LD 452
pg. 2
Page 1 of 2 An Act to Assist Individuals in Obtaining Catastrophic Insurance LD 452 Title Page
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LR 131
Item 1

 
D.__An individual with an income between 210% and 220% of the
nonfarm income official poverty line is eligible for a subsidy
of 60% of the premium rate for coverage under an individual
catastrophic health plan.

 
E. An individual with an income between 220% and 235% of the
nonfarm income official poverty line is eligible for a
subsidy of 40% of the premium rate for coverage under an
individual catastrophic health plan.

 
F. An individual with an income between 235% and 250% of the
nonfarm income official poverty line is eligible for a
subsidy of 20% of the premium rate for coverage under an
individual catastrophic health plan.

 
G. An individual with an income above 250% of the nonfarm
income official poverty line is not eligible for a premium
subsidy but may purchase coverage at the full premium rate
for coverage under an individual catastrophic health plan.

 
4.__Payment of premium subsidies. The superintendent shall
receive all funds appropriated for the purpose of providing
premium subsidies for coverage under individual catastrophic
health plans. Any funds appropriated may be used only for the
purpose described in this subsection, and any unexpended funds
from a particular year must be carried forward for use in the
next year. The superintendent shall transfer premium subsidies
directly to the carrier for those individuals receiving coverage
from that carrier who are eligible for a subsidy pursuant to
subsection 3.

 
5.__Applicability of community rating; guaranteed issuance and
guaranteed renewal.__A carrier offering an individual
catastrophic health plan pursuant to this section must comply
with the requirements of section 2736-C, subsections 2 and 3
relating to rating practices, guaranteed issuance and guaranteed
renewal.

 
6. Continuity of coverage.__An individual insured under an
individual catastrophic health plan pursuant to this section
qualifies for continuity of coverage pursuant to chapter 36.

 
SUMMARY

 
This bill provides premium subsidies based on income to
individuals covered under catastrophic health plans. Those
individuals with incomes at or below 200% of the poverty line and

 
up to 250% of the poverty line qualify for a premium subsidy on a
sliding-scale basis. The bill defines an individual catastrophic
health plan as a health plan providing comprehensive benefits
that imposes a deductible of $2,500.


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