26B-3-909. State contractor -- Employee and dependent health benefit plan coverage.

333 words·~2 min read·/ut/title-26b/chapter-3/26b-3-909

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Effective 5/1/2024

(1)For purposes of Sections 17B-2a-818.5 , 19-1-206 , 63A-5b-607 , 63O-2-403 , 72-6-107.5 , and 79-2-404 , "qualified health coverage" means, at the time the contract is entered into or renewed:

(a)a health benefit plan and employer contribution level with a combined actuarial value at least actuarially equivalent to the combined actuarial value of:

(i)the benchmark plan determined by the program under Subsection 26B-3-904 (1)(a); and

(ii)a contribution level at which the employer pays at least 50% of the premium or contribution amounts for the employee and the dependents of the employee who reside or work in the state; or

(b)a federally qualified high deductible health plan that, at a minimum:

(i)has a deductible that is:

(A)the lowest deductible permitted for a federally qualified high deductible health plan; or

(B)a deductible that is higher than the lowest deductible permitted for a federally qualified high deductible health plan, but includes an employer contribution to a health savings account in a dollar amount at least equal to the dollar amount difference between the lowest deductible permitted for a federally qualified high deductible plan and the deductible for the employer offered federally qualified high deductible plan;

(ii)has an out-of-pocket maximum that does not exceed three times the amount of the annual deductible; and

(iii)provides that the employer pays 60% of the premium or contribution amounts for the employee and the dependents of the employee who work or reside in the state.

(2)The department shall:

(a)on or before July 1, 2016:

(i)determine the commercial equivalent of the benchmark plan described in Subsection (1)(a); and

(ii)post the commercially equivalent benchmark plan described in Subsection (2)(a)(i) on the department's website, noting the date posted; and

(b)update the posted commercially equivalent benchmark plan annually and at the time of any change in the benchmark.

Amended by Chapter 425 , 2024 General Session