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Rule Subchapter: 6.6.50
Subchapter Title: Small Employer Health Insurance Rules
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6.6: INSURANCE DEPARTMENT
6.6.50: Small Employer Health Insurance Rules


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Rule No Rule Title Latest
Version
Effective
Date
6.6.5001 DEFINITIONS access file 6/26/1998
Rules 6.6.5002 and 6.6.5003 reserved
6.6.5004 APPLICABILITY, SCOPE, AND TRANSITION access file 6/26/1998
Rules 6.6.5005 through 6.6.5007 reserved
6.6.5008 COVERED SERVICES OF POLICIES UNDER STANDARD PLAN access file 6/26/1998
Rules 6.6.5009 through 6.6.5011 reserved
6.6.5012 COVERED PREVENTIVE CARE AND HEALTH MAINTENANCE SERVICE OF POLICIES UNDER STANDARD PLAN (IS HEREBY REPEALED) REP 10/13/1995
Rules 6.6.5013 through 6.6.5015 reserved
6.6.5016 SERVICES THAT MAY BE EXCLUDED FROM COVERAGE UNDER THE STANDARD PLAN (IS HEREBY REPEALED) REP 10/13/1995
Rules 6.6.5017 through 6.6.5019 reserved
6.6.5020 DEDUCTIBLE CHARGES, COINSURANCE, MAXIMUM ALLOWABLE OUT-OF-POCKET CHARGES, AND LIFETIME MAXIMUM BENEFIT LEVEL UNDER THE STANDARD PLAN REP 6/26/1998
Rules 6.6.5021 through 6.6.5023 reserved
6.6.5024 HMO COST SHARING SCHEDULE AND EXCEPTION TO STANDARD PLAN PROVISIONS access file 6/26/1998
Rules 6.6.5025 through 6.6.5027 reserved
6.6.5028 CONTRACT LANGUAGE REP 6/26/1998
Rules 6.6.5029 through 6.6.5031 reserved
6.6.5032 CRITERIA OF POLICIES OFFERED UNDER BASIC PLAN access file 6/26/1998
Rules 6.6.5033 through 6.6.5035 reserved
6.6.5036 CALCULATION OF BENEFIT VALUES access file 6/26/1998
Rules 6.6.5037 through 6.6.5039 reserved
6.6.5040 COST CONTAINMENT FEATURES OF BASIC AND STANDARD PLANS REP 10/13/1995
Rules 6.6.5041 through 6.6.5043 reserved
6.6.5044 FILING AND APPROVAL OF BASIC AND STANDARD PLANS REP 6/26/1998
Rules 6.6.5045 through 6.6.5049 reserved
6.6.5050 STATUS OF CARRIERS AS SMALL EMPLOYER CARRIERS - PERMISSION TO REENTER - ANNUAL REPORTING REQUIREMENTS access file 6/26/1998
Rules 6.6.5051 through 6.6.5053 reserved
6.6.5054 APPLICATION TO REENTER STATE REP 6/26/1998
Rules 6.6.5055 through 6.6.5057 reserved
6.6.5058 REQUIREMENT TO INSURE ENTIRE GROUPS access file 6/26/1998
Rule 6.6.5059 reserved
6.6.5060 COVERAGE THROUGH ASSOCIATIONS access file 6/26/1998
Rule 6.6.5061 reserved
6.6.5062 RESTORATION OF COVERAGE REP 6/26/1998
Rules 6.6.5063 through 6.6.5065 reserved
6.6.5066 QUALIFYING PREVIOUS AND QUALIFYING EXISTING COVERAGES REP 6/26/1998
Rules 6.6.5067 through 6.6.5069 reserved
6.6.5070 CONSIDERATION OF TRADE, OCCUPATION, OR INDUSTRY IN DECIDING WHETHER TO OFFER COVERAGE REP 6/26/1998
Rules 6.6.5071 through 6.6.5073 reserved
6.6.5074 RESTRICTIVE RIDERS REP 6/26/1998
Rules 6.6.5075 through 6.6.5077 reserved
6.6.5078 FAIR MARKETING STANDARDS access file 6/26/1998
6.6.5079 OPPORTUNITIES FOR INDIVIDUALS TO ENROLL IN SMALL GROUP PLANS access file 6/26/1998
6.6.5079A GUARANTEED AVAILABILITY OF COVERAGE IN THE SMALL GROUP MARKET - GUARANTEED ISSUE REQUIREMENTS - EXCEPTIONS access file 6/26/1998
6.6.5079B DISCLOSURE OF INFORMATION access file 6/26/1998
6.6.5079C PREEXISTING CONDITIONS - PERMISSIBLE RESTRICTIONS IN SMALL GROUPS access file 6/26/1998
6.6.5079D SMALL EMPLOYER HEALTH INSURANCE SUBJECT TO GENERAL HEALTH INSURANCE AND GROUP RULES access file 6/26/1998
6.6.5079E TRANSITION IN LARGE AND SMALL GROUP HEALTH PLANS TO CHANGES UNDER HEALTH INSURANCE PORTABILITY ACCOUNTABILITY ACT (HIPAA) IN MONTANA LAW access file 6/26/1998
6.6.5079F CREDITABLE COVERAGE AND METHODS OF COUNTING access file 6/26/1998
6.6.5079G CERTIFICATION OF CREDITABLE COVERAGE - GROUPS AND INDIVIDUALS access file 6/26/1998
6.6.5079H PREEXISTING CONDITIONS - PERMISSIBLE RESTRICTIONS IN GROUP PLANS OTHER THAN SMALL EMPLOYER PLANS access file 6/26/1998
6.6.5079I SPECIAL ENROLLMENT PERIODS access file 6/26/1998
6.6.5079J OPPORTUNITIES FOR INDIVIDUALS TO ENROLL IN GROUP PLANS OTHER THAN SMALL EMPLOYER PLANS access file 6/26/1998
6.6.5079K TRANSITION IN INDIVIDUAL MARKET TO CHANGES UNDER HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) UNDER MONTANA LAW access file 6/26/1998
6.6.5079L PREEXISTING CONDITIONS IN THE INDIVIDUAL, MARKET - DISCLOSURE access file 6/26/1998
6.6.5079M CERTIFICATION OF CREDITABLE COVERAGE ISSUED BY INSURERS IN THE INDIVIDUAL MARKET access file 6/26/1998
Rules 6.6.5080 and 6.6.5081 reserved
6.6.5082 ESTABLISHMENT OF CLASSES OF BUSINESS access file 6/10/1994
Rules 6.6.5083 through 6.6.5085 reserved
6.6.5086 TRANSITION FOR ASSUMPTIONS OF BUSINESS FROM ANOTHER CARRIER access file 6/10/1994
Rules 6.6.5087 through 6.6.5089 reserved
6.6.5090 RATE MANUAL AND RATE RESTRICTION GUIDELINES access file 12/18/1998
Rules 6.6.5091 through 6.6.5093 reserved
6.6.5094 CALCULATIONS RELATING TO PREMIUM RATE RESTRICTIONS (IS HEREBY REPEALED) REP 10/13/1995
Rules 6.6.5095 through 6.6.5097 reserved
6.6.5098 ANNUAL FILING OF ACTUARIAL CERTIFICATION (IS HEREBY REPEALED) REP 10/13/1995
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