Title Minnesota Statutes, Minnesota Statutes

62A.24 CONTINUATION OF BENEFITS. No employer or insurer of that employer may offer or provide a policy of group disability income insurance unless the master policy provides that the termination of the policy shall be without prejudice to any claims originating prior to the time …

62A.25 RECONSTRUCTIVE SURGERY. § Subdivision 1.Scope of coverage. This section applies to all policies of accident and health insurance, health maintenance contracts regulated under chapter 62D, health benefit certificates offered through a fraternal benefit society regulated und…

62A.26 COVERAGE FOR PHENYLKETONURIA TREATMENT. § Subdivision 1.Scope of coverage. This section applies to all policies of accident and health insurance, health maintenance contracts regulated under chapter 62D, health benefit certificates offered through a fraternal benefit socie…

62A.265 COVERAGE FOR LYME DISEASE. § Subdivision 1.Required coverage. Every health plan, including a plan providing the coverage specified in section 62A.011, subdivision 3, clause (10), must cover treatment for diagnosed Lyme disease. § Subd. 2.Special restrictions prohibited. N…

62A.27 COVERAGE OF ADOPTED CHILDREN. (a) A health plan that provides coverage to a Minnesota resident must cover adopted children of the insured, subscriber, participant, or enrollee on the same basis as other dependents. Consequently, the plan shall not contain any provision con…

62A.28 COVERAGE FOR SCALP HAIR PROSTHESES. § Subdivision 1.Scope of coverage. This section applies to all policies of accident and health insurance, health maintenance contracts regulated under chapter 62D, health benefit certificates offered through a fraternal benefit society r…

62A.285 PROHIBITED UNDERWRITING; BREAST IMPLANTS. § Subdivision 1.Scope of coverage. This section applies to all policies of accident and health insurance regulated under this chapter, subscriber contracts offered by nonprofit health service plan corporations regulated under chap…

62A.29 SURETY BOND OR SECURITY FOR CERTAIN HEALTH BENEFIT PLANS. § Subdivision 1.Surety bond or security requirement. Any employer, except the state and its political subdivisions as defined in section 65B.43, subdivision 20, who provides a health benefit plan to its Minnesota em…

62A.30 COVERAGE FOR DIAGNOSTIC PROCEDURES FOR CANCER. § Subdivision 1.Scope of coverage. This section applies to all policies of accident and health insurance, health maintenance contracts regulated under chapter 62D, health benefit certificates offered through a fraternal benefi…

62A.302 COVERAGE OF DEPENDENTS. § Subdivision 1.Scope of coverage. This section applies to: (1) a health plan as defined in section 62A.011; and (2) a policy, contract, or certificate issued by a community integrated service network licensed under chapter 62N. § Subd. 2.Required …

62A.3021 COVERAGE OF DEPENDENTS BY PLANS OTHER THAN HEALTH PLANS. § Subdivision 1.Scope of coverage. This section applies to coverage described in section 62A.011, subdivision 3, clauses (4), (6), (7), (8), (9), and (10). § Subd. 2.Dependent. "Dependent" means an eligible employe…

62A.303 PROHIBITION; SEVERING OF GROUPS. Section 62L.12, subdivisions 3 and 4, apply to all employer group health plans, as defined in section 62A.011, regardless of the size of the group. History: 1992 c 549 art 3 s 10; 1994 c 625 art 10 s 4

62A.304 COVERAGE FOR PORT-WINE STAIN ELIMINATION. § Subdivision 1.Scope of coverage. This section applies to all health plans as defined in section 62A.011 that provide coverage to a Minnesota resident. § Subd. 2.Required coverage. Every health plan included in subdivision 1 must…

62A.305 FIBROCYSTIC CONDITION; TERMINATION OR REDUCTION OF COVERAGE. No health plan shall be terminated, canceled, nonrenewed, or contain any increased premium rate, or exclusion, reduction, or limitation on benefits, nor shall coverage be denied, solely because the covered perso…

62A.306 USE OF GENDER PROHIBITED. § Subdivision 1.Applicability. This section applies to all health plans as defined in section 62A.011 offered, sold, issued, or renewed, by a health carrier on or after January 1, 1995. § Subd. 2.Prohibition on use of gender. No health plan descr…

62A.307 PRESCRIPTION DRUGS; EQUAL TREATMENT OF PRESCRIBERS. § Subdivision 1.Scope of requirement. This section applies to any of the following if issued or renewed to a Minnesota resident or to cover a Minnesota resident: (1) a health plan, as defined in section 62A.011; (2) cove…

