MN SF4012

Defines "very high deductible health plan" (VHDHP) as a high deductible health plan with annual maximum out-of-pocket expenses exceeding $3,000 for individual coverage or $6,000 for family coverage.

Requires health plan companies to pay emergency room and ambulance service charges directly to providers within 15 days of receiving notice that an enrollee has not paid within 30 days of treatment, even if the enrollee has not met their annual deductible.

Allows health plan companies to seek reimbursement from enrollees for payments made under this requirement, subject to the same collection restrictions that apply to health care providers.

Prohibits health plan companies from canceling, terminating, suspending, or nonrenewing coverage as a means of collection or penalty for an enrollee's failure to reimburse the plan.

Permits health plan companies to contract with third-party administrators to assume their duties under these requirements, while retaining ultimate responsibility for compliance.

Applies to very high deductible health plans offered, issued, sold, or renewed on or after August 1, 2024.