Title Minnesota Statutes, Minnesota Statutes

62A.023 NOTICE OF RATE CHANGE. A health insurer or service plan corporation must send written notice to its policyholders and contract holders at their last known address at least 30 days in advance of the effective date of a proposed rate change. This notice requirement does not…

62A.024 EXPLANATIONS OF RATE INCREASES; ATTRIBUTION TO STATUTORY CHANGES. If any health carrier, as defined in section 62A.011, informs a policyholder or contract holder that a rate increase is due to a statutory change, the health carrier must disclose the specific amount of the…

62A.03 GENERAL PROVISIONS OF POLICY. § Subdivision 1.Conditions. No policy of individual accident and sickness insurance may be delivered or issued for delivery to a person in this state unless: (1) Premium. The entire money and other considerations therefor are expressed therein…

62A.04 STANDARD PROVISIONS. § Subdivision 1.Reference. (a) Any reference to "standard provisions" which may appear in other sections and which refer to accident and sickness or accident and health insurance shall hereinafter be construed as referring to accident and sickness poli…

62A.041 MATERNITY BENEFITS. § Subdivision 1.Discrimination prohibited against unmarried women. Each group policy of accident and health insurance and each group health maintenance contract shall provide the same coverage for maternity benefits to unmarried women and minor female …

62A.0411 MATERNITY CARE. § Subdivision 1.Minimum inpatient care. Every health plan must provide coverage of a minimum of 48 hours of inpatient care following a vaginal delivery and a minimum of 96 hours of inpatient care following a caesarean section for a mother and her newborn.…

62A.042 FAMILY COVERAGE; COVERAGE OF NEWBORN INFANTS. § Subdivision 1.Individual family policies. (a) No policy of individual accident and sickness insurance which provides for insurance for more than one person under section 62A.03, subdivision 1, clause (3), and no individual h…

62A.043 DENTAL AND PODIATRIC COVERAGE. § Subdivision 1.Policies and contracts covered. The provisions of this section shall apply to all individual or group policies or subscriber contracts providing payment for care in this state, which policies or contracts are issued or renewe…

62A.044 PAYMENTS TO GOVERNMENTAL INSTITUTIONS. No group or individual policy of accident and sickness insurance issued or renewed after May 22, 1973, pursuant to this chapter, no group or individual service plan or subscriber contract issued or renewed after May 22, 1973, pursuan…

62A.045 PAYMENTS ON BEHALF OF ENROLLEES IN GOVERNMENT HEALTH PROGRAMS. (a) As a condition of doing business in Minnesota or providing coverage to residents of Minnesota covered by this section, each health insurer shall comply with the requirements for health insurers under the f…

62A.046 COORDINATION OF BENEFITS. § Subdivision 1.Limitation on denial of coverage; payment. No group contract providing coverage for hospital and medical treatment or expenses issued or renewed after August 1, 1984, which is responsible for secondary coverage for services provid…

62A.047 CHILDREN'S HEALTH SUPERVISION SERVICES AND PRENATAL CARE SERVICES. A policy of individual or group health and accident insurance regulated under this chapter, or individual or group subscriber contract regulated under chapter 62C, health maintenance contract regulated und…

62A.048 DEPENDENT COVERAGE. (a) A health plan that covers a Minnesota resident must, if it provides dependent coverage, allow dependent children who do not reside with the participant to be covered on the same basis as if they reside with the participant. Every health plan must p…

62A.049 LIMITATION ON PREAUTHORIZATIONS; EMERGENCIES. No policy of accident and sickness insurance or group subscriber contract regulated under chapter 62C issued or renewed in this state may contain a provision that makes an insured person ineligible to receive full benefits bec…

62A.05 CONSTRUCTION OF PROVISIONS. (a) No policy provision which is not subject to section 62A.04 shall make a policy, or any portion thereof, less favorable in any respect to the insured or the beneficiary than the provisions thereof which are subject to sections 62A.01 to 62A.0…

62A.06 STATEMENTS IN APPLICATION. § Subdivision 1.Inclusion in policy. The insured shall not be bound by any statement made in an application for a policy unless a copy of such application is attached to or endorsed on the policy when issued as a part thereof. If any such policy …

