MISSISSIPPI LEGISLATURE

2005 Regular Session

To: Insurance

By: Representative Dedeaux

House Bill 1213

AN ACT TO AMEND SECTION 71-9-3, MISSISSIPPI CODE OF 1972, TO LOWER THE MINIMUM DEDUCTIBLE FOR INSURANCE COVERAGE TO MEDICAL SAVINGS ACCOUNT HOLDERS TO $1,000.00; AND FOR RELATED PURPOSES.

     BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

     SECTION 1.  Section 71-9-3, Mississippi Code of 1972, is amended as follows:

     71-9-3.  As used in this chapter:

          (a)  "Account administrator" means a state chartered bank, savings and loan association, credit union or trust company authorized to act as a fiduciary and under the supervision of the

Department of Banking and Consumer Finance or the Department of Savings Associations, as appropriate; a national bank, national lending association or federal savings and loan association or credit union authorized to act as a fiduciary in this state; an insurer licensed and admitted to do business in this state; a third party administrator licensed by the Mississippi Commissioner of Insurance; or an employer, if the employer has a self-insured health plan meeting federal ERISA requirements.

          (b)  "Account holder" means a resident individual or an employee for whose benefit a medical savings account is established.

          (c)  "Dependent" means the spouse of an account holder or the child of an account holder if the child is:

              (i)  Legally entitled to the provision of proper or necessary subsistence, education, medical care, or other care necessary for his or her health, guidance or well-being and not otherwise emancipated, self-supporting, married or a member of the Armed Forces of the United States; or

              (ii)  Mentally or physically incapacitated to the extent that he or she is not self-sufficient.

          (d)  "Domicile" means a place where an individual has his or her true, fixed and permanent home and principal establishment, to which, whenever absent, he or she intends to return.

          (e)  "Eligible medical expense" means an expense paid by a taxpayer for medical care described in Section 213(d) of the Internal Revenue Code.

          (f)  "Higher deductible" means a deductible of not less than One Thousand Dollars ($1,000.00) but not more than Two Thousand Two Hundred Fifty Dollars ($2,250.00) for individual health coverage, and not less than Three Thousand Dollars ($3,000.00) but not more than Four Thousand Five Hundred Dollars ($4,500.00) for health coverage provided to an individual and his or her dependents, in tax year 1994.  Beginning after 1998, such deductible limits thereafter shall be adjusted annually in fifty-dollar increments for increases in the cost of living, as measured by the medical costs component of the Consumer Price Index.

          (g)  "Medical savings account" means an account established to pay eligible medical expense of the account holder and his or her dependents.

          (h)  "Medical savings account program" means a program that includes all of the following:

              (i)  The purchase by an employer of a qualified higher deductible health plan for the benefit of an employee and his or her dependents or the purchase by a resident individual of a qualified higher deductible health plan for his or her benefit or for the benefit of his or her dependents, or both;

              (ii)  The payment on behalf of an employee into a medical savings account by his or her employer or payment into a medical savings account by a resident individual on his or her behalf of at least sixty-six and two-thirds percent (66-2/3%) of the premium reduction realized by the purchase of a qualified higher deductible health plan; and

              (iii)  An account administrator to administer the medical savings account and the reimbursement of eligible medical expenses therefrom.

          (i)  "Qualified higher deductible health plan" means an accident and health insurance policy, certificate or contract that:

              (i)  Is purchased by an employer for the benefit of an employee or by a resident individual for his or her benefit; and

              (ii)  Provides for payment of covered expenses that exceed the higher deductible, but shall not exceed the maximum out-of-pocket expenses of Three Thousand Dollars ($3,000.00) for individual coverage and Five Thousand Five Hundred Dollars ($5,500.00) for family coverage.

          (j)  "Resident individual" means an individual who has a domicile in this state.

     SECTION 2.  This act shall take effect and be in force from and after January 1, 2006.