(1) As used in this section: (a) "Insurer" means a person who offers health care insurance, including a health maintenance organization as that term is defined in Section 31A-8-101. (b) "PEHP" means the Public Employees' Benefit and Insurance Program created in Section 49-20-103. (c) "Savings reward program" means a program to reward a health insurance enrollee if the enrollee receives services: (i) covered by the enrollee's health plan; and (ii) from a provider whose costs for services are lower than the average costs for the services.
(a) "Insurer" means a person who offers health care insurance, including a health maintenance organization as that term is defined in Section 31A-8-101.
(b) "PEHP" means the Public Employees' Benefit and Insurance Program created in Section 49-20-103.
(c) "Savings reward program" means a program to reward a health insurance enrollee if the enrollee receives services: (i) covered by the enrollee's health plan; and (ii) from a provider whose costs for services are lower than the average costs for the services.
(i) covered by the enrollee's health plan; and
(ii) from a provider whose costs for services are lower than the average costs for the services.
(2) An insurer may, in accordance with Subsection (4), establish a savings reward program for a health benefit plan that is: (a) offered by the insurer; and (b) entered into or renewed on or after January 1, 2019.
(a) offered by the insurer; and
(b) entered into or renewed on or after January 1, 2019.
(3) PEHP shall, in accordance with Subsection (4), establish a savings reward program for a health plan that is: (a) offered to state employees under Title 49, Chapter 20, Public Employees' Benefit and Insurance Program Act; and (b) entered into or renewed on or after July 1, 2019.
(a) offered to state employees under Title 49, Chapter 20, Public Employees' Benefit and Insurance Program Act; and
(b) entered into or renewed on or after July 1, 2019.
(4) A savings reward program described in Subsection (2) or (3) may include, in accordance with federal and state law, rewards to the enrollee through: (a) premium discounts; (b) rebates; (c) reduction of out-of-pocket costs; or (d) other rewards or incentives developed by the insurer.
(a) premium discounts;
(b) rebates;
(c) reduction of out-of-pocket costs; or
(d) other rewards or incentives developed by the insurer.
Copyright ©2024 LegalFix. All rights reserved. LegalFix is not a law firm, is not licensed to practice law, and does not provide legal advice, services, or representation. The information on this website is an overview of the legal plans you can purchase—or that may be provided by your employer as an employee benefit or by your credit union or other membership group as a membership benefit.
LegalFix provides its members with easy access to affordable legal services through a network of independent law firms. LegalFix, its corporate entity, and its officers, directors, employees, agents, and contractors do not provide legal advice, services, or representation—directly or indirectly.
The articles and information on the site are not legal advice and should not be relied upon—they are for information purposes only. You should become a LegalFix member to get legal services from one of our network law firms.
You should not disclose confidential or potentially incriminating information to LegalFix—you should only communicate such information to your network law firm.
The benefits and legal services described in the LegalFix legal plans are not always available in all states or with all plans. See the legal plan Benefit Overview and the more comprehensive legal plan contract during checkout for coverage details in your state.
Use of this website, the purchase of legal plans, and access to the LegalFix networks of law firms are subject to the LegalFix Terms of Service and Privacy Policy.