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054.00.78-5. Required Written Notice Upon Rejection Of State Mandated Health Benefits

AR ADC 054.00.78-5Arkansas Administrative Code

West's Arkansas Administrative Code
Title 054. Insurance Department
Division 00.
Rule 78. Small Employer Health Purchasing Groups
Ark. Admin. Code 054.00.78-5
054.00.78-5. Required Written Notice Upon Rejection Of State Mandated Health Benefits
Every health insurance purchasing group, which offers a health benefits plan, which either in whole or in part, will not have state mandated health benefits, as defined in Ark. Code Ann. ยง 23-86-502(15)(A), shall provide to each eligible employee a written notice that the health benefits plan does not contain all state mandated benefits. This written notice shall be provided to each eligible employee no later than thirty (30) days after the eligible employee enrolls in the plan. Such notice may be provided in a separate document, or incorporated in the enrollment application, or provided in a certificate of coverage provided to the eligible employee. The notice shall:
(1) List each state mandated health benefit or service which is not provided in the health benefits plan(s); and
(2) Urge the eligible employee to consult with his or her employer, representatives of the health insurance purchasing group, the purchasing group health carrier, or the Arkansas Insurance Department Consumer Affairs or Legal Division about questions or concerns related to the nature of the state mandated health benefit which is not offered in the health benefits plan.
The health insurance purchasing group may contract with its health insurance purchasing group health carrier to provide the notice required by this Regulation.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 054.00.78-5, AR ADC 054.00.78-5
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