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2020 Utah Code
Title 26 - Utah Health Code
Chapter 40 - Utah Children's Health Insurance Act
Section 115 - State contractor -- Employee and dependent health benefit plan coverage.
Universal Citation: UT Code § 26-40-115 (2020)
Effective 5/12/2020
26-40-115. State contractor -- Employee and dependent health benefit plan coverage.
Amended by Chapter 32, 2020 General Session
Amended by Chapter 152, 2020 General Session
26-40-115. State contractor -- Employee and dependent health benefit plan coverage.
- (1) For purposes of Sections 17B-2a-818.5, 19-1-206, 63A-5b-607, 63C-9-403, 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 26-40-106(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.
- (i) has a deductible that is:
- (a) a health benefit plan and employer contribution level with a combined actuarial value at least actuarially equivalent to the combined actuarial value of:
- (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.
- (a) on or before July 1, 2016:
Amended by Chapter 32, 2020 General Session
Amended by Chapter 152, 2020 General Session
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