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This is an obsolete version of the rule. Please click on the rule number to view the current version.

37.79.601    CONTRACTS FOR BENEFITS

(1) The department may enter into a contract with an insurer with a certificate of authority issued by the Montana commissioner of insurance to provide any of the benefits specified in these rules.

(2) An insurer entering into a contract with the department for the delivery of benefits assumes the risk that the costs of performance may exceed the consideration available through the premium.

(3) An insurer must provide the department with documented assurances to show that the insurer is not likely to become insolvent. This requirement may be satisfied by documenting compliance with rules adopted by the commissioner of insurance.

(4) An insurer may not in any manner hold an enrollee, parent or guardian responsible for the debts of the insurer.

(5) The department may contract with one or more insurers in an enrollment area.

(6) The department may contract with a vendor to purchase eyeglasses under a volume purchase contract.

(7) The department may contract with individual dentists to provide dental benefits as specified in ARM 37.79.326.

History: Sec. 53-4-1009, MCA; IMP, Sec. 53-4-1003, MCA; NEW, 2000 MAR p. 1221, Eff. 5/12/00; AMD, 2004 MAR p. 330, Eff. 2/13/04.

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