Idaho State Statutes - Idaho Attorney Directory

SERVICE AGREEMENTS AND SUBSCRIBER'S CONTRACTS MUST PROVIDE
SUBSTANTIAL SERVICE BENEFITS. (1) Service agreements and subscriber's
contracts entered into or issued by a service corporation on a service basis
shall provide for health care services of a substantial and broad character to
be rendered to subscribers on a service basis by participant licensees or
participant hospitals, as the case may be and, as to participant licensees,
within the scope of health care services which may otherwise lawfully be
provided by the respective categories of participant licensees under the laws
of Idaho.
(2) The director may, after a hearing thereon, by rules and regulations
establish certain reasonable minimums of service benefits to be so provided
consistent with subsection (1) above.
(3) If any group for whom a master contract is to be issued desires to
enter into such contract providing either greater or lesser benefits either by
way of indemnity or service to the members of such group than the issuing
service corporation usually issues to similar groups, the service corporation
may enter into such contract, providing, however, (a) that the request of such
deviation from usual benefits and/or rates be in writing signed by the proper
person representing such group setting forth the benefits desired and (b) that
the master contract shall, as clearly as possible, describe in detail the
benefits and rates charged, and (c) that the provisions of section 41-3417(5),
Idaho Code, shall apply to such transaction. Should such group desire benefits
less than those that may have been established under subsection (2) of this
section a true copy of the executed request therefor and the master contract
issued shall be filed with the director.

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