reglab/housing_qa huggingface dataset:
MN Stat § 62S.312 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62S — Qualified Long-term Care Insurance Policies|Section 62S.312 — Consumer Protection Standards For Long-term Care Partnership Policies.

62S.312 CONSUMER PROTECTION STANDARDS FOR LONG-TERM CARE PARTNERSHIP POLICIES. To qualify as a long-term care partnership policy under this chapter, long-term care insurance policies must meet the requirements for being tax qualified as defined in section 7702B(b) of the Internal Revenue Code and meet certain consumer protection requirements in Section 6021(a)(1)(B)(5)(A) of the Deficit Reduction Act of 2005, Public Law 109-171, which are taken from the National Association of Insurance Commissioners (NAIC) Model Act and Regulation of 2000. Insurance carriers must certify for each policy form to be included in the long-term care partnership that the form complies with the requirements of the NAIC Model Act and Regulation of 2000 as implemented in sections 62S.05 to 62S.11; 62S.13 to 62S.18; 62S.19; 62S.20, subdivisions 1 to 5; 62S.21; 62S.22; 62S.24; 62S.25; 62S.266; 62S.28; 62S.29; 62S.30; and 62S.31. History:   2010 c 310 art 4 s 2
MN Stat § 62S.315 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62S — Qualified Long-term Care Insurance Policies|Section 62S.315 — Producer Training.

62S.315 PRODUCER TRAINING. The commissioner shall approve producer training requirements in accordance with the NAIC Long-Term Care Insurance Model Act provisions. The commissioner of the Department of Human Services shall provide technical assistance and information to the commissioner in accordance with Public Law 109-171, section 6021. History:   2006 c 255 s 56; 2006 c 282 art 17 s 22; 2009 c 86 art 1 s 88
MN Stat § 62S.32 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62S — Qualified Long-term Care Insurance Policies|Section 62S.32 — Application.

62S.32 APPLICATION. Subdivision 1. Medicare supplement insurance policy. Medicare supplement insurance policy laws do not apply to long-term care insurance. Subd. 2. Qualified long-term care insurance policy. This chapter applies to long-term care insurance marketed as a qualified long-term care policy. This chapter does not apply to long-term care insurance governed by sections 62A.46 to 62A.56. History:   1997 c 71 art 1 s 32
MN Stat § 62S.33 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62S — Qualified Long-term Care Insurance Policies|Section 62S.33 — Penalties.

62S.33 PENALTIES. In addition to any other penalties provided by the laws of this state, an insurer or agent found to have violated any requirement of this state relating to the regulation of long-term care insurance or the marketing of the insurance is subject to a fine of up to three times the amount of any commissions paid for each policy involved in the violation or up to $10,000, whichever is greater. History:   1997 c 71 art 1 s 33
MN Stat § 62S.34 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62S — Qualified Long-term Care Insurance Policies|Section 62S.34 — Regulatory Flexibility.

62S.34 REGULATORY FLEXIBILITY. The commissioner may, upon written request, issue an order to modify or suspend a specific provision or provisions of this chapter with respect to a specific long-term care insurance policy or certificate upon a written finding that: (1) the modification or suspension is in the best interest of the insureds; (2) the purpose to be achieved could not be effectively or efficiently achieved without the modification or suspension; and (3)(i) the modification or suspension is necessary to the development of an innovative and reasonable approach for insuring long-term care; (ii) the policy or certificate is to be issued to residents of a life care or continuing care retirement community or some other residential community for the elderly and the modification or suspension is reasonably related to the special needs or nature of such a community; or (iii) the modification or suspension is necessary to permit long-term care insurance to be sold as part of, or in conjunction with, another insurance product. History:   1Sp2003 c 14 art 2 s 6
MN Stat § 62T.01 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.01 — Definitions.

62T.01 DEFINITIONS. Subdivision 1. Scope. For purposes of this chapter, the terms in this section have the meanings given. Subd. 2. Health care purchasing alliance. "Health care purchasing alliance" means a business organization created under this chapter to negotiate the purchase of health care services for employers. Nothing in this chapter shall be deemed to regulate or impose any requirements on a self-insured employer or labor union. A health care purchasing alliance may include a grouping of: (1) businesses, including small businesses with one employee. The businesses may or may not be organized under section 62Q.17 as a purchasing pool; (2) trade association members or church organizations under section 60A.02 or union members who are not in a self-insured benefit plan; (3) multiple employer welfare associations under chapter 62H; (4) municipalities, townships, or counties; (5) other government entities; or (6) any combination of clauses (1) to (5). The alliance may determine the definition of a business of one employee, but must adhere to its definition and show no bias in selection of members based on that definition. Subd. 3. Accountable provider network. "Accountable provider network" means a group of health care providers organized to market health care services on a risk-sharing or non-risk-sharing basis with a health care purchasing alliance. Accountable provider networks shall operate as not-for-profit entities or as health care cooperatives, as allowed under chapter 62R. This chapter applies only when an accountable provider network is marketing and selling services and benefits to the employees of businesses as authorized in section 62T.05. Subd. 4. Commissioner. "Commissioner" means the commissioner of health. History:   1997 c 225 art 5 s 1
MN Stat § 62T.02 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.02 — Purchasing Alliances.

