JOINT SELF-INSURANCE EMPLOYEE HEALTH PLANS

Accounting and bookkeeping

Accounts receivable, assignment, sale, or transfer, Minn. Statutes 2005 295.56

Billing procedures, health care gross revenues taxes, Minn. Statutes 2005 295.53

Administrative services, vendors, Minn. Statutes 2005 62H.03

Advertising, Medicare supplement insurance, Minn. Statutes 2005 62A.31

Affiliates, cost containment goals, election, Minn. Statutes 2005 62J.041

Allied independent health providers

Scope of practice, abortion regulation, Minn. Statutes 2005 62Q.145

Alternative dispute resolution, Minn. Statutes 2005 62Q.106, 62Q.19

Assessments

Health Coverage Reinsurance Association, premiums, Minn. Statutes 2005 62L.21, 62L.22

Requirements, Minn. Statutes 2005 62H.04

Assignments

Accounts receivable, health care gross revenues taxes, liability, Minn. Statutes 2005 295.56

Claim discounts, Minn. Statutes 2005 72A.201

Audits and examinations

Generally, Minn. Statutes 2005 62H.06

Loss ratio standards, compliance audits, Minn. Statutes 2005 62A.021

Benefits

Federal regulations, compliance, Minn. Statutes 2005 62H.01, 62H.04

Generally, Minn. Statutes 2005 62H.01

Lifetime benefits, Minn. Statutes 2005 62Q.49

Mandated benefits, exemption, Minn. Statutes 2005 62H.04

Withholding, newborns, premium payments, Minn. Statutes 2005 62A.042

Certificates and certification

Coverage, federal regulations, compliance, Minn. Statutes 2005 62Q.181

Certificates of authority, denial, revocation, or suspension

Small employer health benefit plan violations, Minn. Statutes 2005 62L.11

Third-party contracts, health care gross revenues taxes violations, Minn. Statutes 2005 295.582

Cessation of business, Minn. Statutes 2005 62A.65

Chemical use assessments, health plan companies, Minn. Statutes 2005 62Q.1055

Claims

Aggregate excess stop-loss coverage, Minn. Statutes 2005 62H.02

Discounts, Minn. Statutes 2005 72A.201

Participating employers, duties, Minn. Statutes 2005 62H.02

Standards, review, Minn. Statutes 2005 62Q.107

Subrogation, notice, Minn. Statutes 2005 62A.096

Coinsurance, see Deductibles, copayments, or coinsurance under this topic

Complaint systems, health care information clearinghouse, duties, Minn. Statutes 2005 62J.2930

Complaints

Alternative dispute resolution, Minn. Statutes 2005 62Q.106, 62Q.19

Generally, see Health plan companies under HEALTH AND ACCIDENT INSURANCE

Investigations, Minn. Statutes 2005 62Q.106

Orders, Minn. Statutes 2005 62Q.106

Conflict of laws, portability of coverage, prevailing law, Minn. Statutes 2005 62Q.18

Contested cases

Birth records, group purchaser data, disclosure, Minn. Statutes 2005 144.225

Health coverage, Minn. Statutes 2005 62A.02

Third-party contracts, health care gross revenues taxes violations, fines, censure, or revocation or suspension of certification, Minn. Statutes 2005 295.582

Continuation and conversion privileges

Dependent children, Minn. Statutes 2005 62A.20, 62A.21

Exclusionary riders, Minn. Statutes 2005 62A.65

Exemptions, Minn. Statutes 2005 62H.04

Federal regulations, compliance, Minn. Statutes 2005 62H.04

Former spouses, Minn. Statutes 2005 62A.21

Group coverage, generally, Minn. Statutes 2005 60A.086

Individual market regulation, Minn. Statutes 2005 62A.65

Portability of coverage, Minn. Statutes 2005 62Q.18

Preexisting condition limitations or exclusions, Minn. Statutes 2005 62A.65

Pregnancy, Minn. Statutes 2005 62A.65

Spouses, Minn. Statutes 2005 62A.20

Terminated or laid off employees, Minn. Statutes 2005 62A.17

Underwriting, Minn. Statutes 2005 62A.65

Contracts and agreements

Chemical dependency treatment programs, accountability plan participation, Minn. Statutes 2005 62Q.135

Patient Protection Act, assignment of obligations, Minn. Statutes 2005 62J.701

Prohibited contracts, Patient Protection Act, Minn. Statutes 2005 62J.71

Restrictive terms, Minn. Statutes 2005 62J.73

Third-party contracts, health care gross revenues taxes, transfer of additional expense, Minn. Statutes 2005 295.582

