Sec. 14.35.18.07. Employer Contribution  


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  • A. An employer is not required to contribute to the qualified health plan premiums of its employees.

    B. If an employer chooses to contribute to the qualified health plan premiums of its employees, the employer shall:

    (1) Select a reference plan on which the contributions will be based;?and

    (2) Make a contribution that is:

    (a) A fixed percentage of the premium of the reference plan, based on the coverage level selected by the qualified employee and the qualified employee’s job classification; or

    (b) A dollar amount that ensures that all of the qualified employer’s employees with the same coverage level and job classification would pay the same amount if they purchased the reference plan.

    C. A reference plan selected under this regulation:

    (1) If under the employer choice model established under Regulation .06A of this chapter, shall be a qualified plan that is:

    (a) Offered by the carrier or insurance holding company system selected by the qualified employer; and

    (b) Among the qualified plans of the carrier or insurance holding company system selected by the qualified employer; or

    (2) If under the employee choice model established under Regulation .06B of this chapter, shall be a qualified plan offered by any carrier at the metal level selected by the qualified employer.