62T.02 PURCHASING ALLIANCES. Subdivision 1. Registration. Purchasing alliances must register prior to offering coverage, and annually on July 1 thereafter, with the commissioner on a form prescribed by the commissioner. Subd. 2. Common factors. All participants in a purchasing alliance must live within a common geographic region, be employed in a similar occupation, or share some other common factor as approved by the commissioner. The membership criteria must not be designed to include disproportionately employers, groups, or individuals likely to have low costs of health coverage, or to exclude disproportionately employers, groups, or individuals likely to have high costs of health coverage. Subd. 3. Seasonal employees. A purchasing alliance may define eligible employees to include seasonal employees. For purposes of this chapter, "seasonal employee" means an employee who is employed on a full-time basis for at least six months during the calendar year and is unemployed for no longer than four months during the calendar year. If seasonal employees are included: (1) the alliance must not show bias in the selection of members based on the percentage of seasonal employees employed by an employer member; (2) prior to issuance or renewal, the employer must inform the alliance that it will include seasonal employees; (3) the employer must cover seasonal employees for the entire term of its plan year; and (4) the purchasing alliance may require an employer-member contribution of at least 50 percent of the cost of employee coverage during the months the seasonal employee is unemployed. History:  1997 c 225 art 5 s 2; 2004 c 268 s 10; 2004 c 288 art 6 s 9
MN Stat § 62T.025 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.025 — Employer-member Contribution.

62T.025 EMPLOYER-MEMBER CONTRIBUTION. If an employer-member of a purchasing alliance can demonstrate that the member has not offered employee health coverage for a year or more, the member may contribute 25 percent or more of the cost of employee coverage for up to 36 months. This provision only applies to rural purchasing alliances organized under this chapter and operating prior to May 1, 2000. The affected purchasing alliances may develop membership criteria which disallow an employer contribution below 50 percent. History:   2000 c 295 s 1
MN Stat § 62T.03 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.03 — Application Of Other Laws.

62T.03 APPLICATION OF OTHER LAWS. Subdivision 1. State law. An accountable provider network is subject to all requirements applicable to a health plan company licensed in the state, except as otherwise noted in this chapter. An accountable provider network and a health care purchasing alliance must comply with all requirements of chapter 62L, except for modifications and waivers permitted under this chapter. A contracting arrangement between a health care purchasing alliance and an accountable provider network for provision of health care benefits must provide consumer protection functions comparable to those currently required of a health plan company licensed under section 62N.25, and other statutes referenced in that section, except for modifications and waivers permitted under this chapter. Subd. 2. Federal law. A self-insured employer may participate as an affiliate member of a purchasing alliance without participation affecting the employer's standing under the federal Employee Retirement Income Security Act (ERISA) of 1974. An affiliate member is one that may purchase administrative services with the purchasing alliance and may participate in activities undertaken to educate and promote health improvement of the purchasing alliance enrollees or community residents. History:  1997 c 225 art 5 s 3; 2000 c 295 s 2
MN Stat § 62T.04 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.04 — Complaint System.

62T.04 COMPLAINT SYSTEM. Accountable provider networks must establish and maintain an enrollee complaint system as required under sections 62Q.68 to 62Q.72 or as required by a contract with a purchasing alliance. The contract must be approved by the commissioner. The accountable provider network may contract with the health care purchasing alliance or a vendor for operation of this system. The commissioner may not waive any enrollee rights relating to external review. History:  1997 c 225 art 5 s 4; 1999 c 239 s 40; 2000 c 295 s 3
MN Stat § 62T.05 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.05 — Benefits.

62T.05 BENEFITS. An accountable provider network may offer and sell any benefits permitted to be offered and sold by health plan companies under Minnesota law. An accountable provider network may, after consultation with the purchasing alliance, offer only one benefit plan to employer-members of the alliance. History:  1997 c 225 art 5 s 5; 2000 c 295 s 4
MN Stat § 62T.07 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.07 — Criteria For Granting Waivers.

