Iowa Admin. Code r. 191-73.8

Current through Register Vol. 47, No.14, January 8, 2025

Rule 191-73.8 - Participants

A HIPC may offer services to any of the following participants:

1. Individuals.

2. A small business as defined in 191-Chapter 71.

3. A business with more than 50 employees.

4. An association and its members.

5. The state or a local government unit.

6. Any other purchaser on a voluntary basis.

Underwriting standards shall be no more restrictive than required of small group health insurance under 191-Chapter 71.

A HIPC's business plan may impose conditions or limitations on members leaving the HIPC to protect against adverse selection. A HIPC shall accept all entities within its chosen market segment in accordance with the regulations governing marketing of insurance to that market segment, e.g., individual, small group, or large group.

A HIPC may provide services to participants out-of-state or out-of-region who elect to join for the benefit of representation and participation in health insurance or health care benefits only when an employer out-of-state or out-of-region has employees within the state or region or an individual is required to have coverage in the state or region due to specific circumstance.

Iowa Admin. Code r. 191-73.8