41-4024. SERVICES PROVIDED BY GOVERNMENTAL ENTITIES. (1) From and after July 1, 1990, no self-funded plan shall be issued in Idaho which excludes from coverage services rendered the subscriber while a resident in an Idaho state institution, provided the services to the subscriber would be covered by the contract if rendered to him outside an Idaho state institution.
(2) From and after July 1, 1990, no self-funded plan may contain any provision denying or reducing benefits otherwise provided under the policy for the reason that the person insured is receiving health or mental health care or developmental services provided by the department of health and welfare, whether or not the department of health and welfare bases its charges for such services on the recipient’s ability to pay. Provided, nothing in this section shall prevent the issuance of a contract which excludes or reduces benefits where the charge level or amount of the charge levied by a governmental entity for such services would vary or be affected in any way by the existence of coverage under a self-funded plan.
History:
[41-4024, added 1990, ch. 300, sec. 5, p. 830.]
Structure Idaho Code
Chapter 40 - SELF-FUNDED HEALTH CARE PLANS
Section 41-4001 - DECLARATION OF PURPOSE.
Section 41-4002 - DEFINITIONS.
Section 41-4003 - REGISTRATION REQUIRED — EXEMPTIONS — NOT SUBJECT TO INSURANCE CODE.
Section 41-4004 - PLAN REQUIREMENTS.
Section 41-4005 - APPLICATION FOR REGISTRATION — FEE.
Section 41-4006 - GRANT OR DENIAL OF REGISTRATION.
Section 41-4007 - TRUST FUND — AUTHORITY.
Section 41-4008 - TRUST FUND LIABILITY — FIDUCIARY FUNDS.
Section 41-4009 - INVESTMENT OF TRUST FUND.
Section 41-4010 - RESERVES AND SURPLUS.
Section 41-4011 - RECORDS AND ACCOUNTS — ANNUAL STATEMENT.
Section 41-4013 - EXAMINATION OF BOOKS, RECORDS AND ACCOUNTS.
Section 41-4014 - TRUSTEES — ADMINISTRATORS — BONDING.
Section 41-4015 - PROHIBITED PECUNIARY INTERESTS IN PLAN MANAGEMENT.
Section 41-4016 - POLITICAL CONTRIBUTIONS PROHIBITED.
Section 41-4017 - RECOVERY OF DEPLETED FUNDS.
Section 41-4018 - TERMINATION OF REGISTRATION.
Section 41-4019 - LIQUIDATION OF TRUST FUND.
Section 41-4021 - OTHER PROVISIONS APPLICABLE.
Section 41-4023 - COVERAGE FROM MOMENT OF BIRTH — COMPLICATIONS OF PREGNANCY.
Section 41-4024 - SERVICES PROVIDED BY GOVERNMENTAL ENTITIES.