33-31-304. Dual choice. An employer in this state that offers its employees the option to enroll in a health maintenance organization and an employee benefit fund in this state that offers its members the option to enroll in a health maintenance organization may not be required to pay more for health benefits provided by the health maintenance organization than it would otherwise be required to provide by any prevailing collective bargaining agreement or other contract for the provision of health benefits to its employees, if the employer or benefits fund pays to the health maintenance organization chosen by each employee or member an amount equal to the lesser of:
(1) the amount paid on behalf of its other employees or members of health benefits; or
(2) the health maintenance organization's charge for coverage approved by the commissioner pursuant to 33-31-301.
History: En. Sec. 29, Ch. 457, L. 1987.
Structure Montana Code Annotated
Title 33. Insurance and Insurance Companies
Chapter 31. Health Maintenance Organizations
33-31-301. Evidence of coverage -- schedule of charges for health care services
33-31-302. Information to enrollees
33-31-305. Dentist participation as provider
33-31-306. Point-of-service option
33-31-307. Affiliation periods
33-31-308. through 33-31-310 reserved
33-31-311. Insurance producer license required
33-31-312. Prohibited practices
33-31-313. Premium increase restriction -- exception
33-31-314. through 33-31-320 reserved
33-31-321. Disclosure standards -- health maintenance organizations