62J.94 ERISA PLANS AND MEDICARE DRUG PLANS.
166 words·~1 min read·
/mn/chapter-62/62j-94A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
62J.94 ERISA PLANS AND MEDICARE DRUG PLANS.
(a)Nothing in sections 62J.85 to 62J.95 shall be construed to require ERISA plans or Medicare Part D plans to comply with decisions of the board. ERISA plans or Medicare Part D plans are free to choose to exceed the upper payment limit established by the board under section 62J.92 .
(b)Providers who dispense and administer drugs in the state must bill all payers no more than the upper payment limit without regard to whether an ERISA plan or Medicare Part D plan chooses to reimburse the provider in an amount greater than the upper payment limit established by the board.
(c)For purposes of this section, an ERISA plan or group health plan is an employee welfare benefit plan established by or maintained by an employer or an employee organization, or both, that provides employer sponsored health coverage to employees and the employee's dependents and is subject to the Employee Retirement Income Security Act of 1974 (ERISA).