§ 33-2-2206 — Membership Agreement -- Contents

Montana § 33-2-2206

• Jurisdiction: Montana
• Title 33: INSURANCE AND INSURANCE COMPANIES
• Ch. 2: REGULATION OF INSURANCE COMPANIES
• Part 22: Private Air Ambulance Services

Text

33-2-2206 . Membership agreement -- contents. A membership agreement issued under this part must contain:
(1) the effective dates of the membership agreement;
(2) a grace period of 30 days for payment of a renewal membership fee;
(3) a description of what constitutes acceptable insurance coverage if eligibility for the membership agreement is conditioned on the member's current and continuing health insurance coverage;
(4) a statement that, except for decisions made as provided in 33-1-102 (6), individuals enrolled in medicare, medicaid, or the healthy Montana kids plan under Title 53, chapter 4, part 11, are not subject to charges billed by a private air ambulance service in excess of applicable deductibles, coinsurance, and copayments;
(5) a statement that the membership agreement is an insurance contract;
(6) a description and graphic illustration of the base locations and effective coverage area of the private air ambulance service;
(7) a list of other private air ambulance services with which reciprocity exists under 50-6-320 ;
(8) a statement that:
(a) participation in a membership program does not guarantee that in the event of a transport, the private air ambulance service will provide the transport; and
(b) unless reciprocity exists under 50-6-320 , if another private air ambulance service provides the transport, the individual will not receive the benefits provided under the membership agreement; and
(9) a definition of "medical necessity" if membership coverage of a transport is conditioned on a finding of medical necessity.

Legislative History

En. Sec. 6, Ch. 210, L. 2017.