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This is an obsolete version of the rule. Please click on the rule number to view the current version.

6.6.1911    MACP BENEFIT PLAN AND RATES

(1) The board shall choose an existing benefit design from the association plans or the association portability plans, make any necessary modifications in order to comply with PPACA Section 1101(c)(2), and submit the MACP to the commissioner, who will approve or disapprove the plans.

(2) In order to facilitate enrollment, the board may amend its application for insurance coverage to comply with PPACA and these rules, and use the same application for all three risk pools.

(3) The rates for the MACP shall be established at a standard rate for a standard population. In order to determine that rate, the board shall follow the procedure described in 33-22-1512(1), MCA, for determining the "average premium rate," with no additional mark-up and apply the rating rules described in PPACA Section 1101(c)(2)(C) and (D). The board shall submit its rate recommendation for the MACP to the commissioner, who will approve or disapprove the rates.

History: 33-22-1502, MCA; IMP, 33-22-1502, 33-22-1503, MCA; NEW, 2010 MAR p. 1494, Eff. 6/25/10.

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