Disability Insurance: mental health parity, Medicare supplement, long-term care, reinsurance, preferred providers, small employer, dental (33-22-701 through 33-22-2205)

What this document is

Montana Code Annotated Title 33 Chapter 22 Parts 7-22 - Disability Insurance: mental health parity, Medicare supplement, long-term care, reinsurance, preferred providers, small employer, dental (33-22-701 through 33-22-2205) is a state statute published by Montana Legislative Services Division (archive.legmt.gov). It is one of the Montana documents that insurance license exam questions are written from, including montana life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-1704(5) (Preferred Provider Agreements Authorized)

  “An insurer may reserve the right in its request for proposals to reject bids or offers submitted in response to the request, including the lowest cost bid or offer. A bid or offer must be rejected in the manner established in the request for proposals. An insurer may not enter into a preferred...”

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-921(2) (Discontinuance or Nonrenewal, Same Issuer: Premium Basis for Alternate Coverage)

  “An issuer who discontinues or does not renew a medicare supplement policy product or certificate and offers an alternate medicare supplement policy or certificate shall base its premium for the alternate policy or certificate on the rates currently in place for that policy or certificate.”

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-906(2) (Loss Ratio Filing Requirements)

  “Every issuer providing medicare supplement policies or certificates in this state shall annually file with the commissioner its rates, rating schedule, and supporting documentation demonstrating that it is in compliance with the applicable loss ratio standards of this part. An issuer transacting...”

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-1906 (Payment of Covered Services Provided by Certified Advanced Practice Registered Nurses)

  “A health benefit plan may not deny payment for covered services provided to a covered person under 33-22-1903 and 33-22-1904 by a certified advanced practice registered nurse practicing in collaboration with the participating obstetrician or gynecologist. This section may not be construed to expand...”

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-1313(4) (Association Member Assessments)

  “(4) The commissioner may, after notice and hearing: (a) suspend or revoke the certificate of authority to transact insurance in this state of any member insurer that fails to pay an assessment; (b) impose a penalty on any insurer that fails to pay an assessment when due; or (c) use any power...”

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-1002 (Availability of Coverage for Home Health Care)

  “Insurers and health service corporations transacting health insurance business in this state shall make available, under group insurance policies or certificates and under group hospital and medical service plan contracts, benefits for home health care. Applicants for a group policy, certificate,...”

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-1808(1) (Establishment of classes of business)

  “A small employer carrier may establish a separate class of business only to reflect substantial differences in expected claims experience or administrative costs that are related to the following reasons:”

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-921(1) (Discontinuance or Nonrenewal, Same Issuer: No Denial of Benefits)

  “If an issuer discontinues or does not renew a medicare supplement policy product or certificate and offers an alternate medicare supplement policy or certificate to its insureds within this state, it may not deny benefits under the replacing policy or certificate to an insured who receives...”

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-922 (Discontinuance or Nonrenewal: Alternate Policy, Unauthorized Bulk Reinsurance)

  “Alternate medicare supplement coverage as provided in 33-22-921 must be offered to its insureds by an issuer that: (a) bulk cedes its medicare supplement policy business to an insurer that does not meet the requirements of chapter 2; (b) authorizes the bulk reinsurer to administer the medicare...”

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-1803(9) (Definitions: case characteristics)

  “(9) "Case characteristics" means demographic or other objective characteristics of a small employer that are considered by the small employer carrier in the determination of premium rates for the small employer, provided that gender, claims experience, health status, and duration of coverage are...”

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-705(2)(e) (Outpatient benefits -- collaborative care model)

  “reasonable charges for outpatient benefits listed in this subsection (2) that are delivered through the psychiatric collaborative care model or primary care behavioral health model. The charges must be reimbursed through the use of the following common procedural terminology billing codes...”

• Mont. Code Ann. Title 33 Chapter 22 § 33-22-904(3) (Standards for Policy Provisions -- Commissioner's Rules on Unfair Provisions)

  “The commissioner may adopt reasonable rules that prohibit policy or certificate provisions not otherwise specifically authorized by statute that, in the opinion of the commissioner, are unjust, unfair, or unfairly discriminatory to any person insured or proposed for coverage under a medicare...”

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More Montana sources

• Mont. Code Ann. s. 33-18-201: Unfair claim settlement practices prohibitedState statute
• Mont. Code Ann. s. 33-18-202: Misrepresentation and false advertising of policies prohibitedState statute
• Mont. Code Ann. ss. 33-20-104 to 33-20-119: Standard life insurance policy provisionsState statute
• Mont. Code Ann. s. 33-17-1001: Suspension, revocation, or refusal of licenseState statute
• Montana Code Annotated Title 33 Chapter 15 - The Insurance Contract (33-15-101 through 33-15-1126)State statute
• Montana Code Annotated Title 33 Chapter 17 - Insurance Producers, Adjusters, Consultants and Administrators (33-17-101 through 33-17-1205)State statute
• Montana Code Annotated Title 33 Chapter 20 - Life Insurance and Annuity Contracts (33-20-101 through 33-20-1606)State statute
• Montana Code Annotated Title 33 Chapter 22 Parts 1-6 - Disability Insurance: general provisions, individual policy provisions, coverage requirements, group and blanket (33-22-101 through 33-22-604)State statute