|
GENERAL PROVISIONS |
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|
376.005
|
Definitions. (8/28/2008) |
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376.010
|
Who may form company — purposes. (8/28/2012) |
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376.015
|
Involuntary unemployment insurance may be issued in connection with ... (8/28/2012) |
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376.020
|
Various companies defined. (8/28/1939) |
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376.050
|
Declaration of corporators. (8/28/1939) |
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376.060
|
Stock companies — content of charter. (8/28/1943) |
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376.070
|
To be submitted to attorney general. (8/28/1957) |
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376.080
|
Director to examine, when. (8/28/1967) |
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376.090
|
To furnish certificate of deposit, when. (8/28/1939) |
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376.100
|
Mutual companies — contents of charter. (8/28/1951) |
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376.110
|
To be submitted to attorney general. (8/28/1957) |
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376.120
|
Director to examine and certify, when. (8/28/1939) |
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376.130
|
To furnish certificate of deposit, when. (8/28/1939) |
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376.142
|
Stock company may become mutual — procedure — policyholders' meeting — ... (8/28/1957) |
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376.143
|
Stock company may acquire its own shares to be held in trust for mutual — ... (8/28/1957) |
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376.144
|
Acquisition of shares of dissenting stockholders, procedure — abandonment ... (8/28/1957) |
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376.145
|
Officers of stock company to continue as officers of mutual. (8/28/1957) |
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376.146
|
Board of directors or trustees of mutual, membership qualifications, term ... (8/28/1976) |
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376.147
|
Meetings of board of mutual, notice — executive committee of board, powers. (8/28/1957) |
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376.148
|
Policyholders are members of mutual — voting rights — directors may alter ... (8/28/1957) |
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376.150
|
Stock and mutual companies — content of charter. (8/28/1939) |
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376.160
|
Formation of stock and mutual companies. (8/28/1939) |
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376.170
|
Special deposits for registered policies and annuity bonds. (8/28/2007) |
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376.180
|
Certificates as to registration and reserves on policy — policies exempt, ... (8/28/1969) |
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376.190
|
Additional deposits required. (8/28/2007) |
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376.200
|
Definition of net value. (8/28/1939) |
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376.210
|
Excess deposits. (8/28/1939) |
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376.220
|
May use realty to secure notes and bonds. (8/28/1939) |
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376.230
|
Changing of securities on deposit. (8/28/1939) |
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376.240
|
Deposits to be held in trust by director. (8/28/1939) |
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376.250
|
Deposits to be kept separate. (8/28/1939) |
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376.260
|
Fees collected by director of revenue. (8/28/1945) |
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376.270
|
Director may proceed against depositary companies. (8/28/1939) |
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376.280
|
Capital necessary to do business — how invested. (8/28/2007) |
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376.290
|
Deposit and transfer of securities. (8/28/1982) |
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376.291
|
Applicability and inapplicability. (8/28/2007) |
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376.292
|
Definitions. (8/28/2007) |
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376.293
|
Permissible investments — written plan for investments required. (8/28/2007) |
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376.294
|
Prohibited acts. (8/28/2007) |
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376.295
|
