In 2 AAC 39.900 - 2 AAC 39.925, unless the context requires otherwise,

1. (1) "catastrophic coverage" means a health care insurance plan that

   1. (A) provides benefits for hospital and medical care with a lifetime maximum benefit per insured of at least $250,000; and
   2. (B) has a deductible of at least $5,000;
2. (2) "employee-only coverage" means a health care insurance plan that covers the employee with at least 70 percent coinsurance and an out-of-pocket limit of no more than $3,500;
3. (3) "family coverage" means a health care insurance plan that covers all eligible members of the family with at least 70 percent coinsurance and out-of-pocket limits of no more than $3,500 per individual;
4. (4) "out-of-pocket limit" means the amount the member needs to pay in coinsurance before the plan pays covered medical expenses at 100 percent.

(Eff. 7/1/2003, Register 166)

Authority: AS 39.30.090, AS 39.30.091