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| Rule: 6.6.5024 | Prev Up Next | |
| Rule Title: HMO COST SHARING SCHEDULE AND EXCEPTION TO STANDARD PLAN PROVISIONS | ||
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| Department: | STATE AUDITOR | |
| Chapter: | INSURANCE DEPARTMENT | |
| Subchapter: | Small Employer Health Insurance Rules | |
| Latest version of the adopted rule presented in Administrative Rules of Montana (ARM): | ||
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6.6.5024 HMO COST SHARING SCHEDULE AND EXCEPTION TO STANDARD PLAN PROVISIONS (1) Standard plans offered by HMOs must comply with ARM 6.6.5008. HMO plans may require that all services provided in ARM 6.6.5008 must be rendered or referred by a primary care provider. (2) Standard plans offered by HMOs must offer a comparable level of benefits to a standard plan contemplated in 33-22-1828 , MCA and ARM 6.6.5008 as determined by the benefit value. History: Sec. 33-1-313 and 33-22-1822, MCA; IMP, Sec. 33-22-1802, 33-22-1812, and 33-22-1828, MCA; NEW, 1994 MAR p. 1528, Eff. 6/10/94; AMD, 1994 MAR p. 2926, Eff. 11/11/94; AMD, 1995 MAR p. 2127, Eff. 10/13/95; AMD, 1998 MAR p. 1698, Eff. 6/26/98. |
| MAR Notices | Effective From | Effective To | History Notes |
|---|---|---|---|
| 6/26/1998 | Current | History: Sec. 33-1-313 and 33-22-1822, MCA; IMP, Sec. 33-22-1802, 33-22-1812, and 33-22-1828, MCA; NEW, 1994 MAR p. 1528, Eff. 6/10/94; AMD, 1994 MAR p. 2926, Eff. 11/11/94; AMD, 1995 MAR p. 2127, Eff. 10/13/95; AMD, 1998 MAR p. 1698, Eff. 6/26/98. |
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