(1) the Department of Health offers a choice of coverage as part of a Medicaid waiver under Title 26, Chapter 18, Medical Assistance Act, which includes: (a) less or different coverage than the basic coverage; (b) less or different coverage than is otherwise required in an insurance policy or health maintenance organization contract under applicable state law; or (c) less or different coverage than required by Subsection 31A-22-605(4)(b); and
(a) less or different coverage than the basic coverage;
(b) less or different coverage than is otherwise required in an insurance policy or health maintenance organization contract under applicable state law; or
(c) less or different coverage than required by Subsection 31A-22-605(4)(b); and
(2) the choice of coverage offered by the carrier: (a) is the same or similar coverage as the coverage offered by the Department of Health under Subsection (1); (b) is offered to the same or similar population as the coverage offered by the Department of Health under Subsection (1); and (c) contains an explanation for each insured of coverage exclusions and limitations.
(a) is the same or similar coverage as the coverage offered by the Department of Health under Subsection (1);
(b) is offered to the same or similar population as the coverage offered by the Department of Health under Subsection (1); and
(c) contains an explanation for each insured of coverage exclusions and limitations.
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