# Mont. Code Ann. § 33-22-1804: 33-22-1804 Applicability and scope

> Montana · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1804

## Section

- **Citation:** Mont. Code Ann. § 33-22-1804
- **Heading:** 33-22-1804 Applicability and scope
- **Jurisdiction:** Montana
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** MT Code / Title 33 / Chapter 22 / Part 18 / Section 33-22-1804

## Text

33-22-1804 . Applicability and scope. (1) This part applies to a health benefit plan marketed through a small employer that provides coverage to the employees of a small employer in this state if any of the following conditions are met:

(a) a portion of the premium or benefits is paid by or on behalf of the small employer;

(b) an eligible employee or dependent is reimbursed, whether through wage adjustments or otherwise, by or on behalf of the small employer for any portion of the premium;

(c) the health benefit plan is treated by the employer or any of the eligible employees or dependents as part of a plan or program for the purposes of section 106, 125, or 162 of the Internal Revenue Code, except a plan or program that is funded entirely by contributions from the employees; or

(d) all of the premium is paid by the employee who obtains coverage through the employer's group health benefit plan.

(2) This part does not apply to an individual health benefit plan for which the entire premium is paid by an employee through payroll deduction or other means.

(3) Unless prohibited by a written opinion from a federal agency, by final regulations implementing Public Law 104-191, or by a ruling by a court of competent jurisdiction, this part does not apply to an individual health benefit plan if the eligible employee or dependent is directly or indirectly reimbursed, whether through wage adjustments or otherwise, by or on behalf of the small employer for any portion of the premium. However, this part does apply to an individual health benefit plan if the employer making the direct or indirect reimbursement for any portion of the premium has had in place an employer-sponsored group health benefit plan in the 12 months preceding the reimbursement.

## Nearby sections

- [Mont. Code Ann. § 33-22-1801 33-22-1801 Short title](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1801.md)
- [Mont. Code Ann. § 33-22-1802 33-22-1802 Purpose](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1802.md)
- [Mont. Code Ann. § 33-22-1803 33-22-1803 Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1803.md)
- [Mont. Code Ann. § 33-22-1804 33-22-1804 Applicability and scope](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1804.md)
- [Mont. Code Ann. § 33-22-1808 33-22-1808 Establishment of classes of business](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1808.md)
- [Mont. Code Ann. § 33-22-1809 33-22-1809 Restrictions relating to premium rates](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1809.md)
- [Mont. Code Ann. § 33-22-1810 33-22-1810 Renewability of coverage](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1810.md)
- [Mont. Code Ann. § 33-22-1811 33-22-1811 Availability of coverage -- required plans](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1811.md)
- [Mont. Code Ann. § 33-22-1813 33-22-1813 Standards to ensure fair marketing](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1813.md)
- [Mont. Code Ann. § 33-22-1814 33-22-1814 Restoration of terminated coverage](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1814.md)
- [Mont. Code Ann. § 33-22-1815 33-22-1815 Qualifications for voluntary purchasing pool](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1815.md)
- [Mont. Code Ann. § 33-22-1816 33-22-1816 Commissioner powers and duties -- application for registration -- reporting insolvency](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1816.md)
- [Mont. Code Ann. § 33-22-1817 33-22-1817 Collection of charges and premiums](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1817.md)
- [Mont. Code Ann. § 33-22-1820 33-22-1820 Periodic market evaluation -- report](https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1820.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MT_T33_C22_P18_S33-22-1804. Check the current official text before relying on it. Not legal advice.