Small Employer Health Insurance Rules | Midpage

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Administrative Rules of Montana

Subchapter 6.6.50

Small Employer Health Insurance Rules

State of Montana

6.6.5001Definitions 6.6.5004Applicability, Scope, and Transition 6.6.5008Covered Services of Policies under Standard Plan 6.6.5012Covered Preventive Care and Health Maintenance Service of Policies under Standard Plan (Repealed)6.6.5016Services That May Be Excluded from Coverage under the Standard Plan (Repealed)6.6.5020Deductible Charges, Coinsurance, Maximum Allowable Out-of-pocket Charges, and Lifetime Maximum Benefit Level under the Standard Plan (Repealed)6.6.5024Hmo Cost Sharing Schedule and Exception to Standard Plan Provisions 6.6.5028Contract Language (Repealed)6.6.5032Criteria of Policies Offered under Basic Plan 6.6.5036Calculation of Benefit Values 6.6.5040Cost Containment Features of Basic and Standard Plans (Repealed)6.6.5044Filing and Approval of Basic and Standard Plans (Repealed)6.6.5050Status of Carriers as Small Employer Carriers - Permission to Reenter - Annual Reporting Requirements 6.6.5054Application to Reenter State (Repealed)6.6.5058Requirement to Insure Entire Groups 6.6.5060Coverage Through Associations 6.6.5062Restoration of Coverage (Repealed)6.6.5066Qualifying Previous and Qualifying Existing Coverages (Repealed)6.6.5070Consideration of Trade, Occupation, or Industry in Deciding Whether to Offer Coverage (Repealed)6.6.5074Restrictive Riders (Repealed)6.6.5078Fair Marketing Standards 6.6.5079Opportunities for Individuals to Enroll in Small Group Plans 6.6.5079AGuaranteed Availability of Coverage in the Small Group Market - Guaranteed Issue Requirements - Exceptions 6.6.5079BDisclosure of Information 6.6.5079CPreexisting Conditions - Permissible Restrictions in Small Groups 6.6.5079DSmall Employer Health Insurance Subject to General Health Insurance and Group Rules 6.6.5079ETransition in Large and Small Group Health Plans to Changes under Health Insurance Portability Accountability Act (Hipaa) in Montana Law 6.6.5079FCreditable Coverage and Methods of Counting 6.6.5079GCertification of Creditable Coverage - Groups and Individuals 6.6.5079HPreexisting Conditions - Permissible Restrictions in Group Plans Other Than Small Employer Plans 6.6.5079ISpecial Enrollment Periods 6.6.5079JOpportunities for Individuals to Enroll in Group Plans Other Than Small Employer Plans 6.6.5079KTransition in Individual Market to Changes under Health Insurance Portability and Accountability Act (Hipaa) under Montana Law 6.6.5079LPreexisting Conditions in the Individual, Market - Disclosure 6.6.5079MCertification of Creditable Coverage Issued by Insurers in the Individual Market 6.6.5082Establishment of Classes of Business 6.6.5086Transition for Assumptions of Business from Another Carrier 6.6.5090Rate Manual and Rate Restriction Guidelines 6.6.5094Calculations Relating to Premium Rate Restrictions (Repealed)6.6.5098Annual Filing of Actuarial Certification (Repealed)