Iowa Code 514E.11 – Notice of association policy
Current as of: 2023 | Check for updates
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Terms Used In Iowa Code 514E.11
- Association: means the Iowa comprehensive health insurance association established by section 514E. See Iowa Code 514E.1
- Association policy: means an individual or group policy issued by the association that provides the coverage as set forth in the benefit plans adopted by the association's board of directors and approved by the commissioner. See Iowa Code 514E.1
- Board: means the engineering and land surveying examining board provided by this chapter. See Iowa Code 542B.2
- Carrier: means an insurer providing accident and sickness insurance under chapter 509, 514, 514A and includes a health maintenance organization established under chapter 514B if payments received by the health maintenance organization are considered premiums pursuant to section 514B. See Iowa Code 514E.1
- Commissioner: means the commissioner of insurance. See Iowa Code 514E.1
- Health care services: means services, the coverage of which is authorized under chapter 509, chapter 514, chapter 514A, or chapter 514B as limited by benefit plans established by the association's board of directors, with the approval of the commissioner and includes services for the purposes of preventing, alleviating, curing, or healing human illness, injury or physical disability. See Iowa Code 514E.1
- Health insurance: means accident and sickness insurance authorized by chapter 509, 514, or 514A. See Iowa Code 514E.1
- person: means individual, corporation, limited liability company, government or governmental subdivision or agency, business trust, estate, trust, partnership or association, or any other legal entity. See Iowa Code 4.1
Every carrier, including a health maintenance organization subject to chapter 514B, authorized to provide health care insurance or coverage for health care services in Iowa, shall provide a notice of the availability of coverage by the association to any person who receives a rejection of coverage for health insurance or health care services, or a rate for health insurance or coverage for health care services that will exceed the rate of an association policy, and that person is eligible to apply for health insurance provided by the association. Application for the health insurance shall be on forms prescribed by the association’s board of directors and made available to the carriers and other entities providing health care insurance or coverage for health care services regulated by the commissioner.