Additional prohibited acts — authorized actions. (8/28/2007) |
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376.296
|
Value of investments, how calculated. (8/28/2007) |
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|
376.297
|
Investment subsidiaries not permitted, when. (8/28/2007) |
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376.298
|
Acquisition of rate credit instruments, when. (8/28/2007) |
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376.300
|
Equity interests permitted, when. (8/28/2007) |
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376.301
|
Tangible personal property interests permitted, when. (8/28/2007) |
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376.302
|
Mortgage interests, may be acquired, when — other real estate interests. (8/28/2007) |
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376.303
|
Lending and repurchase, permitted when. (8/28/2007) |
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376.304
|
Acquisition of foreign investments, when. (8/28/2007) |
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376.305
|
Rulemaking authority. (8/28/2007) |
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|
376.306
|
Cash surrender value, life insurer may lend to policyholder, when. (8/28/2007) |
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|
376.307
|
Limits on acquisition of certain investments. (8/28/2012) |
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|
376.308
|
Secondary mortgage market act, not to preempt health insurer, when. (8/28/1991) |
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|
376.309
|
Separate account defined — establishment of account and special voting or ... (8/28/2007) |
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376.310
|
Investment of surplus and reserve funds by foreign companies. (8/28/1945) |
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|
376.311
|
Investment of capital reserve and surplus of life insurance companies in ... (8/28/2002) |
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|
376.325
|
Any willing provider provision — definitions. (8/28/2013) |
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|
376.330
|
Securities may be changed. (8/28/1939) |
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376.350
|
Reports to director. (8/28/2000) |
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|
376.360
|
Distribution of surplus funds to participating policyholders — method. (8/28/1945) |
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376.365
|
Standard valuation law — definitions. (8/28/2015) |
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376.370
|
Director to value reserves, methods. (8/28/2015) |
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|
376.379
|
Medication synchronization services, offer of coverage required. (8/28/2016) |
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|
376.380
|
Legal minimum standards for valuation — interest rates — valuation manual, ... (8/28/2022) |
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|
376.381
|
Health insurance products, department duties. (7/12/2013) |
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|
376.383
|
Health care claims for reimbursement, how paid, when — definitions — clean ... (8/28/2020) |
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|
376.384
|
Reimbursement of claims, duties of health carriers — claims submitted in ... (1/1/2002) |
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|
376.385
|
Diabetes — insurance coverage for equipment, supplies and self-management ... (8/28/1997) |
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376.386
|
Prescription drugs, one co-payment for dosage prescribed. (8/28/2006) |
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|
376.387
|
Pharmacy benefits manager, limitations and restrictions — enforcement. (8/28/2020) |
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|
376.388
|
Maximum allowable costs — definitions — contract requirements — ... (8/28/2016) |
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|
376.390
|
Reserve liability for group insurance — how computed. (8/28/1943) |
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|
376.391
|
Co-payments for chiropractic services, cap. (8/28/2009) |
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|
376.392
|
Prescription drug formularies, enrollees to be notified of changes to, when. (1/1/2008) |
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|
376.393
|
Pharmacy benefits manager, license required — definitions — complaints, ... (8/28/2020) |
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|
376.395
|
Definitions for group health conversion policy requirements. (1/1/1983) |
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376.397
|
