33-22-243. Premium increases to be distributed proportionately. (1) A health care insurer may increase the health benefit plan charges for an individual policy, certificate, or contract previously issued by that insurer because of a change in the attained age of the insured. Increases in premium, certificate, or contract charges for individual policies, certificates, or contracts previously issued by that insurer, based on factors other than attained age, must be distributed proportionately across the block of business as defined in 33-22-241.
(2) As used in this section, the following definitions apply:
(a) (i) "Health benefit plan" means a hospital or medical policy or certificate providing for physical and mental health care issued by an insurance company, a fraternal benefit society, or a health service corporation or issued under a health maintenance organization subscriber contract.
(ii) Health benefit plan does not include:
(A) accident-only, credit, dental, vision, specified disease, medicare supplement, long-term care, or disability income insurance;
(B) coverage issued as a supplement to liability insurance, workers' compensation insurance, or similar insurance; or
(C) automobile medical payment insurance.
(b) "Health care insurer" or "insurer" means a disability insurer, a health service corporation, a health maintenance organization, or a fraternal benefit society.
(3) The provisions of Title 33, chapter 1, parts 3 and 7, apply to this section.
History: En. Sec. 3, Ch. 527, L. 1995.
Structure Montana Code Annotated
Title 33. Insurance and Insurance Companies
Chapter 22. Disability Insurance
Part 2. Individual Policy Requirements
33-22-202. Required provisions -- captions -- omissions -- substitutions -- order
33-22-203. Requirement of other jurisdictions -- statutes -- violation
33-22-204. Entire contract -- changes
33-22-205. Time limit on certain defenses
33-22-211. Time of payment of claims
33-22-213. Physical examination and autopsy
33-22-215. Change of beneficiary
33-22-217. through 33-22-220 reserved
33-22-221. Optional policy provisions -- substitutes
33-22-222. Change of occupation
33-22-223. Misstatement of age
33-22-224. Other insurance in this insurer
33-22-225. Insurance with other insurers -- provision of service or expense incurred basis
33-22-226. Insurance with other insurers -- other benefits
33-22-227. Relation of earnings to insurance
33-22-229. Conformity with state statutes
33-22-232. Renewal at option of insurer
33-22-233. through 33-22-240 reserved
33-22-242. Waiver of preexisting condition exclusion -- exclusion prohibited
33-22-243. Premium increases to be distributed proportionately
33-22-244. Disclosure standards -- individual policy
33-22-246. Preexisting conditions relating to individual market
33-22-247. Guaranteed renewability of individual health insurance coverage