- (1) assigning a different attachment point for an individual based on the individual's expected claims or a given diagnosis;
- (2) assigning a deductible to an individual that must be met before stop-loss coverage applies;
- (3) denying stop-loss coverage to an individual who is otherwise covered by the small employer's health plan; and
- (4) applying an actively at work exclusion to stop-loss coverage.
The following lasering practices are prohibited under Section 31A-43-301:
KEY: small employer stop-loss
Date of Last Change: May 9, 2023
Notice of Continuation: March 7, 2024
Authorizing, and Implemented or Interpreted Law: 31A-43-304; Title 31A, Chapter 43