31A-22-605.5 - Application.
31A-22-605.5. Application.
(1) For purposes of this section "insurance mandate":
(a) means a mandatory obligation with respect to coverage, benefits, or the number ortypes of providers imposed on policies of accident and health insurance; and
(b) does not mean an administrative rule imposing a mandatory obligation with respect tocoverage, benefits, or providers unless that mandatory obligation was specifically imposed onpolicies of accident and health insurance by statute.
(2) (a) Notwithstanding the provisions of Subsection 31A-1-103(3)(f), the followingshall apply to health coverage offered to the state employees' risk pool under Subsection49-20-202(1)(a):
(i) any law imposed under this title that becomes effective after January 1, 2002, whichprovides for an insurance mandate for policies of accident and health insurance; and
(ii) in accordance with Section 31A-22-613.5, disclosure requirements for coveragelimitations.
(b) If health coverage offered to the state employees' risk pool under Subsection49-20-202(1)(a) offers coverage in the same manner and to the same extent as the coveragerequired by the insurance mandate imposed under this title or coverage that is greater than theinsurance mandate imposed under this title, the coverage offered to state employees underSubsection 49-20-202(1)(a) will be considered in compliance with the insurance mandate.
(c) The program regulated under Subsection 49-20-202(1)(a) shall report to theRetirement and Independent Entities Committee created under Section 63E-1-201 by November30 of each year in which a mandate is imposed under the provisions of this section. The reportshall include the costs and benefits of the particular mandatory obligation.
Amended by Chapter 241, 2008 General Session
Amended by Chapter 250, 2008 General Session