- (1) A fully insured health benefit plan may include financial responsibility for claims assumed by the PEO if the insurer is responsible for 100% of the PEO's liability for non-payment by the PEO.
- (2) A covered individual in a fully insured health benefit plan may make a claim for payment directly to the insurer.
- (3) A fully insured health benefit plan may have co-pay or deductible requirements as required by contract.
KEY: insurance, assurance organization designation
Date of Last Change: January 10, 2023
Notice of Continuation: August 1, 2023
Authorizing, and Implemented or Interpreted Law: 31A-40-303(3)