Utah § 26B-3-909 State contractor -- Employee and dependent health benefit plan coverage.

Utah Statutes

§ 26B-3-909 — State contractor -- Employee and dependent health benefit plan coverage.

Utah·Title 26B Utah Health and Human Services Code·Ch. 26B-3 Health Care - Administration and Assistance·Part 26B-3-9 Utah Children's Health Insurance Program

(1)For purposes of Sections 17B-2a-818.5, 19-1-206, 63A-5b-607, 63O-2-403, 72-6-107.5, and 79-2-404, "qualified health coverage" means, at the time the contract is entered into or renewed:

(1)(a) a health benefit plan and employer contribution level with a combined actuarial value at least actuarially equivalent to the combined actuarial value of:

(1)(a)(i) the benchmark plan determined by the program under Subsection 26B-3-904(1)(a); and

(1)(a)(ii) a contribution level at which the employer pays at least 50% of the premium or contribution amounts for the employee and the dependents of the employee who reside or work in the state; or

(1)(b) a federally qualified high deductible health plan that, at a minimum:

(1)(b)(i) has a deductible that is:

(1)(b)(i)(A) the lowest deductible permitted

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(1) For purposes of Sections 17B-2a-818.5, 19-1-206, 63A-5b-607, 63O-2-403, 72-6-107.5, and 79-2-404, "qualified health coverage" means, at the time the contract is entered into or renewed:
(1)(a) a health benefit plan and employer contribution level with a combined actuarial value at least actuarially equivalent to the combined actuarial value of:
(1)(a)(i) the benchmark plan determined by the program under Subsection 26B-3-904(1)(a); and
(1)(a)(ii) a contribution level at which the employer pays at least 50% of the premium or contribution amounts for the employee and the dependents of the employee who reside or work in the state; or
(1)(b) a federally qualified high deductible health plan that, at a minimum:
(1)(b)(i) has a deductible that is:
(1)(b)(i)(A) the lowest deductible permitted for a federally qualified high deductible health plan; or
(1)(b)(i)(B) a deductible that is higher than the lowest deductible permitted for a federally qualified high deductible health plan, but includes an employer contribution to a health savings account in a dollar amount at least equal to the dollar amount difference between the lowest deductible permitted for a federally qualified high deductible plan and the deductible for the employer offered federally qualified high deductible plan;
(1)(b)(ii) has an out-of-pocket maximum that does not exceed three times the amount of the annual deductible; and
(1)(b)(iii) provides that the employer pays 60% of the premium or contribution amounts for the employee and the dependents of the employee who work or reside in the state.
(2) The department shall:
(2)(a) on or before July 1, 2016:
(2)(a)(i) determine the commercial equivalent of the benchmark plan described in Subsection (1)(a); and
(2)(a)(ii) post the commercially equivalent benchmark plan described in Subsection (2)(a)(i) on the department's website, noting the date posted; and
(2)(b) update the posted commercially equivalent benchmark plan annually and at the time of any change in the benchmark.

Utah § 26B-3-909 (State contractor -- Employee and dependent health benefit plan coverage.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.