33-31-313. Premium increase restriction -- exception. (1) A health maintenance organization may not increase a premium for an individual's or an individual's group health care services agreement more frequently than once during a 12-month period unless failure to increase the premium more frequently than once during the 12-month period would:
(a) place the health maintenance organization in violation of the laws of this state; or
(b) cause the financial impairment of the health maintenance organization to the extent that further transaction of insurance by the health maintenance organization would injure or be hazardous to its enrollees or to the public.
(2) Subsection (1) does not apply to a premium increase necessitated by a state or federal law, by a court decision, by a state rule, or by a federal regulation.
History: En. Sec. 7, Ch. 413, L. 1997.
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