(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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