Converted policy to be offered on termination of group health coverage, ... (1/1/1983) |
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|
376.398
|
Application to all group policies — effective, when. (1/1/1983) |
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|
376.401
|
Conversion rights — retirees — dependents of insured. (1/1/1983) |
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376.403
|
Benefit levels — group coverage may be provided in lieu of converted policy ... (1/1/1983) |
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376.404
|
Specific requirement requests of policyholder may be met by alteration. (1/1/1983) |
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|
376.405
|
Group health and accident policies, approval required — exempt, when, ... (8/28/2013) |
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|
376.406
|
Newborn child to be covered under health policies, extent of coverage — ... (8/28/2001) |
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|
376.407
|
Advance practice nurse, claims for service to be reimbursed, when. (8/28/1998) |
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|
376.410
|
Insurance companies to maintain reserves — exemptions. (8/28/1945) |
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|
376.414
|
340B drugs — definitions — acquisition not to be restricted, when — ... (8/28/2024) |
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|
376.421
|
Group health insurance, authorized categories. (8/28/2021) |
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|
376.422
|
Direct response solicitation and sponsoring or endorsing entity, defined — ... (8/28/1985) |
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|
376.423
|
Health insurance, claims for chiropractic services denial, qualified ... (8/28/1997) |
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|
376.424
|
Group health insurance policies may be extended to insure family members or ... (8/28/1985) |
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|
376.425
|
Student accident policies, may not limit surgical benefits, when. (1/1/1993) |
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|
376.426
|
Group health policies, required provisions. (8/28/2013) |
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|
376.427
|
Assignment of benefits made by insured to provider — payment, how made — ... (8/28/2024) |
|
|
376.428
|
Federal COBRA provisions to apply to group health insurance policies. (6/26/2009) |
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|
376.429
|
Coverage for certain clinical trials for prevention, early detection and ... (8/28/2006) |
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|
376.431
|
Employees or members of unions or associations, group or group-type basis ... (8/28/1999) |
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|
376.432
|
Group-type basis, defined. (8/28/1999) |
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|
376.433
|
Self-insurance plans for health care, public entities — subject to Medicaid ... (8/28/2004) |
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|
376.434
|
Carrier liable for claims incurred during grace period, when — exceptions. (8/28/1985) |
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|
376.435
|
Claim information to be reported, when — covered lives defined. (8/28/2007) |
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|
376.436
|
Discontinuance notice by carrier, contents — notice forms furnished by ... (8/28/1999) |
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|
376.438
|
Group policies, modifying or amending benefits shall provide extension of ... (8/28/1999) |
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|
376.441
|
Carrier contract replaced by similar benefit plan of another carrier — ... (8/28/1999) |
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|
376.442
|
Rules and regulations, procedure. (8/28/1993) |
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|
376.446
|
Enrollee cost-sharing responsibilities, health carriers to provide timely ... (8/28/2011) |
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|
376.450
|
Citation of law — definitions (Missouri HIPAA). (1/1/2008) |
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|
376.451
|
Standards prohibiting discrimination. (1/1/2008) |
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|
376.452
|
Large group market, renewal or continuation of coverage required — ... (1/1/2008) |
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|
376.453
|
Premium — only cafeteria plans required, when. (1/1/2008) |
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|
376.454
|
Individual market, renewal or continuation at option of individual — ... (1/1/2008) |
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|
376.465
|
