HEALTH AND ACCIDENT INSURANCE

Affordable Health Care Act, see MINNESOTA INSURANCE MARKETPLACE

Applications, filing fees, Minn. Rules 2605.0300

Benefits

Coordination, Minn. Rules 2742.0100 to 2742.0500

Cost of care determination, Minn. Rules 9515.2200

Certificates and certification, filing fees, Minn. Rules 2605.0300

Claims, coordination of benefits provisions, Minn. Rules 2742.0100 to 2742.0500

Claims reporting system, see Minnesota health care claims reporting system, data submissions under this topic

Comprehensive health and accident insurance plans

Actuarial equivalence, determinations

Equivalent points, Minn. Rules 2740.9924, 2740.9959, 2740.9964

Generally, Minn. Rules 2740.9904 to 2740.9993

Methods for determining, Minn. Rules 2740.9914

Qualified plan three, 1984 values, Minn. Rules 2740.9909

Tests for, examples, Minn. Rules 2740.9979, 2740.9991, 2740.9992, 2740.9993

Tests for, grand totals, Minn. Rules 2740.9949

Worksheets, Minn. Rules 2740.9954

Tables for determining actuarial equivalence

Benefit variations not covered by tables, Minn. Rules 2740.9929

Misuse, Minn. Rules 2740.9944

Surgical factors, Minn. Rules 2740.9919

Updates, Minn. Rules 2740.9939

Use of tables, Minn. Rules 2740.9934

Comprehensive health insurance plans

Administration, Minn. Rules 2740.4400

Appeals, Minn. Rules 2740.3800, 2740.4500

Approval, Minn. Rules 2740.3200

Authority for rules, Minn. Rules 2740.0200

Coverage

Cancellation or termination, Minn. Rules 2740.1600

Continuation and conversion privileges, Minn. Rules 2740.1200, 2740.1600

Effective date, Minn. Rules 2740.3700

Preexisting conditions, Minn. Rules 2740.3100

Requirements, Minn. Rules 2740.1200, 2740.3100

Defined as state health care program, Minn. Rules 9505.5210

Definitions, Minn. Rules 2740.0100

Eligibility, Minn. Rules 2740.3600 to 2740.3800

Enrollment, Minn. Rules 2740.3600, 2740.3700

Information dissemination, Minn. Rules 2740.3900

Minimum benefits, Minn. Rules 2740.3100

Minnesota Comprehensive Health Association, Minn. Rules 2740.2100 to 2740.5500

Purpose of rules, Minn. Rules 2740.0200, 2740.9904

Qualified plans

Actuarial equivalence, Minn. Rules 2740.1700, 2740.9904 to 2740.9993

Cancellation or termination, Minn. Rules 2740.1600

Certification, Minn. Rules 2740.1500, 2740.9934

Conversion privileges, Minn. Rules 2740.1600

Employers, duties, Minn. Rules 2740.1100

Insurers and fraternals, duties, Minn. Rules 2740.1200

Medicare supplement insurance, see same under this topic

Minimum benefits, Minn. Rules 2740.3100

Preexisting conditions, Minn. Rules 2740.1300, 2740.3100

Violations, Minn. Rules 2740.1200

Reinsurance, Minn. Rules 2740.5100 to 2740.5500

Scope of rules, Minn. Rules 2740.0200

Vendors, state health care program participation, Minn. Rules 9505.5210, 9505.5220, 9505.5240

Writing carriers, duties and requirements, Minn. Rules 2740.4300, 2740.4400

Contracts

Filing fees, Minn. Rules 2605.0300

Reinsurance pooling agreements, comprehensive health insurance, Minn. Rules 2740.5200

Coordination of benefits

Definitions, Minn. Rules 2742.0200

Effective date, Minn. Rules 2742.0500

Model contract, Minn. Rules 2742.0300

Purpose of rules, Minn. Rules 2742.0100

Requirements, Minn. Rules 2742.0400

Scope of rules, Minn. Rules 2742.0100

Coverage

Comprehensive health insurance plans, see same under this topic

Coordination of benefits provisions, Minn. Rules 2742.0400

Foreign exchange students, Minn. Rules 3650.0020

Credit health and accident insurance

Generally, see CREDIT INSURANCE

Unfair or deceptive trade practices, Minn. Rules 2700.3200

Definitions

Comprehensive health insurance, Minn. Rules 2740.0100, 2740.2100

Hospital and surgical center reporting, Minn. Rules 4650.0102

Discrimination, contracts, prohibited practices, Minn. Rules 2735.0100 to 2735.0500

Employer-subsidized health coverage, defined, Minn. Rules 9506.0010

Essential community providers, Minn. Rules 4688.0001 to 4688.0160

Forms, coordination of benefits provisions, Minn. Rules 2742.0300

Group health and accident insurance

Coordination of benefits provisions, Minn. Rules 2742.0100 to 2742.0500

Definitions, hospital and surgical center reporting, Minn. Rules 4650.0102

Replacement coverage, Minn. Rules 2755.0100 to 2755.0500

Group purchasers, definitions, hospital and surgical center reporting, Minn. Rules 4650.0102