62A.07 RIGHTS OF INSURER, WHEN NOT WAIVED. The acknowledgment by an insurer of the receipt of notice given under any policy covered by sections 62A.01 to 62A.09 hereof, or the furnishing of forms for filing proofs of loss, or the acceptance of such proofs, or the investigation of…

62A.08 COVERAGE OF POLICY, CONTINUANCE IN FORCE. If any such policy contains a provision establishing, as an age limit or otherwise, a date after which the coverage provided by the policy will not be effective, and if such date falls within a period for which premium is accepted …

62A.081 PAYMENTS TO FACILITIES OPERATED BY STATE OR LOCAL GOVERNMENT. Every group or individual policy of accident and sickness insurance issued or renewed after July 1, 1973 regulated by this chapter, and every group or individual service plan or subscriber contract issued or re…

62A.082 NONDISCRIMINATION IN ACCESS TO TRANSPLANTS. § Subdivision 1.Definitions. (a) For the purposes of this section, the following terms have the meanings given unless the context clearly requires otherwise. (b) "Disability" has the meaning given in section 363A.03, subdivision…

62A.09 LIMITATION. Nothing in sections 62A.01, 62A.02, 62A.03, 62A.04, 62A.05, 62A.06, 62A.07, and 62A.08 shall apply to or affect: (1) any policy of workers' compensation insurance or any policy of casualty or fire and allied lines insurance with or without supplementary coverag…

62A.095 SUBROGATION CLAUSES REGULATED. § Subdivision 1.Applicability. (a) A health plan may not be offered, sold, or issued to a resident of this state, or to cover a resident of this state, unless the health plan complies with subdivision 2. (b) Health plans providing benefits u…

62A.096 NOTICE TO INSURER OF SUBROGATION CLAIM REQUIRED. A person covered by a health carrier who makes a claim against a collateral source for damages that include repayment for medical and medically related expenses incurred for the covered person's benefit shall provide timely…

62A.10 GROUP INSURANCE. § Subdivision 1.Requirements. Group accident and health insurance may be issued to cover groups of not less than two employees nor less than ten members, and which may include the employee's or member's dependents, consisting of spouses, children, and actu…

62A.105 COVERAGES; TRANSFERS TO SUBSTANTIALLY SIMILAR PRODUCTS. § Subdivision 1.Scope. No individual policy of accident and sickness regulated under this chapter or subscriber contract regulated under chapter 62C shall be issued, renewed, or continued to provide coverage to a Min…

62A.11 BLANKET ACCIDENT AND SICKNESS INSURANCE. § Subdivision 1.Requirements. Blanket accident and sickness insurance is hereby declared to be that form of accident and sickness insurance covering special groups of persons as enumerated in one of the following paragraphs: (1) Und…

62A.13 COMMERCIAL TRAVELER INSURANCE COMPANIES. Any domestic assessment, health or accident association now licensed to do business in this state, which confines its membership to commercial travelers, professionals, and others whose occupation is of such character as to be ordin…

62A.135 FIXED INDEMNITY POLICIES; MINIMUM LOSS RATIOS. § Subdivision 1.Definitions. For purposes of this section, the following terms have the meanings given them: (a) "fixed indemnity policy" is a policy form, other than an accidental death and dismemberment policy, a disability…

62A.136 HEARING, DENTAL, AND VISION PLAN COVERAGE. The following provisions do not apply to health plans as defined in section 62A.011, subdivision 3, clause (6), providing hearing, dental, or vision coverage only: sections 62A.041; 62A.0411; 62A.047; 62A.149; 62A.151; 62A.152; 6…

62A.14 DISABLED CHILDREN. § Subdivision 1.Individual family policies. An individual hospital or medical expense insurance policy delivered or issued for delivery in this state more than 120 days after May 16, 1969, or an individual health maintenance contract delivered or issued …

62A.141 COVERAGE FOR DISABLED DEPENDENTS. No group policy or group plan of health and accident insurance regulated under this chapter, chapter 62C, or 62D, which provides for dependent coverage may be issued or renewed in this state after August 1, 1983, unless it covers the disa…