Contributing members, joint self-insurance employee health plans defined as, Minn. Statutes 2005 62E.02

Copayments, see Deductibles, copayments, or coinsurance under this topic

Cost containment, see under HEALTH CARE

Cost-sharing

Change of clinic or physicians, higher cost-sharing prohibited, Minn. Statutes 2005 62Q.43

Chemical dependency treatment, Minn. Statutes 2005 62Q.47

Closed-panel health plans, student enrollees, higher share for change option, Minn. Statutes 2005 62Q.43

Disclosure, Minn. Statutes 2005 62Q.49

Mental health services, Minn. Statutes 2005 62Q.47

Point-of-service options, Minn. Statutes 2005 62Q.51

Coverage

Abortion, Minn. Statutes 2005 145.414

Breast implants, Minn. Statutes 2005 62A.285

Chemical dependency treatment, cost-sharing, Minn. Statutes 2005 62Q.47

Closed-panel health plans, Minn. Statutes 2005 62Q.43

Contested cases, Minn. Statutes 2005 62A.02

Definitions, Minn. Statutes 2005 62A.65

Denial of access, professional opinion required, Minn. Statutes 2005 62Q.12

Dental procedures, hospitalization and general anesthesia, Minn. Statutes 2005 62A.308

Dependent children, Minn. Statutes 2005 62A.048

Dependents, Minn. Statutes 2005 62A.302

Diabetes, equipment and supplies, Minn. Statutes 2005 62A.3093

Eligibility, genetic tests, Minn. Statutes 2005 72A.139

Exclusionary riders, limitations or exclusion, Minn. Statutes 2005 62A.65

Fibrocystic breast condition, Minn. Statutes 2005 62A.305

Forms, Minn. Statutes 2005 62A.02, 62A.03

Group health plans, Minn. Statutes 2005 62A.02, 62Q.18

Guaranteed issue, Minn. Statutes 2005 62A.65, 62H.04, 62Q.19

Hearing aids, Minn. Statutes 2005 62Q.675

Individual market regulation, Minn. Statutes 2005 62A.65

Lyme disease, treatment, Minn. Statutes 2005 62A.265

Maternity, Minn. Statutes 2005 62H.04

Medical tests ordered by advanced practice nurses, Minn. Statutes 2005 62A.3091

Mental health services, cost-sharing, Minn. Statutes 2005 62Q.47

Point-of-service options, Minn. Statutes 2005 62Q.51

Port-wine stain elimination or treatment, Minn. Statutes 2005 62A.304

Portability, Minn. Statutes 2005 62A.65, 62Q.021, 62Q.18

Preexisting conditions, Minn. Statutes 2005 62A.65, 62H.04, 62Q.18

Pregnancy, Minn. Statutes 2005 62A.65

Prescription drugs written by nonphysicians, Minn. Statutes 2005 62A.307

Prostate cancer screening, Minn. Statutes 2005 62Q.50

Risk classification, filing, Minn. Statutes 2005 62A.02

Short-term coverage, Minn. Statutes 2005 62A.65

Special education services, Minn. Statutes 2005 125A.023

Stop-loss coverage, Minn. Statutes 2005 62H.02

Surgical first assistants, Minn. Statutes 2005 62A.3092

Survivor's benefits, Minn. Statutes 2005 62A.145, 62A.146

Termination, Minn. Statutes 2005 62A.146, 62Q.16

Voluntary purchasing pools, Minn. Statutes 2005 62Q.17

X-rays ordered by advanced practice nurses, Minn. Statutes 2005 62A.3091

Damages, workers' compensation

Computer data, improper disclosure, Minn. Statutes 2005 176.138

Data

Access to data, Minn. Statutes 2005 62Q.03, 62Q.135

Provider information pilot study, Minn. Statutes 2005 62J.322

Data collection

Health care data and research initiatives, Minn. Statutes 2005 62J.321, 62J.381

Health care spending data, see Data collection under HEALTH CARE

Standard identifiers, use, Minn. Statutes 2005 62J.321

Deductibles, copayments, or coinsurance

Consumer cost-sharing, effect, disclosure, Minn. Statutes 2005 62Q.49

Diabetes coverage, Minn. Statutes 2005 62A.3093

Lyme disease treatment, restriction, Minn. Statutes 2005 62A.265

Negotiated provider payments, effect, disclosure, Minn. Statutes 2005 62Q.49

Patient Protection Act, disclosure, Minn. Statutes 2005 62J.72

Prostate cancer screening, Minn. Statutes 2005 62Q.50

Scalp hair prostheses, Minn. Statutes 2005 62A.28