Health and accident insurance companies

Comprehensive health insurance, Minn. Rules 2740.5200, 2740.5300

Comprehensive health insurance plans, see same under this topic

Comprehensive health insurance qualified plans

Cancellation or termination, notice, Minn. Rules 2740.1600

Certification, Minn. Rules 2740.1500, 2740.9934

Noncompliance, cease and desist orders, Minn. Rules 2740.1200

Group purchasers, aggregate data, reports

Amending, Minn. Rules 4652.0130

Contents, Minn. Rules 4652.0120

Definitions, Minn. Rules 4652.0100

Errors, Minn. Rules 4652.0130

Generally, Minn. Rules 4652.0110

Incomplete, Minn. Rules 4652.0130

Incorporation by reference, Minn. Rules 4652.0010

Review, Minn. Rules 4652.0130

Variances, Minn. Rules 4652.0140

Minnesota Comprehensive Health Association, Minn. Rules 2740.2200 to 2740.2600, 2740.5400

Health plan companies

Baskets of care, see State-designated baskets of care under HEALTH CARE

Claims reporting system, see Minnesota health care claims reporting system, data submissions under this topic

Quality measures, use, see Health care quality measures under HEALTH CARE

Hospital indemnity

Comprehensive health insurance qualified plans, exclusion, Minn. Rules 2740.1200

Definitions, Minn. Rules 2740.0100, 2742.0200

Joint self-insurance plans, Minn. Rules 2765.0100 to 2765.1500

Long-term care coverage, assessments, see LONG-TERM CARE INSURANCE

Major medical expenses

Comprehensive health insurance qualified plans, Minn. Rules 2740.1200

Defined, Minn. Rules 2740.0100

Managed care plans or organizations

Definitions, MinnesotaCare, Minn. Rules 9506.0010

MinnesotaCare, Minn. Rules 9506.0010 to 9506.0400

Marketing standards, Minn. Rules 2790.0100 to 2790.2200

Medical expense insurance, replacement coverage, Minn. Rules 2755.0100 to 2755.0500

Medicare supplement insurance

Actuarial equivalence, Minn. Rules 2740.9904

Certification, Minn. Rules 2740.1500

Defined, Minn. Rules 2740.0100

Generally, see Comprehensive health insurance plans under this topic

Minimum benefits, Minn. Rules 2740.1400, 2740.3100

Timing of required offer, Minn. Rules 2740.1200

Minnesota Comprehensive Health Association, Minn. Rules 2740.2100 to 2740.5500

Minnesota employees insurance program

Defined as group purchaser, hospital and surgical center reporting, Minn. Rules 4650.0102

Defined as state health care program, Minn. Rules 9505.5210

Vendors, state health care program participation, Minn. Rules 9505.5210, 9505.5220, 9505.5240

Minnesota health care claims reporting system, data submissions

Appendices, incorporations by reference, Minn. Rules 4653.0600

Contents, Minn. Rules 4653.0200

Definitions, Minn. Rules 4653.0100

Form, Minn. Rules 4653.0300

Health plan companies, registration with data processor, Minn. Rules 4653.0200

Schedule, Minn. Rules 4653.0300

Variances for individual data submitters, Minn. Rules 4653.0500

MNsure, see MINNESOTA INSURANCE MARKETPLACE

Policies

Comprehensive health insurance qualified plans, exclusions, Minn. Rules 2740.1200

Discrimination, prohibited practices, Minn. Rules 2735.0100 to 2735.0500

Endorsements, filing fees, Minn. Rules 2605.0300, 2605.0500

Filing fees, generally, Minn. Rules 2605.0300, 2605.0400, 2605.0500

Riders, filing fees, Minn. Rules 2605.0300

Preexisting conditions, comprehensive health insurance qualified plans, Minn. Rules 2740.0100, 2740.1300, 2740.3100

Premiums

Medical assistance, coverage, Minn. Rules 9505.0430

State facility clients or residents, gross income deductions, Minn. Rules 9515.2300

Qualified plans, see Comprehensive health insurance plans under this topic

Rates, filing fees, Minn. Rules 2605.0300, 2605.0400, 2605.0500

Refunds, filing fees, prohibited, Minn. Rules 2605.0400

Reinsurance, comprehensive health insurance, Minn. Rules 2740.5100 to 2740.5500

Replacement insurance, Minn. Rules 2755.0100 to 2755.0500

Rules, filing fees, Minn. Rules 2605.0500

Self-insurance

Joint plans, Minn. Rules 2765.0100 to 2765.1500

Political subdivisions, Minn. Rules 2785.0100 to 2785.1600

State-designated baskets of care, see under HEALTH CARE

State health care programs

Definitions, Minn. Rules 9505.5210

Participation requirements, Minn. Rules 9505.5200, 9505.5220, 9505.5240

State plan, see Comprehensive health insurance plans under this topic

State soldiers' assistance program, Minn. Rules 9055.0390

Violations and penalties, health and accident insurance companies, comprehensive health insurance qualified plans, noncompliance, cease and desist orders, Minn. Rules 2740.1200

Workers' compensation managed care plans, eligibility, Minn. Rules 5218.0200