31A-30-208 - Enrollment for defined contribution arrangements.
31A-30-208. Enrollment for defined contribution arrangements.
(1) An insurer offering a health benefit plan in the defined contribution arrangementmarket:
(a) beginning on or after January 1, 2011, shall allow an employer to enroll in a smallemployer defined contribution arrangement plan;
(b) may not impose a surcharge under Section 31A-30-106.7 for a small employer groupselecting a defined contribution arrangement health benefit plan on or before January 1, 2012;
(c) shall offer a limited pilot program in which a large employer group may enroll in adefined contribution arrangement market plan that takes effect January 1, 2011;
(d) beginning January 1, 2012, shall allow a large employer group to enroll in the definedcontribution arrangement market; and
(e) shall otherwise comply with the requirements of this part, Chapter 42, DefinedContribution Risk Adjuster Act, and Title 63M, Chapter 1, Part 25, Health System Reform Act.
(2) (a) Except as provided in Subsection 31A-30-202.5(2), in accordance withSubsection (2)(b), on January 1 of each year, an insurer may enter or exit the defined contributionarrangement market.
(b) An insurer may offer new or modify existing products in the defined contributionarrangement market:
(i) on January 1 of each year;
(ii) when required by changes in other law; and
(iii) at other times as established by the risk adjuster board created in Section31A-42-201.
(c) (i) An insurer shall give the department, the Health Insurance Exchange, and the riskadjuster board 90 days' advance written notice of any event described in Subsection (2)(a) or (b).
(ii) When an insurer elects to participate in the defined contribution arrangement market,the insurer shall participate in the defined contribution arrangement market for no less than twoyears.
Repealed and Re-enacted by Chapter 68, 2010 General Session