513B.39  Presumed exclusion of mandated benefits.

A mandated benefit or direct pay requirement otherwise imposed by state law, but excluded under section 513B.32, shall not be included in a basic benefit coverage policy or subscription contract unless the commissioner finds after actuarial review that the inclusion of the benefit or direct pay requirement is cost-effective. The commissioner's finding shall be based upon review of actuarial evidence, including a cost-benefit analysis, and the determination that inclusion of the mandated benefit or direct pay requirement is in the best interests of affordable health care coverage.

Section History: Recent form

  91 Acts, ch 244, §18

  CS91, § 514H.8

  93 Acts, ch 80, § 20

  CS93, § 513B.39

Internal References

  Referred to in § 513B.16


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