62A.3075 CANCER CHEMOTHERAPY TREATMENT COVERAGE. (a) A health plan company that provides coverage under a health plan for cancer chemotherapy treatment shall not require a higher co-payment, deductible, or coinsurance amount for a prescribed, orally administered anticancer medica…

62A.308 HOSPITALIZATION AND ANESTHESIA FOR DENTAL PROCEDURES. § Subdivision 1.Scope of coverage. This section applies to a health plan as defined in section 62A.011 that provides coverage to a Minnesota resident. § Subd. 2.Required coverages. (a) A health plan included in subdivi…

62A.3091 NONDISCRIMINATE COVERAGE OF TESTS. § Subdivision 1.Scope of requirement. This section applies to any of the following if issued or renewed to a Minnesota resident or to cover a Minnesota resident: (1) a health plan, as defined in section 62A.011; (2) coverage described i…

62A.3092 EQUAL TREATMENT OF SURGICAL FIRST ASSISTING SERVICES. § Subdivision 1.Scope of requirement. This section applies to any of the following if issued or renewed to a Minnesota resident or to cover a Minnesota resident: (1) a health plan, as defined in section 62A.011; (2) c…

62A.3093 COVERAGE FOR DIABETES. § Subdivision 1.Required coverage. A health plan, including a plan providing the coverage specified in section 62A.011, subdivision 3, clause (10), must provide coverage for: (1) all physician prescribed medically appropriate and necessary equipmen…

62A.3094 COVERAGE FOR AUTISM SPECTRUM DISORDERS. § Subdivision 1.Definitions. (a) For purposes of this section, the terms defined in paragraphs (b) to (d) have the meanings given. (b) "Autism spectrum disorders" means the conditions as determined by criteria set forth in the most…

62A.3095 PRESCRIPTION EYE DROPS COVERAGE. § Subdivision 1.Scope of coverage. This section applies to all health plans, as defined in section 62A.011, subdivision 3, that provide coverage to Minnesota residents. § Subd. 2.Required coverage. (a) Every health plan included in subdiv…

62A.3097 PEDIATRIC AUTOIMMUNE NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH STREPTOCOCCAL INFECTIONS (PANDAS) AND PEDIATRIC ACUTE-ONSET NEUROPSYCHIATRIC SYNDROME (PANS) TREATMENT; COVERAGE. § Subdivision 1.Definitions. (a) The definitions in this subdivision apply to this section. (…

62A.3098 RAPID WHOLE GENOME SEQUENCING; COVERAGE. § Subdivision 1.Definition. For purposes of this section, "rapid whole genome sequencing" or "rWGS" means an investigation of the entire human genome, including coding and noncoding regions and mitochondrial deoxyribonucleic acid,…

62A.3099 DEFINITIONS. § Subdivision 1.Scope. The definitions provided in this section apply to sections 62A.3099 to 62A.44. § Subd. 2.Accident, accidental injury, accidental means. "Accident," "accidental injury," or "accidental means" means to employ "result" language and does n…

62A.31 MEDICARE SUPPLEMENT BENEFITS; MINIMUM STANDARDS. § Subdivision 1.Policy requirements. No individual or group policy, certificate, subscriber contract issued by a health service plan corporation regulated under chapter 62C, or other evidence of accident and health insurance…

62A.315 EXTENDED BASIC MEDICARE SUPPLEMENT PLAN; COVERAGE. (a) The extended basic Medicare supplement plan must have a level of coverage so that it will be certified as a qualified plan pursuant to section 62E.07, and will provide: (1) coverage for all of the Medicare Part A inpa…

62A.316 BASIC MEDICARE SUPPLEMENT PLAN; COVERAGE. (a) The basic Medicare supplement plan must have a level of coverage that will provide: (1) coverage for all of the Medicare Part A inpatient hospital coinsurance amounts, and 100 percent of all Medicare part A eligible expenses f…

62A.3161 MEDICARE SUPPLEMENT PLAN WITH 50 PERCENT COVERAGE. (a) The Medicare supplement plan with 50 percent coverage must have a level of coverage that will provide: (1) 100 percent of Medicare Part A hospitalization coinsurance plus coverage for 365 days after Medicare benefits…

