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2006 Minnesota Statutes
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Chapter 62Q
Section 62Q.185
Topics
Recent History
- 1999 62Q.185 Amended 1999 c 177 s 57
- 1997 62Q.185 New 1997 c 175 art 3 s 3
This is an historical version of this statute chapter. Also view the most recent published version.
62Q.185 GUARANTEED RENEWABILITY; LARGE EMPLOYER GROUP.
(a) No health plan company, as defined in section 62Q.01, subdivision 4, shall refuse to
renew a health benefit plan, as defined in section 62L.02, subdivision 15, but issued to a large
employer, as defined in section 62Q.18, subdivision 1.
(b) This section does not require renewal if:
(1) the large employer has failed to pay premiums or contributions as required under the
terms of the health benefit plan, or the health plan company has not received timely premium
payments unless the late payments were received within a grace period provided under state law;
(2) the large employer has performed an act or practice that constitutes fraud or
misrepresentation of material fact under the terms of the health benefit plan;
(3) the large employer has failed to comply with a material plan provision relating to
employer contribution or group participation rules not prohibited by state law;
(4) the health plan company is ceasing to offer coverage in the large employer market in
this state in compliance with United States Code, title 42, section 300gg-12(c), and applicable
state law;
(5) in the case of a health maintenance organization, there is no longer any enrollee in the
large employer's health benefit plan who lives, resides, or works in the approved service area; or
(6) in the case of a health benefit plan made available to large employers only through one
or more bona fide associations, the membership of the large employer in the association ceases,
but only if such coverage is terminated uniformly without regard to any health-related factor
relating to any covered individual.
(c) This section does not prohibit a health plan company from modifying the premium rate or
from modifying the coverage for purposes of renewal.
(d) This section does not require renewal of the coverage of individual enrollees under the
health benefit plan if the individual enrollee has performed an act or practice that constitutes fraud
or misrepresentation of material fact under the terms of the health benefit plan.
History: 1997 c 175 art 3 s 3; 1999 c 177 s 57
(a) No health plan company, as defined in section 62Q.01, subdivision 4, shall refuse to
renew a health benefit plan, as defined in section 62L.02, subdivision 15, but issued to a large
employer, as defined in section 62Q.18, subdivision 1.
(b) This section does not require renewal if:
(1) the large employer has failed to pay premiums or contributions as required under the
terms of the health benefit plan, or the health plan company has not received timely premium
payments unless the late payments were received within a grace period provided under state law;
(2) the large employer has performed an act or practice that constitutes fraud or
misrepresentation of material fact under the terms of the health benefit plan;
(3) the large employer has failed to comply with a material plan provision relating to
employer contribution or group participation rules not prohibited by state law;
(4) the health plan company is ceasing to offer coverage in the large employer market in
this state in compliance with United States Code, title 42, section 300gg-12(c), and applicable
state law;
(5) in the case of a health maintenance organization, there is no longer any enrollee in the
large employer's health benefit plan who lives, resides, or works in the approved service area; or
(6) in the case of a health benefit plan made available to large employers only through one
or more bona fide associations, the membership of the large employer in the association ceases,
but only if such coverage is terminated uniformly without regard to any health-related factor
relating to any covered individual.
(c) This section does not prohibit a health plan company from modifying the premium rate or
from modifying the coverage for purposes of renewal.
(d) This section does not require renewal of the coverage of individual enrollees under the
health benefit plan if the individual enrollee has performed an act or practice that constitutes fraud
or misrepresentation of material fact under the terms of the health benefit plan.
History: 1997 c 175 art 3 s 3; 1999 c 177 s 57
Official Publication of the State of Minnesota
Revisor of Statutes