Definitions

Comprehensive Health Insurance Act, Minn. Statutes 2005 62E.02

Health and accident insurance, Minn. Statutes 2005 62A.011

Health care gross revenues tax, Minn. Statutes 2005 295.50, 295.51

Health plan companies, Minn. Statutes 2005 62Q.01

Insurance fraud, Minn. Statutes 2005 60A.951

Small Employer Health Benefit Act, Minn. Statutes 2005 62L.02

Disclosure

Birth records, group purchaser data, contested cases, Minn. Statutes 2005 144.225

Cost-sharing, effect, Minn. Statutes 2005 62Q.49

Loss ratios, Minn. Statutes 2005 62A.021

Marketing, Minn. Statutes 2005 62Q.49

Negotiated provider payments, effect, Minn. Statutes 2005 62Q.49

Provider reimbursements, usual and customary fees, methodology for determination, Minn. Statutes 2005 62A.61

Rates, increases, Minn. Statutes 2005 62A.024

Reimbursement methodologies, Patient Protection Act, Minn. Statutes 2005 62J.72

Small employer health benefit plans, underwriting, Minn. Statutes 2005 62L.06

Electronic data transmission or access, Minn. Statutes 2005 72A.20

Enforcement of law

Coverage, Minn. Statutes 2005 62Q.021, 62Q.181

Disclosure, usual and customary provider fees, methodology for determination, Minn. Statutes 2005 62A.61

Health care cost containment, Minn. Statutes 2005 62J.041

Voluntary purchasing pools, Minn. Statutes 2005 62Q.17

Enrollees

Civil penalties imposed by Commerce Department, division and distribution to, Minn. Statutes 2005 45.027

Cost-sharing, see same under this topic

Definitions, Minn. Statutes 2005 62J.70, 62Q.01

Dispute resolution, Minn. Statutes 2005 62Q.106, 62Q.19

Electronic data transmission or access, Minn. Statutes 2005 72A.20

Minimum number, Minn. Statutes 2005 62H.01

Patient Protection Act, Minn. Statutes 2005 62J.695 to 62J.76

Enrollment

Open enrollment, Minn. Statutes 2005 62H.04

Essential community providers, Minn. Statutes 2005 62Q.096, 62Q.19, 62Q.22

Essential facilities and services, withholding, Minn. Statutes 2005 62J.73

Establishment, Minn. Statutes 2005 62H.01

Exclusive relationships, Minn. Statutes 2005 62J.73

Exemptions from law, public employees insurance program, Minn. Statutes 2005 43A.316

Expanded provider networks, Minn. Statutes 2005 62Q.145

Expenditures

Cost containment, see under HEALTH CARE

Fines

Patient Protection Act, violations, Minn. Statutes 2005 62J.74

Small employer health benefit plan violations, Minn. Statutes 2005 62L.11

Third-party contracts, health care gross revenues taxes, violations, Minn. Statutes 2005 295.582

Fraud, see Insurance fraud under FRAUD

Funds, trusts, Minn. Statutes 2005 62H.05

Health care data and research initiatives, cooperation, Minn. Statutes 2005 62J.301

Health care gross revenues taxes

Billing violations, injunctions, lawsuits, Minn. Statutes 2005 295.53

Generally, see HEALTH CARE GROSS REVENUES TAXES

Health care providers

Joint self-insurance employee health plans defined as, Minn. Statutes 2005 295.50

Payments to, point-of-service options, Minn. Statutes 2005 62Q.51

Point-of-service options, Minn. Statutes 2005 62Q.51

Health care risk adjustment system, Minn. Statutes 2005 60A.235, 62Q.03

Health carriers

Joint self-insurance employee health plans defined as, Minn. Statutes 2005 62A.011, 62L.02

Health Coverage Reinsurance Association, duties, see Health carriers under HEALTH COVERAGE REINSURANCE ASSOCIATION

Health Coverage Reinsurance Association, exemption, Minn. Statutes 2005 62L.13

Health plan companies

Generally, see Health plan companies under HEALTH AND ACCIDENT INSURANCE

Joint self-insurance employee health plans defined as, Minn. Statutes 2005 62J.041, 62Q.01

Risk adjustment system, Minn. Statutes 2005 60A.235, 62Q.03

Health provider cooperatives, see Provider cooperatives under HEALTH CARE COOPERATIVES

