18 Del. Admin. Code § 1308-1.0

Current through Register Vol. 28, No. 5, November 1, 2024

Section 1308-1.0 - Statement of purpose

1.1 This Regulation is intended to implement the provisions of 18 Del.C. Ch. 72, Small Employer Health Insurance. The general purposes of 18 Del.C. Ch. 72 and this Regulation are to provide for the availability of health insurance coverage to small employers, regardless of their health status or claims experience; to regulate insurer rating practices and establish limits on differences in rates between health benefit plans; to ensure renewability of coverage; to establish limitations on underwriting practices, eligibility requirements and the use of preexisting condition exclusions; to provide for development of "basic" and "standard" health insurance plans to be offered to all small employers; to provide for establishment of a reinsurance program; to direct the basis of market competition away from risk selection and toward the efficient management of health care; and to improve the overall fairness and efficiency of the small group health insurance market.

1.2 18 Del.C. Ch. 72 and this Regulation are intended to promote broader spreading of risk in the small employer marketplace. 18 Del.C. Ch. 72 and this Regulation are intended to regulate all health benefit plans sold to small employers, whether sold directly or through associations or other groupings of small employers. Carriers that provide health benefit plans to small employers are intended to be subject to all of the provisions of 18 Del.C. Ch. 72 and this Regulation.