62 chapters · 1,376 sections in this title.
Idaho Code § 41-5201 Short title
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41-5201. Short title. This chapter shall be known and may be cited as the "Individual Health Insurance Availability Act."
Idaho Code § 41-5202 Purpose
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41-5202. Purpose. The purpose and intent of this chapter is to promote the availability of health insurance coverage to persons not covered by employment based insurance regardless of their health status or claims experience, to prevent abusive rating practices, to require disclo…
Idaho Code § 41-5203 Definitions
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41-5203. Definitions. As used in this chapter: (1) "Actuarial certification" means a written statement by a member of the American academy of actuaries or other individual acceptable to the director that an individual carrier is in compliance with the provisions of section 41-520…
Idaho Code § 41-5204 Applicability and scope
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41-5204. Applicability and scope. To the extent permitted by federal law, the provisions of this chapter shall apply to any health benefit plan delivered or issued for delivery in the state of Idaho that provides coverage to eligible individuals or their dependents if not otherwi…
Idaho Code § 41-5206 Restrictions relating to premium rates
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41-5206. Restrictions relating to premium rates. (1) Premium rates for health benefit plans subject to the provisions of this chapter shall be subject to the following provisions: (a) The premium rates charged during a rating period to individuals with similar case characteristic…
Idaho Code § 41-5207 Renewability of coverage
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41-5207. Renewability of coverage. (1) A health benefit plan subject to the provisions of this chapter shall be renewable with respect to the individual or dependents, at the option of the individual, except in any of the following cases: (a) Nonpayment of the required premiums; …
Idaho Code § 41-5208 Availability of coverage — Preexisting conditions — Portability
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41-5208. Availability of coverage — Preexisting conditions — Portability. (1) (a) Every individual carrier shall, as a condition of offering health benefit plans in this state to individuals, actively offer health benefit plans to individuals, including the individual basic healt…
Idaho Code § 41-5209 Notice of intent to operate as a risk-assuming carrier or a reinsuring carrier
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41-5209. Notice of intent to operate as a risk-assuming carrier or a reinsuring carrier. (1) (a) Each individual carrier shall notify the director within thirty (30) days of the effective date of this chapter of the carrier’s intention to operate as a risk-assuming carrier or a r…
Idaho Code § 41-5210 Application to become a risk-assuming carrier
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41-5210. Application to become a risk-assuming carrier. (1) An individual carrier may apply to become a risk-assuming carrier by filing an application with the director in a form and manner prescribed by the director. (2) The director shall consider the following factors in evalu…
Idaho Code § 41-5211 Administrative procedures
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41-5211. Administrative procedures. The director shall promulgate rules in accordance with the provisions of chapter 52, title 67, Idaho Code, for the implementation and administration of the individual health coverage reform act.
Idaho Code § 41-5212 Standards to assure fair marketing
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41-5212. Standards to assure fair marketing. (1) Each individual carrier shall actively market health benefit plan coverage, including the individual basic, standard, catastrophic A, catastrophic B, and HSA compatible health benefit plans, to eligible individuals in the state. If…
Idaho Code § 41-5214 enhanced short-term PLANS
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41-5214. enhanced short-term PLANS. The director shall adopt reasonable rules to establish specific standards for enhanced short-term plans. The standards shall be in addition to and in accordance with applicable laws of this state, including this chapter. The standards: (1) Shal…