Income and franchise taxes, exemption, Minn. Statutes 2005 290.05

Information about, health care information clearinghouse, duties, Minn. Statutes 2005 62J.2930

Injunctions

Health care gross revenues taxes, billing, tax statement violations, Minn. Statutes 2005 295.53

Patient Protection Act, violations, Minn. Statutes 2005 62J.74

Insureds, see Enrollees under this topic

Insurers, joint self-insurance employee health plans defined as, Minn. Statutes 2005 60A.951

Investigations, complaints, Minn. Statutes 2005 62Q.106

Issuance, guaranteed issue

Basis, exemption, Minn. Statutes 2005 62H.04

Generally, Minn. Statutes 2005 62A.65

Preexisting conditions, Minn. Statutes 2005 62Q.18

Lawsuits

Dispute resolution, Minn. Statutes 2005 62Q.106, 62Q.19

Health care gross revenues taxes, billing, tax statement violations, Minn. Statutes 2005 295.53

Liability

Health care gross revenues taxes, accounts receivable, assignment, transfer, or sale, Minn. Statutes 2005 295.56

Health Coverage Reinsurance Association, premiums, Minn. Statutes 2005 62L.21

Patient data, disclosure, immunity, Minn. Statutes 2005 62J.321

Small employer health benefit plans, duties, see Health carriers under SMALL EMPLOYER HEALTH BENEFIT PLANS

Transfer of risks, claims, Minn. Statutes 2005 62L.20

Licenses

Denial, revocation, or suspension, Minn. Statutes 2005 62L.11

Health care risk adjustment system, participation, Minn. Statutes 2005 62Q.03

Utilization review, compliance, Minn. Statutes 2005 62M.03

Loss ratios, Minn. Statutes 2005 62A.021, 62A.65

Marketing

Disclosure, Minn. Statutes 2005 62Q.49

Loss ratios, disclosure, Minn. Statutes 2005 62A.021

Marketing services, vendors, Minn. Statutes 2005 62H.03

Medicare supplement insurance, see under HEALTH AND ACCIDENT INSURANCE

Memberships

Health Coverage Reinsurance Association, Minn. Statutes 2005 62L.14

Minnesota Comprehensive Health Association, Minn. Statutes 2005 62E.10

Monitoring, Minn. Statutes 2005 62J.041

Net worth, monitoring, Minn. Statutes 2005 62J.041

Notice given

Forms or rates, request for hearing, Minn. Statutes 2005 62A.02

Policyholders, cessation of business, Minn. Statutes 2005 62A.65

Rate changes, Minn. Statutes 2005 62A.023

Rate increases, Minn. Statutes 2005 62A.024

Small employer health benefit plans, cessation of business, Minn. Statutes 2005 62L.09

Transfer of risk, Minn. Statutes 2005 62L.20

Orders

Complaints, resolution, Minn. Statutes 2005 62Q.106

Termination of plan, Minn. Statutes 2005 62H.02

Third-party contracts, health care gross revenues taxes violations, censure, Minn. Statutes 2005 295.582

Patient Protection Act, Minn. Statutes 2005 62J.73

Payments by

Ambulance services, reimbursements, Minn. Statutes 2005 62J.48

Point-of-service options, Minn. Statutes 2005 62Q.51

Special transportation services, reimbursements, Minn. Statutes 2005 62J.48

Third-party contracts, health care gross revenues taxes, transferred additional expenses, Minn. Statutes 2005 295.582

Personal health care services, funding, recommendations, Minn. Statutes 2005 62Q.33

Point-of-service options, Minn. Statutes 2005 62Q.51

Policies

Approval, standards, Minn. Statutes 2005 62A.02

Defined as health plans, Minn. Statutes 2005 62A.011, 62Q.01

Filing requirements, Minn. Statutes 2005 62A.02

Issuance, Minn. Statutes 2005 62A.02, 62A.285

Limits, determining, Minn. Statutes 2005 72A.20

Loss ratios, Minn. Statutes 2005 62A.02, 62A.021

Renewal, Minn. Statutes 2005 62A.285, 62A.65

Policy of state, abortion, coverage, Minn. Statutes 2005 145.414

Policyholders

Notice received, health carriers, cessation of business, Minn. Statutes 2005 62A.65

Rights, health care information clearinghouse, duties, Minn. Statutes 2005 62J.2930

