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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.)