Missouri health insurance rate transparency act — definitions — rate filing ... (8/28/2016) |
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|
376.480
|
Domestic companies may assume risks of foreign companies — duties of director. (8/28/1939) |
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|
376.500
|
Discriminations, rebates and favors prohibited — contracts to conform to policy. (8/28/1965) |
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|
376.502
|
Life insurers not to discriminate based on lawful travel destinations — ... (8/28/2009) |
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|
376.510
|
Penalty for violation of section 376.500. (8/28/1939) |
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|
376.531
|
Life insurance policies, consent of insured required, exceptions — ... (8/28/1994) |
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|
376.540
|
Policy, to whom payable. (8/28/1983) |
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|
376.562
|
Charitable, benevolent, educational and religious organizations may be ... (8/28/1997) |
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|
376.570
|
Foreign executor or administrator. (8/28/1939) |
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|
376.580
|
Misrepresentation. (8/28/1939) |
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|
376.590
|
Misrepresentations, false estimates and circulars prohibited — agents — ... (8/28/1939) |
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|
376.600
|
Penalty for violating section 376.590. (8/28/1939) |
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|
376.610
|
Defense in case of suits. (8/28/1939) |
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|
376.620
|
Suicide, effect on liability — refund of premiums, when. (8/28/2017) |
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|
376.630
|
Life insurance policies not to be forfeited or become invalid, when. (8/28/1943) |
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|
376.640
|
Paid-up policy may be demanded, when. (8/28/1943) |
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|
376.650
|
Rules of payment on commuted policy. (8/28/1943) |
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|
376.660
|
Foregoing provisions inapplicable, when. (8/28/1943) |
|
|
376.669
|
Annuity contract requirements — paid-up annuity benefits, how calculated — ... (6/21/2004) |
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|
376.670
|
Provisions which shall be contained in life insurance policies, exceptions. (8/28/2015) |
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|
376.671
|
Provisions which shall be contained in annuity contracts — inapplicability date. (8/28/2010) |
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|
376.673
|
Life insurance policies, regulations relative to. (8/28/1967) |
|
|
376.674
|
Life insurance policies, no cash surrender value, regulations relative to. (8/28/1987) |
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|
376.675
|
Life insurance policies and annuity contracts to be approved — exemption, ... (8/28/1984) |
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|
376.676
|
Regulation of the valuation of life insurance policies — may adopt NAIC ... (6/27/2000) |
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|
376.677
|
Life policies may be issued that have no cash surrender value prior to ... (8/28/1987) |
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|
376.678
|
Life insurance policies and annuity contracts, annual statement to holder ... (8/28/1987) |
|
|
376.679
|
Life insurance company may reinsure for risks involving aircraft, limitation. (1/1/1993) |
|
|
376.680
|
Assignment of incidents of ownership, group life policy, effect of. (8/28/1971) |
|
|
376.685
|
Optometrists, health insurance plans not to limit fees charged unless ... (8/28/2016) |
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|
376.690
|
Unanticipated out-of-network care, claim procedure — definitions — ... (8/28/2019) |
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|
|
GROUP LIFE INSURANCE |
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|
376.691
|
Group life policies, eligible groups authorized for issue — premiums, how paid. (8/28/1987) |
|
|
376.693
|
Special group life policies, requirements — director's approval. (8/28/1982) |
|
|
376.694
|
Group life, definitions of direct response solicitation and sponsoring or ... (8/28/1985) |
|
|
376.695
|
Extension of policy to insure for loss due to death of spouse or dependent ... (8/28/1985) |
|
|
376.696
|
Political subdivisions purchasing any insurance policies to submit to ... (8/28/1985) |
|
|
376.697
|
Required provisions for group life policies. (8/28/1982) |
|
|
376.699
|
Person insured by group policy entitled to individual life policy, notice ... (8/28/1982) |
