a health benefit plan in the defined contribution
market must offer the following:
(a) one health benefit plan that:
(i) is a federally qualified high deductible health plan;
(ii) has the lowest deductible permitted for a federally qualified high deductible health
plan as adjusted by federal law; and
(iii) does not exceed annual out-of-pocket maximum equal to three times the amount of
the annual deductible; and
(b) one health benefit plan with benefits that have an actuarial value at least 15% greater
that the plan described in Subsection (1)(a).
(2) The provisions of Subsection (1) do not limit the number of health benefit plans an
insurer may offer in the defined contribution market. An insurer who offers the health benefit
plans required by Subsection (1) may also offer any other health benefit plan in the defined
contribution market if the health benefit plan provides benefits that are actuarially richer than the
benefits required in Subsection (1)(a).
Enacted by Chapter 12, 2009 General Session
Download Code Section Zipped WordPerfect 31A30_020500.ZIP 2,055 Bytes
Sections in this Chapter|Chapters in this Title|All Titles|Legislative Home Page
Last revised: Thursday, May 28, 2009