(a) Any health carrier that offers an individual or small group health plan, must offer the health plan in a service area that is at least the entire geographic area of a county unless serving a smaller geographic area is necessary, nondiscriminatory, and in the best interest of enrollees. The service area for any individual or small group health plan must be established without regard to racial, ethnic, language, concentrated poverty, or health status-related factors, or other factors that exclude specific high-utilizing, high-cost, or medically underserved populations.
(b) If a health carrier that offers an individual or small group health plan requests to serve less than the entire county, the request must be made to the commissioner of health on a form and manner determined by the commissioner and must provide specific data demonstrating that the service area is not discriminatory, is necessary, and is in the best interest of enrollees.
(c) The commissioner of health shall enforce this section.
2013 c 84 art 2 s 14,17
Structure Minnesota Statutes
Chapters 59A - 79A — Insurance
Chapter 62K — Minnesota Health Plan Market Rules
Section 62K.02 — Purpose And Scope.
Section 62K.04 — Market Rules; Violation.
Section 62K.05 — Federal Act; Compliance Required.
Section 62K.06 — Metal Level Mandatory Offerings.
Section 62K.07 — Information Disclosures.
Section 62K.075 — Provider Network Notifications.
Section 62K.08 — Marketing Standards.
Section 62K.09 — Accreditation Standards.
Section 62K.10 — Geographic Accessibility; Provider Network Adequacy.
Section 62K.105 — Network Adequacy Complaints.
Section 62K.11 — Balance Billing Prohibited.
Section 62K.12 — Quality Assurance And Improvement.
Section 62K.13 — Service Area Requirements.
Section 62K.14 — Limited-scope Pediatric Dental Plans.
Section 62K.15 — Annual Open Enrollment Periods; Special Enrollment Periods.