2 AAC 39.925. Definitions

In 2 AAC 39.900 - 2 AAC 39.925, unless the context requires otherwise,

(1) "catastrophic coverage" means a health care insurance plan that

(A) provides benefits for hospital and medical care with a lifetime maximum benefit per insured of at least $250,000; and

(B) has a deductible of at least $5,000;

(2) "employee-only coverage" means a health care insurance plan that covers the employee with at least 70 percent coinsurance and an out-of-pocket limit of no more than $3,500;

(3) "family coverage" means a health care insurance plan that covers all eligible members of the family with at least 70 percent coinsurance and out-of-pocket limits of no more than $3,500 per individual.

(4) "out-of-pocket limit" means the amount the member needs to pay in coinsurance before the plan pays covered medical expenses at 100 percent.

History: Eff. 7/1/2003, Register 166

Authority: AS 39.30.090

AS 39.30.091

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