Iowa Code 514E.4 – Association policy — coverage and benefit requirements — deductibles — coinsurance
Current as of: 2023 | Check for updates
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Terms Used In Iowa Code 514E.4
- Association: means the Iowa comprehensive health insurance association established by section 514E. See Iowa Code 514E.1
- Board: means the engineering and land surveying examining board provided by this chapter. See Iowa Code 542B.2
- 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
- Policy: means a contract, policy, or plan of health insurance. See Iowa Code 514E.1
- state: when applied to the different parts of the United States, includes the District of Columbia and the territories, and the words "United States" may include the said district and territories. See Iowa Code 4.1
The association policy shall pay for medically necessary eligible health care services as established in the benefit plans adopted by the association’s board of directors and approved by the commissioner. The plans shall provide benefits, deductibles, and coinsurance that reflect the current state of the individual insurance market. The board may modify the benefits provided under the plans to reflect the current state of the individual insurance market with the approval of the commissioner.