HF 422

as introduced - 79th Legislature (1995 - 1996) Posted on 12/15/2009 12:00am

  1.1                          A bill for an act
  1.2             relating to insurance; the comprehensive health 
  1.3             association; increasing the lifetime benefit limit; 
  1.4             amending Minnesota Statutes 1994, section 62E.12. 
  1.5   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.6      Section 1.  Minnesota Statutes 1994, section 62E.12, is 
  1.7   amended to read: 
  1.8      62E.12 [MINIMUM BENEFITS OF COMPREHENSIVE HEALTH INSURANCE 
  1.9   PLAN.] 
  1.10     The association through its comprehensive health insurance 
  1.11  plan shall offer policies which provide the benefits of a number 
  1.12  one qualified plan and a number two qualified plan, except that 
  1.13  the maximum lifetime benefit on these plans shall be 
  1.14  $1,000,000 $1,500,000, and an extended basic plan and a basic 
  1.15  Medicare plan as described in sections 62A.31 to 62A.44 and 
  1.16  62E.07.  The requirement that a policy issued by the association 
  1.17  must be a qualified plan is satisfied if the association 
  1.18  contracts with a preferred provider network and the level of 
  1.19  benefits for services provided within the network satisfies the 
  1.20  requirements of a qualified plan.  If the association uses a 
  1.21  preferred provider network, payments to nonparticipating 
  1.22  providers must meet the minimum requirements of section 72A.20, 
  1.23  subdivision 15.  They shall offer health maintenance 
  1.24  organization contracts in those areas of the state where a 
  1.25  health maintenance organization has agreed to make the coverage 
  2.1   available and has been selected as a writing carrier.  
  2.2   Notwithstanding the provisions of section 62E.06 the state plan 
  2.3   shall exclude coverage of services of a private duty nurse other 
  2.4   than on an inpatient basis and any charges for treatment in a 
  2.5   hospital located outside of the state of Minnesota in which the 
  2.6   covered person is receiving treatment for a mental or nervous 
  2.7   disorder, unless similar treatment for the mental or nervous 
  2.8   disorder is medically necessary, unavailable in Minnesota and 
  2.9   provided upon referral by a licensed Minnesota medical 
  2.10  practitioner.  
  2.11     Sec. 2.  [EFFECTIVE DATE.] 
  2.12     Section 1 is effective July 1, 1995 and applies to coverage 
  2.13  issued or renewed on or after that date.