|
|
|
BUYER'S GUIDE |
|
|
376.700
|
Purpose — use of additional material. (8/28/1979) |
|
|
376.702
|
Application of law — exceptions. (8/28/1979) |
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|
376.704
|
Definitions. (8/28/1979) |
|
|
376.706
|
Delivery of guide and summary required, when. (8/28/1979) |
|
|
376.708
|
Required presentations and statements — company to maintain file. (8/28/1979) |
|
|
376.710
|
Effect of omission. (8/28/1979) |
|
|
376.712
|
Effective date. (8/28/1979) |
|
|
376.714
|
Contents and form of buyer's guide. (8/28/1979) |
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|
|
GUARANTY ASSOCIATION — LIFE AND HEALTH INSURANCE |
|
|
|
Effective date of certain amendments, 376.758
|
|
|
376.715
|
Citation of law, purpose. (8/28/2018) |
|
|
376.717
|
Coverages provided, persons covered — coverage not provided, when — maximum ... (8/28/2018) |
|
|
376.718
|
Definitions. (8/28/2018) |
|
|
376.720
|
Association, created — accounts — director to supervise. (8/28/2018) |
|
|
376.722
|
Board of directors, established, members, how selected — expense reimbursement. (8/28/2018) |
|
|
376.724
|
Impaired insurers, association's options, duties — insolvent insurers, ... (8/28/2018) |
|
|
376.725
|
Terminated coverage, reissuance of, premium set, how — obligation to cease, ... (8/28/2018) |
|
|
376.726
|
Nonpayment of premiums, effect of. (8/28/2018) |
|
|
376.728
|
Law not applicable, when. (8/28/1988) |
|
|
376.730
|
Liens, association may impose, when. (8/28/1988) |
|
|
376.732
|
Director to have association's powers and duties, when — association may ... (8/28/2010) |
|
|
376.733
|
Assignment of rights to association by persons receiving benefits, when — ... (8/28/2018) |
|
|
376.734
|
Additional powers of association. (8/28/2018) |
|
|
376.735
|
Assessments against members, when due, classes — amounts, how determined. (8/28/2018) |
|
|
376.737
|
Deferment of assessment, how, when — maximum assessment — refund of, when — ... (8/28/2018) |
|
|
376.738
|
Certificate of contribution, when issued. (8/28/2018) |
|
|
376.740
|
Plan of operation, required, approval of director — provisions of plan. (8/28/2010) |
|
|
376.742
|
Director, powers and duties. (8/28/2018) |
|
|
376.743
|
Board of directors, powers. (8/28/2018) |
|
|
376.745
|
Assessments, offset against tax liability, when, how. (8/28/1988) |
|
|
376.746
|
Records of association meetings to be kept — association deemed creditor of ... (8/28/2018) |
|
|
376.747
|
Distribution of member insurer assets upon liquidation, priority of ... (8/28/2018) |
|
|
376.748
|
Liquidation, recovery of distributions, when, exceptions, limitations. (8/28/2018) |
|
|
376.750
|
Financial report, submitted to director, when — tax exempt status — ... (8/28/1988) |
|
|
376.752
|
Member insurer's deposit with director, exemption from, amount. (8/28/1988) |
|
|
376.754
|
Stay of proceedings, insolvent insurer, when. (8/28/1988) |
|
|
376.755
|
Advertising, use of guaranty association prohibited. (8/28/2018) |
|
|
376.756
|
Summary document, association to prepare, contents — policy not covered by ... (8/28/2018) |
|
|
376.758
|
Law inapplicable to insolvent insurers on effective date of law. (8/28/2018) |
|
|
|
INDIVIDUAL ACCIDENT AND SICKNESS INSURANCE |
|
|
376.770
|
Title of law. (8/28/1959) |
|
|
376.773
|
Definitions. (8/28/1959) |
|
|
376.775
|
Matters required in policies. (8/28/1959) |
|
|
376.776
|
Hospital and medical expense provisions extended for certain handicapped ... (1/1/2008) |
|
|
376.777
|
Specifically required provisions — exemptions, when — director's powers — ... (8/28/2013) |
|
|
376.778
|
Payment direct to public hospitals or clinics with or without assignment, ... (8/28/1983) |
|
|
376.779
|
Health insurance policies to offer coverage for treatment of alcoholism — ... (8/28/2004) |
|
|
376.780
|
Limits on provisions, effect of conflict of policy with law. (8/28/1959) |
|
|
376.781
|
Speech and hearing disorders, companies to offer coverage, when — rules, ... (8/28/1995) |
|
|
376.782
|
Mammography — low-dose screening, defined — health care policies to provide ... (8/28/2023) |
|
|
376.783
|
Insured bound only if copy of application attached to policy. (8/28/1959) |
|
|
376.785
|
What does not constitute waiver of defenses. (8/28/1959) |
|
|
376.787
|
Effect of age limit provision. (8/28/1959) |
|
|
376.789
|
Definition of actual charge and actual fee. (8/28/2009) |
|
|
376.790
|
Limits on applicability of law. (8/28/1959) |
|
|
376.791
|
Portion of section 376.777 not applicable to individual health insurance ... (8/28/2015) |
|
|
376.800
|
Misrepresentation made in obtaining individual accident and health policy ... (8/28/1967) |
|
|
376.801
|
Coverage for child health supervision services required — definitions — ... (8/28/1989) |
|
|
376.805
|