Portability, Minn. Statutes 2005 62A.65, 62Q.021, 62Q.18

Premiums

Closed panel health plans, student enrollees, Minn. Statutes 2005 62Q.43

Premiums paid by state, insurance taxes, exemptions, Minn. Statutes 2005 297I.15

Rates

Gender-based decisions, Minn. Statutes 2005 62A.306

Health care cost containment, Minn. Statutes 2005 62J.041

Increase, disclosure, Minn. Statutes 2005 62A.024

Point-of-service options, Minn. Statutes 2005 62Q.51

Port-wine stain elimination or treatment coverage, Minn. Statutes 2005 62A.304

Rate cells, filing, Minn. Statutes 2005 62A.65

Regional index rates, requesting, Minn. Statutes 2005 62A.65

Reasonable, adequate, and nonpredatory premiums, Minn. Statutes 2005 72A.20

Prohibited health plans, disclosures, noncompliance, Minn. Statutes 2005 62Q.49

Provider networks, Minn. Statutes 2005 62Q.19

Providers, Minn. Statutes 2005 62Q.19

Purchasing alliance stop-loss fund, Minn. Statutes 2005 256.956

Qualified plans, Minn. Statutes 2005 62H.04

Qualifying coverage, joint self-insurance employee health plans defined as, Minn. Statutes 2005 62L.02

Records and record keeping

Electronic data transmission or access, Minn. Statutes 2005 72A.20

Renewal, short-term coverage, exception, Minn. Statutes 2005 62A.65

Reportable multiple employer welfare arrangement (MEWAs), exclusion, Minn. Statutes 2005 62H.10

Reports given

Annual report, Minn. Statutes 2005 62H.05

Expenditures, Minn. Statutes 2005 62J.041

Health care gross revenues taxes, qualifying exemptions, Minn. Statutes 2005 295.53

Small employer health benefit plans, Minn. Statutes 2005 62L.10

Reserves

Additions to, net additions, deduction from gross revenues, Minn. Statutes 2005 295.53

Requirements, Minn. Statutes 2005 62J.041

Retaliation by, health care providers, Minn. Statutes 2005 62J.71

Revenues, reports about, Minn. Statutes 2005 62J.041

Risk management services, vendors, Minn. Statutes 2005 62H.03

School districts, see Insurance under SCHOOL DISTRICTS

Short-term coverage, Minn. Statutes 2005 62A.65

Small employer health benefit plans, see SMALL EMPLOYER HEALTH BENEFIT PLANS

Staff model health plan companies

Joint self-insurance employee health plans defined as, Minn. Statutes 2005 295.50

Statutes of limitations, subrogation, Minn. Statutes 2005 62A.096

Stop-loss coverage, Minn. Statutes 2005 62H.02, 297I.01

Subrogation, Minn. Statutes 2005 62A.095, 62A.096

Taxation, insurance taxes, see INSURANCE TAXES

Termination, Minn. Statutes 2005 62H.02

Trade secret information, reserve calculations, Minn. Statutes 2005 62J.041

Trustees, Minn. Statutes 2005 62H.03, 62H.05, 62H.08

Trusts, Minn. Statutes 2005 62H.05

Underwriting

Gender-based decisions, Minn. Statutes 2005 62A.306, 62A.65

Preexisting conditions, Minn. Statutes 2005 62A.65

Violations, Minn. Statutes 2005 62A.285

Unfair or deceptive trade practices, Minn. Statutes 2005 62A.021, 72A.20

Utilization review, see HEALTH CARE UTILIZATION REVIEW

Utilization Review Act, Minn. Statutes 2005 62M.01

Vendors, Minn. Statutes 2005 62H.03

Violations and penalties

Civil penalties, division and distribution to enrollees, Minn. Statutes 2005 45.027

Employers, early termination of participation, financial penalties, Minn. Statutes 2005 62H.01

Health care gross revenues taxes, billing violations, injunctions, lawsuits, Minn. Statutes 2005 295.53

Patient Protection Act, fines, injunctions, Minn. Statutes 2005 62J.74

Policies, employer violations, Minn. Statutes 2005 62A.303

Short-term coverage, issuance violations, Minn. Statutes 2005 62A.65

Small employer health benefit plan violations, denial, revocation, or suspension of licenses, Minn. Statutes 2005 62L.11

Third-party contracts, health care gross revenues taxes violations, fines, censure, or revocation or suspension of certification, Minn. Statutes 2005 295.582

Underwriting violations, Minn. Statutes 2005 62A.285

Unfair or deceptive trade practices, Minn. Statutes 2005 62A.021

Workers' compensation, employee treatment, computer data, disclosure to, Minn. Statutes 2005 176.138