62A.145 SURVIVOR; DEFINITION. For the purposes of section 62A.146, "survivor" means a person who would be entitled to and be dependent upon economic support by an insured, subscriber or enrollee if that person were alive; including a spouse, child or children as defined by the po…

62A.146 CONTINUATION OF BENEFITS TO SURVIVORS. No policy, contract, or plan of accident and health protection issued by an insurer, nonprofit health service plan corporation, or health maintenance organization, providing coverage of hospital or medical expense on either an expens…

62A.147 DISABLED EMPLOYEES' BENEFITS; DEFINITIONS. § Subdivision 1.Scope. For the purposes of this section and section 62A.148, the terms defined in this section shall have the meanings here given them. § Subd. 2.Covered employee. "Covered employee" means any person who, at the t…

62A.148 GROUP INSURANCE; PROVISION OF BENEFITS FOR DISABLED EMPLOYEES. No employer or insurer of that employer shall terminate, suspend or otherwise restrict the participation in or the receipt of benefits otherwise payable under any program or policy of group insurance to any co…

62A.149 BENEFITS FOR ALCOHOLICS AND DRUG DEPENDENTS. § Subdivision 1.Application. The provisions of this section apply to all group policies of accident and health insurance and group subscriber contracts offered by nonprofit health service plan corporations regulated under chapt…

62A.15 COVERAGE OF CERTAIN LICENSED HEALTH PROFESSIONAL SERVICES. § Subdivision 1.Applicability. The provisions of this section apply to all group policies or subscriber contracts providing payment for care in this state, which are issued by accident and health insurance companie…

62A.151 HEALTH INSURANCE BENEFITS FOR EMOTIONALLY DISABLED CHILDREN. No policy or plan of health, medical, hospitalization, or accident and sickness insurance regulated under this chapter, or nonprofit health service plan corporation regulated under chapter 62C, or health mainten…

62A.152 BENEFITS FOR AMBULATORY MENTAL HEALTH SERVICES. § Subdivision 1.Scope. The provisions of this section apply (a) to all group policies or subscriber contracts which provide benefits for at least 100 certificate holders who are residents of this state or groups of which mor…

62A.153 OUTPATIENT MEDICAL AND SURGICAL SERVICES. No policy or plan of health, medical, hospitalization, or accident and sickness insurance regulated under this chapter, or subscriber contract provided by a nonprofit health service plan corporation regulated under chapter 62C tha…

62A.154 BENEFITS FOR DES RELATED CONDITIONS. § Subdivision 1.Definitions. For the purposes of this section, the terms defined in this section have the meanings given them. (a) "Covered person" means a natural person who is covered under a policy. (b) "Insurer" means an insurer pr…

62A.155 COVERAGE FOR SERVICES PROVIDED TO VENTILATOR-DEPENDENT PERSONS. § Subdivision 1.Scope of coverage. This section applies to all policies of accident and health insurance, group subscriber contracts offered by nonprofit health service plan corporations regulated under chapt…

62A.16 SCOPE OF CERTAIN CONTINUATION AND CONVERSION REQUIREMENTS. The provisions of this section and section 62A.17 shall apply to all group insurance policies or group subscriber contracts providing coverage for hospital or medical expenses incurred by a Minnesota resident emplo…

62A.17 TERMINATION OF OR LAYOFF FROM EMPLOYMENT; CONTINUATION AND CONVERSION RIGHTS. § Subdivision 1.Continuation of coverage. Every group insurance policy, group subscriber contract, and health care plan included within the provisions of section 62A.16, except policies, contract…

62A.18 PROHIBITION AGAINST DISABILITY OFFSETS. No individual or group policy of accident and health insurance issued, amended, renewed, or delivered in this state on or after January 1, 1976 shall contain any provision offsetting, or in any other manner reducing, any benefit unde…

62A.19 PROHIBITION AGAINST NONDIAGNOSTIC X-RAYS. No individual or group policy of dental insurance offered for sale to a Minnesota resident by an insurer regulated under this chapter, individual or group service plan or subscriber contract regulated under chapter 62C, health main…