Idaho Administrative Code
Title IDAPA 18 - Insurance, Department of
Rule 18.04.15 - RULES GOVERNING SHORT-TERM HEALTH INSURANCE COVERAGE
Section 18.04.15.022 - RATING REQUIREMENTS
Universal Citation: ID Admin Code 18.04.15.022
Current through August 31, 2023
01. Enhanced Short-term Plans. In addition to the requirements applicable to individual health benefit plans, the following rating requirements apply: (3-31-22)
a. Premium rates do not vary by
gender. (3-31-22)
b. Geographic
rating areas are identical to those used for Exchange-offered QHPs.
(3-31-22)
c. Medical underwriting
criteria may be used to ascertain the risk characteristics of an applicant, if
the criteria are limited to those in the Universal Health Statement Addendum
and available claims data. (3-31-22)
d. Enhanced short-term plans comprise a
single risk pool with the carrier's other actively marketed individual health
benefit plans subject to Title 41, Chapter 52, Idaho Code. (3-31-22)
e. The rating period is on a calendar year
basis, whereby the rates filed apply to all enrollees uniformly during a given
calendar year and premium rate changes occur at the start of a new calendar
year. (3-31-22)
02. Nonrenewable Short-term Coverage. The following rating requirements apply: (3-31-22)
a. The rates
cannot utilize case characteristics other than age, individual tobacco use, and
geography but may vary by the duration of coverage requested.
(3-31-22)
b. Case characteristics
are applied uniformly, without regard to the risk characteristics of an
eligible individual. (3-31-22)
c.
The premium rate is not affected by an applicant's risk characteristics or
health status. (3-31-22)
d. The
premium rate remains the same for the duration of the policy.
(3-31-22)
Disclaimer: These regulations may not be the most recent version. Idaho may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.