Utah Code § 26B-3-909

Current through the 2024 Fourth Special Session
Section 26B-3-909 - State contractor - Employee and dependent health benefit plan coverage
(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.

Utah Code § 26B-3-909

Amended by Chapter 425, 2024 General Session ,§ 6, eff. 5/1/2024.
Renumbered from § 26-40-115 and amended by Chapter 306, 2023 General Session ,§ 132, eff. 5/3/2023.
Amended by Chapter 152, 2020 General Session ,§ 8, eff. 5/12/2020.
Amended by Chapter 32, 2020 General Session ,§ 3, eff. 5/12/2020.
Amended by Chapter 393, 2019 General Session ,§ 31, eff. 5/14/2019.
Amended by Chapter 319, 2018 General Session ,§ 4, eff. 5/8/2018.
Amended by Chapter 20, 2016 General Session ,§ 3, eff. 3/17/2016.
Amended by Chapter 107, 2015 General Session ,§ 4, eff. 5/12/2015.
Enacted by Chapter 400, 2011 General Session