Minnesota § 62Q.68 DEFINITIONS

Minnesota Statutes

§ 62Q.68 — DEFINITIONS

Minnesota § 62Q.68

PartINSURANCE

Ch. 62QHEALTH PLAN COMPANIES

This text of Minnesota § 62Q.68 (DEFINITIONS) is published on Counsel Stack Legal Research, covering Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Minn. Stat. § 62Q.68 (2026).

Text

Subdivision 1.Application.
For purposes of sections62Q.68to62Q.72, the terms defined in this section have the meanings given them. For purposes of sections62Q.69and62Q.70, the term "health plan company" does not include an insurance company licensed under chapter 60A to offer, sell, or issue a policy of accident and sickness insurance as defined in section62A.01or a nonprofit health service plan corporation regulated under chapter 62C that only provides dental coverage or vision coverage. For purposes of sections62Q.69through62Q.73, the term "health plan company" does not include the Comprehensive Health Association created under chapter 62E. Section62Q.70does not apply to individual coverage. However, a health plan company offering individual coverage may, pursuant to section62Q.69, subd

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Subdivision 1.Application.
For purposes of sections62Q.68to62Q.72, the terms defined in this section have the meanings given them. For purposes of sections62Q.69and62Q.70, the term "health plan company" does not include an insurance company licensed under chapter 60A to offer, sell, or issue a policy of accident and sickness insurance as defined in section62A.01or a nonprofit health service plan corporation regulated under chapter 62C that only provides dental coverage or vision coverage. For purposes of sections62Q.69through62Q.73, the term "health plan company" does not include the Comprehensive Health Association created under chapter 62E. Section62Q.70does not apply to individual coverage. However, a health plan company offering individual coverage may, pursuant to section62Q.69, subdivision 3, paragraph (c), follow the process outlined in section62Q.70.

Subd. 2.Complaint.
"Complaint" means any grievance against a health plan company that is not the subject of litigation and that has been submitted by a complainant to a health plan company regarding the provision of health services including, but not limited to, the scope of coverage for health care services; retrospective denials or limitations of payment for services; eligibility issues; denials, cancellations, or nonrenewals of coverage; administrative operations; and the quality, timeliness, and appropriateness of health care services rendered. If the complaint is from an applicant, the complaint must relate to the application. If the complaint is from a former enrollee, the complaint must relate to services received during the period of time the individual was an enrollee. Any grievance requiring a medical determination in its resolution must have the medical determination aspect of the complaint processed under the appeal procedure described in section62M.06.

Subd. 3.Complainant.
"Complainant" means an enrollee, applicant, or former enrollee, or anyone acting on behalf of an enrollee, applicant, or former enrollee, who submits a complaint.