Elective abortion to be by optional rider and requires additional premium — ... (8/28/2010) |
|
|
376.806
|
Refund of health insurance unearned premium on notice of death of insured — ... (8/28/1991) |
|
|
376.807
|
Policies not to reduce or deny benefits to persons eligible for medical ... (8/28/1988) |
|
|
376.810
|
Definitions for policy requirements for chemical dependency. (8/28/2014) |
|
|
376.811
|
Coverage required for chemical dependency by all insurance and health ... (8/28/2018) |
|
|
376.814
|
Rules and regulations authorized, department of mental health to advise ... (8/28/1993) |
|
|
376.816
|
Adopted children to be provided health care coverage on the same basis as ... (8/28/2010) |
|
|
376.818
|
Eligibility for Medicaid may not be considered by insurers. (7/1/1994) |
|
|
376.819
|
MO HealthNet division to have right to payment for health care services ... (8/28/2014) |
|
|
376.820
|
Insurers may not deny coverage of child because of marital status of ... (7/1/1994) |
|
|
376.821
|
Insurers may not cancel health or dental insurance solely because the ... (8/28/1995) |
|
|
376.823
|
Prohibition on kickbacks not applicable for rebates for certain chronic ... (8/28/2005) |
|
|
|
EATING DISORDERS |
|
|
376.845
|
Definitions — eating disorders, coverage for diagnosis and treatment of — ... (8/28/2015) |
|
|
|
MEDICARE SUPPLEMENT INSURANCE |
|
|
376.850
|
Law, how cited. (8/28/1989) |
|
|
376.854
|
Definitions. (4/26/1996) |
|
|
376.859
|
Medicare supplement law applicable to what policies — policies not included. (4/26/1996) |
|
|
376.864
|
Policies not to duplicate benefits provided by Medicare — preexisting ... (4/26/1996) |
|
|
376.869
|
Standards for policies, minimum, director to adopt. (4/26/1996) |
|
|
376.874
|
Requirements of policy, return to policyholders. (7/6/1992) |
|
|
376.879
|
Outline of coverage for fair disclosure — furnished to each applicant — ... (4/26/1996) |
|
|
376.881
|
Policy certificate front page to contain notice of right to return and ... (7/6/1992) |
|
|
376.882
|
Cancellation of policy, refund required — notification. (8/28/2010) |
|
|
376.884
|
Advertisement to be reviewed by director. (7/6/1992) |
|
|
376.886
|
Regulations, requirements — rules, procedure. (4/26/1996) |
|
|
376.889
|
Violations, penalty. (8/28/2007) |
|
|
376.890
|
Invalidity of any section regulating Medicare supplement not to affect others. (8/28/1989) |
|
|
|
SPOUSAL COVERAGE CONTINUATION |
|
|
376.891
|
Definitions. (8/28/1993) |
|
|
376.892
|
Surviving spouse may continue coverage, when — divorced or separated spouse ... (8/28/1993) |
|
|
376.893
|
Divorced or separated spouse, continuation of coverage, notice — contents ... (8/28/1996) |
|
|
376.894
|
Amount of premium, date of payment — termination of right of continuation ... (8/28/1993) |
|
|
|
LIFE CARE CONTRACTS |
|
|
376.900
|
Definitions. (8/28/1981) |
|
|
376.905
|
Administration by department, powers, duties — fees. (8/28/1981) |
|
|
376.910
|
Certificate of authority required. (8/28/1981) |
|
|
376.915
|
Application for certificate, content — renewal, content, filed when — ... (8/28/1981) |
|
|
376.920
|
Annual statement, form, contents. (8/28/1981) |
|
|
376.925
|
Seven-day rescission period, all money or property to be refunded. (8/28/1981) |
|
|
376.930
|
Insured to be furnished application for certificate and annual statement, when. (8/28/1981) |
|
|
376.935
|
Certificates issued for one year — nontransferable — not endorsement by ... (8/28/1981) |
|
|
376.940
|
Escrow account for entrance fees required, released when. (8/28/1981) |
|
|
376.945
|
Escrow account, amount required — principal, how released, investment. (8/28/2020) |
|
|
376.950
|
Board of directors, one member to be resident of facility. (8/28/1981) |
|
|
|
HEALTH INSURANCE POOL |
|
|
376.960
|
Definitions. (1/1/2008) |
|
|
376.961
|
Missouri health insurance pool created — members to be all health insurers ... (8/28/2013) |
|
|
376.962
|
Plan of operation to be submitted by board — effective when — failure to ... (8/28/2013) |
|
|
376.964
|
Board, powers and duties — including providing for issuing policies and ... (8/28/2013) |
|
|
376.965
|
Board members not civilly liable for performance of duties, exception. (8/28/1991) |
|
|
376.966
|
No employee to lose coverage by enrolling in pool — eligibility for pool ... (8/28/2013) |
|
|
376.968
|
Administration of pool by insurer or insurers by competitive bids — ... (8/28/2013) |
|
|
376.970
|
Administering insurer to serve for three years subject to removal for cause ... (8/28/2013) |
|
|
376.973
|
Administering insurer at close of fiscal year to make accounting and ... (8/28/2013) |
|
|
376.975
|
Member's proportion of participation in pool to be determined annually — ... (1/1/1991) |
|
|
376.978
|
Director of revenue to determine reduced amount in county foreign insurance ... (1/1/1991) |
|
|
