44-4226 Major medical expense coverage required; considerations. - Nebraska Statutes

State Codes and Statutes

Statutes > Nebraska > Chapter44 > 44-4226

44-4226. Major medical expense coverage required;considerations.(1) The pool shall offer major medical expensecoverage to every eligible individual. The pool coverage, its schedule ofbenefits, and exclusions and other limitations shall be established throughrules and regulations adopted and promulgated by the director taking intoconsideration the advice and recommendations of the members.(2) In establishing the pool coverage, the director shall take intoconsideration the levels of individual health insurance coverage providedin the state and such medical economic factors as may be deemed appropriateand shall determine benefit levels, deductibles, coinsurance and stop-lossfactors, exclusions, and limitations determined to be generally reflectiveof and commensurate with individual health insurance coverage provided bythe ten insurers writing the largestamount of individual health insurance coverage in the state.(3) Pool coverage established under this section shall provide bothan appropriate high and low deductible to be selected by the pool applicant.The deductibles and coinsurance and stop-loss factors may be adjusted annuallyaccording to the medical component of the Consumer Price Index. SourceLaws 1985, LB 391, § 26; Laws 1992, LB 1006, § 39; Laws 2000, LB 1253, § 28; Laws 2009, LB358, § 7.

State Codes and Statutes

Statutes > Nebraska > Chapter44 > 44-4226

44-4226. Major medical expense coverage required;considerations.(1) The pool shall offer major medical expensecoverage to every eligible individual. The pool coverage, its schedule ofbenefits, and exclusions and other limitations shall be established throughrules and regulations adopted and promulgated by the director taking intoconsideration the advice and recommendations of the members.(2) In establishing the pool coverage, the director shall take intoconsideration the levels of individual health insurance coverage providedin the state and such medical economic factors as may be deemed appropriateand shall determine benefit levels, deductibles, coinsurance and stop-lossfactors, exclusions, and limitations determined to be generally reflectiveof and commensurate with individual health insurance coverage provided bythe ten insurers writing the largestamount of individual health insurance coverage in the state.(3) Pool coverage established under this section shall provide bothan appropriate high and low deductible to be selected by the pool applicant.The deductibles and coinsurance and stop-loss factors may be adjusted annuallyaccording to the medical component of the Consumer Price Index. SourceLaws 1985, LB 391, § 26; Laws 1992, LB 1006, § 39; Laws 2000, LB 1253, § 28; Laws 2009, LB358, § 7.

State Codes and Statutes

Back To Homepage

State Codes and Statutes

Statutes > Nebraska > Chapter44 > 44-4226

44-4226. Major medical expense coverage required;considerations.(1) The pool shall offer major medical expensecoverage to every eligible individual. The pool coverage, its schedule ofbenefits, and exclusions and other limitations shall be established throughrules and regulations adopted and promulgated by the director taking intoconsideration the advice and recommendations of the members.(2) In establishing the pool coverage, the director shall take intoconsideration the levels of individual health insurance coverage providedin the state and such medical economic factors as may be deemed appropriateand shall determine benefit levels, deductibles, coinsurance and stop-lossfactors, exclusions, and limitations determined to be generally reflectiveof and commensurate with individual health insurance coverage provided bythe ten insurers writing the largestamount of individual health insurance coverage in the state.(3) Pool coverage established under this section shall provide bothan appropriate high and low deductible to be selected by the pool applicant.The deductibles and coinsurance and stop-loss factors may be adjusted annuallyaccording to the medical component of the Consumer Price Index. SourceLaws 1985, LB 391, § 26; Laws 1992, LB 1006, § 39; Laws 2000, LB 1253, § 28; Laws 2009, LB358, § 7.