Alaska Administrative Code (Last Updated: January 12, 2017) |
Title 2. Administration. |
Chapter 2.39. Group Health and Life Insurance. |
Article 2.39.6. Miscellaneous Provisions. |
Section 2.39.925. Definitions.
Latest version.
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In 2 AAC 39.900 - 2 AAC 39.925, unless the context requires otherwise, (1) "catastrophic coverage" means a health care insurance plan that (A) provides benefits for hospital and medical care with a lifetime maximum benefit per insured of at least $250,000; and (B) has a deductible of at least $5,000; (2) "employee-only coverage" means a health care insurance plan that covers the employee with at least 70 percent coinsurance and an out-of-pocket limit of no more than $3,500; (3) "family coverage" means a health care insurance plan that covers all eligible members of the family with at least 70 percent coinsurance and out-of-pocket limits of no more than $3,500 per individual; (4) "out-of-pocket limit" means the amount the member needs to pay in coinsurance before the plan pays covered medical expenses at 100 percent.
Authorities
39.30.090;39.30.091