376.980
|
Pool member exempt from taxation of financial institution, may be allowed ... (1/1/1991) |
|
|
376.982
|
Rulemaking procedure. (8/28/1995) |
|
|
376.984
|
Abatement or deferring all or part of assessment of member, when — amount ... (1/1/1991) |
|
|
376.986
|
Pool to offer medical coverage — premiums, how established — standard risk ... (1/1/2008) |
|
|
376.987
|
High deductible health plans and establishment of health savings plans to ... (1/1/2008) |
|
|
376.989
|
No liability, criminal or civil, for participation in pool by members. (1/1/2008) |
|
|
|
LIMITED MANDATE HEALTH INSURANCE |
|
|
376.995
|
Limited mandate health insurance policies defined — certain sections not to ... (8/28/1997) |
|
|
|
EXCEPTED BENEFIT PLANS |
|
|
376.998
|
Health insurance mandate exemption for excepted benefit plans — definitions ... (8/28/2016) |
|
|
|
MULTIPLE EMPLOYER SELF-INSURED HEALTH PLANS |
|
|
376.1000
|
Multiple employer self-insured health plan, defined. (8/28/1993) |
|
|
376.1002
|
Certificate of authority required — penalty for noncompliance — law ... (8/28/1993) |
|
|
376.1005
|
Application for certificate of authority, form — fee — policy or other ... (8/28/1993) |
|
|
376.1007
|
Plan to file copy of bylaws, coverage and agreements with director. (8/28/1993) |
|
|
376.1010
|
Excess stop-loss coverage maintained by plan. (8/28/1993) |
|
|
376.1012
|
Funds collected from employers held in trust — requirements — board of ... (8/28/2007) |
|
|
376.1015
|
Department not to grant approval, when. (8/28/1993) |
|
|
376.1017
|
Plan to establish loss reserves — plan to establish surplus account, amount. (8/28/1993) |
|
|
376.1020
|
Plan to maintain principal place of business in Missouri, exception. (8/28/1993) |
|
|
376.1022
|
Dissolution of plan, application, procedure, granted when — distribution of ... (8/28/1993) |
|
|
376.1025
|
Director may adopt rules. (8/28/1995) |
|
|
376.1027
|
Plan in unsound condition, powers of director. (8/28/1993) |
|
|
376.1030
|
Agreement of employer to pay benefits, requirements, form — copy filed with ... (8/28/1993) |
|
|
376.1032
|
Plan considered insurer, when. (8/28/1993) |
|
|
376.1035
|
Chapter 376 applicable to plan. (8/28/1993) |
|
|
376.1037
|
Plan subject to premium taxes. (8/28/1993) |
|
|
376.1040
|
Plan not to be offered to public — marketing restrictions — exemption — use ... (8/28/2019) |
|
|
376.1042
|
Marketing by agent, agency or broker violation of law. (8/28/2019) |
|
|
376.1045
|
Injunctive relief, director may seek, when — procedures. (8/28/1993) |
|
|
|
HEALTH CARE SERVICES ACCESS |
|
|
376.1060
|
Health care services — definitions — limitations on third-party access, ... (8/28/2023) |
|
|
376.1065
|
Official notification communications, contracting entity requirements. (8/28/2018) |
|
|
|
ADMINISTRATORS, CERTAIN INSURANCE POLICIES |
|
|
376.1075
|
Definitions. (8/28/1998) |
|
|
376.1077
|
Administrator to have agreement with insurer, form, contents — termination, how. (8/28/1993) |
|
|
376.1080
|
Payments of premiums and claims deemed paid, when. (8/28/1993) |
|
|
376.1082
|
Records maintained by administrator for insurer — director may examine ... (8/28/1993) |
|
|
376.1083
|
Advertising restrictions for administrator. (8/28/1993) |
|
|
376.1084
|
Insurer responsible for benefits and underwriting practices — insurer to ... (8/28/1993) |
|
|
376.1085
|
Premiums held in fiduciary capacity, duties — financial records, duties — ... (8/28/1993) |
|
|
376.1087
|
Commissions not to be contingent on savings in payment of claims — may be ... (8/28/1993) |
|
|
376.1088
|
Notice to policyholder of administrator, contents, required — disclosure of ... (8/28/1993) |
|
|
376.1090
|
Materials delivered to administrator for insured to be promptly delivered. (8/28/1993) |
|
|
376.1092
|
Certificate of authority, required, application, contents, fee — refusal to ... (8/28/1993) |
|
|
376.1093
|
Annual report filed with director, when — contents — filing fee, amount. (8/28/1993) |
|
|
376.1094
|
Certificate of authority, suspension or revocation, grounds — civil action, ... (8/28/2007) |
|
|
376.1095
|
Rules and regulations, promulgation. (8/28/1995) |
|
|
|
LONG-TERM CARE |
|
|
376.1100
|
Law, how cited — definitions. (8/28/2002) |
|
|
376.1103
|
Laws applicable, Medicare supplement laws not applicable — purpose — ... (8/28/2002) |
|
|
376.1106
|
Policies issued in other states may be issued to residents of Missouri if ... (8/28/1990) |
|
|
376.1109
|
Policies, content requirements, provisions prohibited — rules authorized — ... (8/28/2021) |
|
|
376.1112
|
Director to provide buyer's guide — content — advertising of long-term care ... (8/28/1990) |
|
|
376.1115
|
Coverage outline to be delivered to applicants, when, content. (8/28/2002) |
|
|
376.1118
|
Benefits funded by a life insurance death benefit acceleration, reports to ... (8/28/1990) |
