31A-22-647. Insurer shared savings program.
(1) As used in this section: "Insurer" means a person who offers health care insurance, including a health maintenance organization as that term is defined in Section. 31A-8-101 "PEHP" means the Public Employees' Benefit and Insurance Program created in Section. 49-20-103 "Savings reward program" means a program to reward a health insurance enrollee if the enrollee receives services: covered by the enrollee's health plan; and from a provider whose costs for services are lower than the average costs for the services.
(2) An insurer may, in accordance with Subsection, establish a savings reward program for a health benefit plan that is: (4) offered by the insurer; and entered into or renewed on or after January 1, 2019.
(3) PEHP shall, in accordance with Subsection, establish a savings reward program for a health plan that is: (4) offered to state employees under; and Title 49, Chapter 20, Public Employees' Benefit and Insurance Program Act entered into or renewed on or after July 1, 2019.
(4) A savings reward program described in Subsectionormay include, in accordance with federal and state law, rewards to the enrollee through: (2) (3) premium discounts; rebates; reduction of out-of-pocket costs; or other rewards or incentives developed by the insurer.