62T.07 CRITERIA FOR GRANTING WAIVERS. The commissioner may approve a request for waiver under section 62T.06 if the applicant demonstrates that the contracting arrangement between a health care purchasing alliance and an accountable provider network will meet the following criteria: (a) The arrangement would be likely to result in: (1) more choice in benefits and prices; (2) lower costs; (3) increased access to health care coverage by small businesses; (4) increased access to providers who have demonstrated a long-term commitment to the community being serviced; or (5) increased quality of health care than would otherwise occur under the existing market conditions. In the event that a proposed arrangement appears likely to improve one or two of the criteria at the expense of another one or two of the criteria, the commissioner shall not approve the waiver. (b) The proposed alternative methods would provide equal or improved results in consumer protection than would result under the existing consumer protections requirements. History:   1997 c 225 art 5 s 7
MN Stat § 62T.08 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.08 — Supervision And Revocation Of Waivers.

62T.08 SUPERVISION AND REVOCATION OF WAIVERS. (a) The commissioner shall appropriately supervise and monitor approved waivers. (b) The commissioner may revoke approval of a waiver if the contracting arrangement no longer satisfies the criteria in section 62T.07, paragraphs (a) and (b). History:   1997 c 225 art 5 s 8
MN Stat § 62T.09 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.09 — Minnesota Comprehensive Health Association.

62T.09 MINNESOTA COMPREHENSIVE HEALTH ASSOCIATION. A health care purchasing alliance must pay the assessment required of contributing members pursuant to section 62E.11. History:   1997 c 225 art 5 s 9
MN Stat § 62T.10 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.10 — Minnesotacare Tax.

62T.10 MINNESOTACARE TAX. An accountable provider network shall file with the commissioner of revenue all returns and pay to the commissioner of revenue all amounts required under chapter 297I. History:  1997 c 225 art 5 s 10; 2000 c 394 art 2 s 17
MN Stat § 62T.11 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.11 — Duties Of Commissioner.

62T.11 DUTIES OF COMMISSIONER. (a) By July 1, 1997, the commissioner shall make available application forms for licensure as an accountable provider network. The accountable provider network may begin doing business after application has been approved. (b) Upon receipt of an application for a certificate of authority, the commissioner shall grant or deny licensure and waivers requested within 90 days of receipt of a complete application if all requirements are substantially met. For a period of six years after July 1, 1997, the commissioner may approve up to five applications, none of which may be from health plan companies. If no written response has been received within 90 days, the application is approved. When the commissioner denies an application or waiver request, the commissioner shall notify the applicant in writing specifically stating the grounds for the denial and specific suggestions for how to remedy the denial. The commissioner will entertain reconsiderations. Within 90 days after the denial, the applicant may file a written request for an administrative hearing and review of the commissioner's determination. The hearing is subject to judicial review as provided by chapter 14. (c) All monitoring, enforcement, and rulemaking powers available under chapter 62N are granted to the commissioner to assure continued compliance with provisions of this chapter. The commissioner shall honor the intent of this section to foster community-focused, affordable health coverage for small employers and their employees. (d) The commissioner may contract with other entities as necessary to carry out the responsibilities in this chapter. History:  1997 c 225 art 5 s 11; 2000 c 295 s 7
MN Stat § 62T.12 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62T — Community Purchasing Arrangements|Section 62T.12 — Fees.

62T.12 FEES. Every accountable provider network subject to this chapter shall pay to the commissioner fees as prescribed by the commissioner pursuant to section 144.122. The initial fees are: (1) filing an application for licensure, $500; (2) filing an amendment to a license, $90; (3) filing an annual report, $200; (4) filing of renewal of licensure based on a fee of $1,000 per 1,000 enrollees, with renewal every three years; and (5) other filing fees as specified by rule. History:   1997 c 225 art 5 s 12
MN Stat § 62U.05 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62U — Health Care Payment And Pricing Reform|Section 62U.05 — Provider Pricing For Baskets Of Care.

