§4088h. Health insurance and the Blueprint for Health

Link to law: http://legislature.vermont.gov/statutes/section/08/107/04088h
Published: 2015

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The Vermont Statutes Online



Title

08

:
Banking and Insurance






Chapter

107

:
HEALTH INSURANCE






Subchapter

001
:
GENERALLY










 

§

4088h. Health insurance and the Blueprint for Health

(a)(1) A health

insurance plan shall be offered, issued, and administered consistent with the

Blueprint for Health established in 18 V.S.A. chapter 13, as determined by the

Commissioner.

(2) As used in

this section, "health insurance plan" means any individual or group

health insurance policy, any hospital or medical service corporation or health

maintenance organization subscriber contract, or any other health benefit plan

offered, issued, or renewed for any person in this State by a health insurer,

as defined in 18 V.S.A. § 9402. The term shall include the health benefit plan

offered by the State of Vermont to its employees and any health benefit plan

offered by any agency or instrumentality of the State to its employees. The

term shall not include benefit plans providing coverage for specific disease or

other limited benefit coverage unless so directed by the Commissioner.

(b) Health

insurers as defined in 18 V.S.A. § 701 shall participate in the Blueprint for

Health as specified in 18 V.S.A. § 706. In consultation with the Director of

the Blueprint for Health and the Director of Health Care Reform, the

Commissioner may establish procedures to exempt or limit the participation of

health insurers offering a stand-alone dental plan or specific disease or other

limited-benefit coverage. A health insurer shall be exempt from participation

if the insurer offers only benefit plans which are paid directly to the

individual insured or the insured's assigned beneficiaries and for which the

amount of the benefit is not based upon potential medical costs or actual costs

incurred. (Added 2007, No. 204 (Adj. Sess.), § 2; amended 2009, No. 128 (Adj.

Sess.), § 15.)
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