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- Alaska Statutes.
- Title 21. Insurance
- Chapter 86. Health Maintenance Organizations
- Section 310. Dual Choice.
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. Acquisition of Control or Merger of a Health Maintenance Organization.
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AS 21.86.310. Dual Choice.
- (a) An employer in this state, whether public or private, that offers its employees a health benefit plan and employs 25
or more employees during any week of the calendar year, and an employee benefit fund in this state that offers its
members any form of health benefit, shall make available to its employees or members the option to enroll in at least
one health maintenance organization, holding a valid certificate of authority, that provides health care services in
the geographic areas in which substantial numbers of the employees or members reside. If employees of the employer are
members of a collective bargaining unit, the option of enrollment in a health maintenance organization shall first be
submitted to the bargaining representative of the bargaining unit. If the option is approved by the bargaining
representative, the option of enrollment shall then be made to each represented employee.
- (b) An employer in this state is not required to pay more for employee health benefits as a result of the application of
this section than would be required if this section did not apply to the employer. If an employee chooses enrollment
in a health maintenance organization, the employer is required to pay, on behalf of that employee, only an amount equal
to the lesser of
- (1) the amount that would have to be paid to an insurer on behalf of its employees for substantially similar health
- (2) the health maintenance organization's charge for coverage that is approved by the director under AS 21.86.070
- (c) This section does not apply to an employer whose employees or members reside in an area where health care services are
not provided by a health maintenance organization.
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