62U.05 PROVIDER PRICING FOR BASKETS OF CARE. Subdivision 1. Establishment of definitions. (a) By July 1, 2009, the commissioner of health shall establish uniform definitions for baskets of care beginning with a minimum of seven baskets of care. In selecting health conditions for which baskets of care should be defined, the commissioner shall consider coronary artery and heart disease, diabetes, asthma, and depression. In selecting health conditions, the commissioner shall also consider the prevalence of the health conditions, the cost of treating the health conditions, and the potential for innovations to reduce cost and improve quality. (b) The commissioner shall convene one or more work groups to assist in establishing these definitions. Each work group shall include members appointed by statewide associations representing relevant health care providers and health plan companies, and organizations that work to improve health care quality in Minnesota. (c) To the extent possible, the baskets of care must incorporate a patient-directed, decision-making support model. Subd. 2. Package prices. (a) Beginning January 1, 2010, health care providers may establish package prices for the baskets of care defined under subdivision 1. (b) Beginning January 1, 2010, no health care provider or group of providers that has established a package price for a basket of care under this section shall vary the payment amount that the provider accepts as full payment for a health care service based upon the identity of the payer, upon a contractual relationship with a payer, upon the identity of the patient, or upon whether the patient has coverage through a group purchaser. This paragraph applies only to health care services provided to Minnesota residents or to non-Minnesota residents who obtain health insurance through a Minnesota employer. This paragraph does not apply to services paid for by Medicare, state public health care programs through fee-for-service or prepaid arrangements, workers' compensation, or no-fault automobile insurance. This paragraph does not affect the right of a provider to provide charity care or care for a reduced price due to financial hardship of the patient or due to the patient being a relative or friend of the provider. Subd. 3. Quality measurements for baskets of care. (a) The commissioner shall establish quality measurements for the defined baskets of care by December 31, 2009. The commissioner may contract with an organization that works to improve health care quality to make recommendations about the use of existing measures or establishing new measures where no measures currently exist. (b) Beginning July 1, 2010, the commissioner or the commissioner's designee shall publish comparative price and quality information on the baskets of care in a manner that is easily accessible and understandable to the public, as this information becomes available. History:   2008 c 358 art 4 s 8
MN Stat § 62U.06 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62U — Health Care Payment And Pricing Reform|Section 62U.06 — Coordination; Legislative Oversight.

62U.06 COORDINATION; LEGISLATIVE OVERSIGHT. Subdivision 1. Coordination. In carrying out the responsibilities of this chapter, the commissioner of health shall ensure that the activities and data collection are implemented in an integrated and coordinated manner that avoids unnecessary duplication of effort. To the extent possible, the commissioner shall use existing data sources and implement methods to streamline data collection in order to reduce public and private sector administrative costs. Subd. 2. Legislative oversight. Beginning January 15, 2009, the commissioner of health shall submit to the chairs and ranking minority members of the legislative committees with jurisdiction over health care policy and finance periodic progress reports on the implementation of this chapter and sections 62U.03 and 256B.0752 to 256B.0754. Subd. 3. Rulemaking. For purposes of this chapter, the commissioner may use the expedited rulemaking process under section 14.389. History:  2008 c 358 art 4 s 9; 1Sp2011 c 9 art 6 s 17; 2020 c 115 art 3 s 39
MN Stat § 62U.08 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62U — Health Care Payment And Pricing Reform|Section 62U.08 — Essential Benefit Set.

62U.08 ESSENTIAL BENEFIT SET. Subdivision 1. Work group created. The commissioner of health shall convene a work group to make recommendations on the design of a health benefit set that provides coverage for a broad range of services and technologies, is based on scientific evidence that the services and technologies are clinically effective and cost-effective, and provides lower enrollee cost sharing for services and technologies that have been determined to be cost-effective. The work group shall include representatives of health care providers, health plans, state agencies, and employers. Members of the work group must have expertise in standards for evidence-based care, benefit design and development, actuarial analysis, or knowledge relating to the analysis of the cost impact of coverage of specified benefits. The work group must meet at least once per year and at other times as necessary to make recommendations to the commissioner on updating the benefit set as necessary to ensure that the benefit set continues to be safe, effective, and scientifically based. Subd. 2. Duties. By October 15, 2009, the work group shall develop and submit to the commissioner an initial essential benefit set and design that includes coverage for a broad range of services, is based on scientific evidence that services are clinically effective and cost-effective, and provides lower enrollee cost sharing for services that have been determined to be cost-effective. The benefit set must include necessary evidence-based health care services, procedures, diagnostic tests, and technologies that are scientifically proven to be both clinically effective and cost-effective. In developing its recommendations, the work group may consult with the Institute for Clinical Systems Improvement (ICSI) to assemble existing scientifically based practice standards. Subd. 3. Report. By January 15, 2010, the commissioner shall report the recommendations of the work group to the chairs and ranking minority members of the legislative committees and divisions with jurisdiction over health care policy and finance. History:   2008 c 358 art 4 s 11