62A.3162 MEDICARE SUPPLEMENT PLAN WITH 75 PERCENT COVERAGE. (a) The basic Medicare supplement plan with 75 percent coverage must have a level of coverage that will provide: (1) 100 percent of Medicare Part A hospitalization coinsurance plus coverage for 365 days after Medicare be…

62A.3163 MEDICARE SUPPLEMENT PLAN WITH 50 PERCENT PART A DEDUCTIBLE COVERAGE. (a) The Medicare supplement plan with 50 percent Medicare Part A deductible coverage must have a level of coverage that will provide: (1) 100 percent of Medicare Part A hospitalization coinsurance plus …

62A.3164 MEDICARE SUPPLEMENT PLAN WITH $20 AND $50 CO-PAYMENT MEDICARE PART B COVERAGE. (a) The Medicare supplement plan with $20 and $50 co-payment Medicare Part B coverage must have a level of coverage that will provide: (1) 100 percent of Medicare Part A hospitalization coinsu…

62A.3165 MEDICARE SUPPLEMENT PLAN WITH HIGH DEDUCTIBLE COVERAGE. (a) The Medicare supplement plan will pay 100 percent coverage upon payment of the annual high deductible. The annual deductible shall consist of out-of-pocket expenses, other than premiums, for services covered. Th…

62A.317 STANDARDS FOR CLAIMS PAYMENT. (a) An issuer shall comply with section 1882(c)(3) of the federal Social Security Act, as enacted by section 4081(b)(2)(C) of the Omnibus Budget Reconciliation Act of 1987 (OBRA), Public Law 100-203, by: (1) accepting a notice from a Medicare…

62A.318 MEDICARE SELECT POLICIES AND CERTIFICATES. § Subdivision 1.Applicability and advertising limitation. (a) This section applies to Medicare select policies and certificates, as defined in this section, including those issued by health maintenance organizations. (b) No polic…

62A.36 LOSS RATIO STANDARDS. § Subdivision 1.Loss ratio standards and refund provisions. (a) For purposes of this section, "Medicare supplement policy or certificate" has the meaning given in section 62A.3099 but also includes a policy, contract, or certificate issued under a con…

62A.37 GOVERNMENT CERTIFICATIONS, APPROVALS, AND ENDORSEMENTS. § Subdivision 1.Display of seal or emblem prohibited. No graphic seal or emblem shall be displayed on any policy or promotional literature to indicate or give the impression that there is any connection, certification…

62A.38 NOTICE OF FREE EXAMINATION. Medicare supplement policies or certificates, other than those issued pursuant to direct response solicitation, shall have a notice prominently printed on the first page of the policy or attached thereto stating in substance that the policyholde…

62A.39 DISCLOSURE. No individual Medicare supplement plan shall be delivered or issued in this state and no certificate shall be delivered under a group Medicare supplement plan delivered or issued in this state unless the plan is shown on the cover page and an outline containing…

62A.40 REPLACEMENT REGULATED. No insurer or agent shall replace a Medicare supplement plan with another Medicare supplement plan of the same category unless there is a substantial difference in cost favorable to the policyholder, or the insured has previously demonstrated a dissa…

62A.41 PENALTIES. § Subdivision 1.Generally. Any insurer, general agent, agent, or other person who knowingly or willfully, either directly or indirectly, makes or causes to be made or induces or seeks to induce the making of any false statement or representation of a material fa…

62A.42 RULEMAKING AUTHORITY. To carry out the purposes of sections 62A.3099 to 62A.44, the commissioner may promulgate rules pursuant to chapter 14. These rules may: (a) prescribe additional disclosure requirements for Medicare supplement plans, designed to adequately inform the …

62A.421 DEMONSTRATION PROJECTS. § Subdivision 1.Establishment. The commissioner may establish demonstration projects to allow an issuer of Medicare supplement policies to extend coverage to individuals enrolled in part A or part B, or both, of the Medicare program, Title XVIII of…

62A.43 LIMITATIONS ON SALES. § Subdivision 1.Duplicate coverage prohibited. No agent shall sell a Medicare supplement plan, as defined in section 62A.3099, to a person who currently has one plan in effect; however, an agent may sell a replacement plan in accordance with section 6…

62A.436 COMMISSIONS. The commission, sales allowance, service fee, or compensation to an agent for the sale of a Medicare supplement plan must be the same for each of the first four years of the policy. In no event may the rate of commission, sales allowance, service fee, or comp…