33-22-522. Uniform health benefit plan -- group. - Montana Statutes

     33-22-522. Uniform health benefit plan -- group. (1) Each insurer or health service corporation delivering or issuing for delivery in this state a health benefit plan, as defined in 33-22-243, to a group shall make available a uniform health benefit plan providing the benefits and services required in subsection (2).
     (2) The uniform health benefit plan must:
     (a) provide coverage for the services and articles required by 33-22-1521(2);
     (b) pay 50% of the covered expenses in excess of an annual deductible that may not exceed $1,000 per person or $2,000 per family;
     (c) include a limitation of $5,000 per person or $7,500 per family on the total annual out-of-pocket expenses for services covered; and
     (d) be subject to a maximum lifetime benefit of $1 million.
     (3) Except as provided in this section, a health insurance issuer may exclude any category of licensed health care practitioner and any benefit or coverage for health care services otherwise required by law or rule from a group uniform health benefit plan delivered or issued for delivery in this state.

     History: En. Sec. 9, Ch. 527, L. 1995; amd. Sec. 2, Ch. 504, L. 1997.