|
|
376.1121
|
Denial of claim, long-term care insurance, duties of issuer. (8/28/2002) |
|
|
376.1124
|
Rescinding of a long-term care policy, permitted when — grounds for ... (8/28/2002) |
|
|
376.1127
|
Nonforfeiture benefit option required for long-term care insurance ... (8/28/2002) |
|
|
376.1130
|
Rulemaking authority. (8/28/2002) |
|
|
|
BREAST EXAMINATIONS |
|
|
376.1183
|
Breast examinations, no cost-sharing requirements. (8/28/2023) |
|
|
|
HEALTH BENEFIT EXCHANGES |
|
|
376.1186
|
State-based health benefit exchanges prohibited without statutory authority ... (11/6/2012) |
|
|
|
HEALTH CARE MANDATE REVIEW |
|
|
376.1190
|
Health care mandates — review by oversight division — actuarial analysis. (8/28/2011) |
|
|
|
WOMEN'S HEALTH |
|
|
376.1199
|
Coverage for certain obstetrical/gynecological services — exclusion of ... (10/12/2012) |
|
|
|
BREAST CANCER, OFFER OF COVERAGE |
|
|
376.1200
|
Certain policies to offer coverage for treatment of breast cancer — ... (8/28/1995) |
|
|
376.1209
|
Mastectomy — mandatory insurance coverage for prosthetic devices and ... (8/28/2001) |
|
|
|
MATERNITY BENEFITS, MANDATED HOSPITAL CARE |
|
|
376.1210
|
Maternity benefits, minimum hospital stays, exceptions — notice of ... (8/28/1996) |
|
|
|
IMMUNIZATIONS, MANDATED COVERAGE |
|
|
376.1215
|
Immunizations, mandated coverage, exceptions, rulemaking. (8/28/1996) |
|
|
|
PART C OF IDEA (FIRST STEPS PROGRAM) COVERAGE |
|
|
376.1218
|
Insurance coverage for children enrolled in the Part C early intervention ... (8/28/2007) |
|
|
|
PKU FORMULA, MANDATED COVERAGE |
|
|
376.1219
|
PKU formula and low protein modified food products covered by insurance, ... (8/28/2002) |
|
|
|
NEWBORN HEARING SCREENINGS, MANDATED COVERAGE |
|
|
376.1220
|
Insurance coverage for newborn hearing screenings mandated. (8/28/1999) |
|
|
|
SCALP HAIR PROSTHESES |
|
|
376.1222
|
Prostheses and scalp prostheses to be provided for children under eighteen ... (8/28/2003) |
|
|
|
AUTISM SPECTRUM DISORDER |
|
|
376.1224
|
Definitions — insurance coverage required — limitations on coverage — ... (8/28/2019) |
|
|
|
DENTAL CARE, ANESTHESIA AND HOSPITALIZATION, MANDATED COVERAGE |
|
|
376.1225
|
Mandated coverage for general anesthesia and hospital charges for dental ... (8/28/1998) |
|
|
376.1226
|
Fee schedule for services not covered under health benefit plans — definitions. (8/28/2013) |
|
|
|
HEARING AIDS FOR CHILDREN |
|
|
376.1228
|
Hearing aids coverage for children required — amount of coverage — ... (8/28/2021) |
|
|
|
CHIROPRACTIC CARE |
|
|
376.1230
|
Chiropractic care coverage, rates, terms, conditions, limits, and exclusions. (8/28/2003) |
|
|
|
PROSTHETICS, OFFER OF COVERAGE |
|
|
376.1232
|
Insurers to offer coverage for prosthetics. (8/28/2009) |
|
|
|
PHYSICAL THERAPY SERVICES |
|
|
376.1235
|
No co-payments or coinsurance for physical or occupational therapy ... (8/28/2016) |
|
|
|
PRESCRIPTION EYE DROPS |
|
|
376.1237
|
Refills for prescription eye drops, required, when — definitions. (8/28/2018) |
|
|
|
CANCER COVERAGE |
|
|
376.1250
|
Cancer screening, health insurance coverage required, when, types. (8/28/2011) |
|
|
376.1253
|
Second opinion, right of newly diagnosed cancer patients, attending ... (8/28/2002) |
|
|
376.1257
|
Orally administered anticancer medications, plan to provide coverage no ... (1/1/2015) |
|
|
|
BONE MARROW TRANSPLANTS |
|
|
376.1275
|
Coverage for human leukocyte antigen testing for bone marrow ... (8/28/2002) |
|
|
|
LEAD TESTING |
|
|
376.1290
|
Coverage for lead testing. (8/28/2001) |
|
|
|
REORGANIZATION OF DOMESTIC MUTUAL LIFE INSURANCE COMPANY |
|
|
376.1300
|
Reorganization of a domestic mutual life insurance company, authority. (8/28/1996) |
|
|
376.1305
|
Formation of holding company, application — shareholder approval. (8/28/1996) |
|
|
376.1307
|
Issuance of shares. (8/28/1996) |
|
|
376.1309
|
Member's interest — nontransference of membership — immunity from liability ... (8/28/1996) |
|
|
376.1312
|
Nonapplicability of certain provisions of insurance holding companies law. (8/28/1996) |
|
|
376.1315
|
Incorporation of mutual holding company, authority, approval. (8/28/1996) |
|
|
376.1318
|
Powers of mutual holding company, engaging in business of insurance, no ... (8/28/1996) |
|
|
376.1322
|
Mutual holding company subject to supervision of director, dissolution or ... (8/28/1996) |
|
|
|
REIMBURSEMENT |
|
|
376.1345
|
Method of reimbursement not to require fee, discount, or remuneration — ... (8/28/2024) |
|
|
|
HEALTH CARE UTILIZATION REVIEW |
|
|
376.1350
|
Definitions. (8/28/2019) |
|
|
376.1353
|
Utilization review activities monitored. (8/28/1997) |
|
|
376.1356
|
Utilization review entity monitored, when. (8/28/2019) |
|
|
376.1359
|
Written utilization program implemented, filed with the director. (8/28/1997) |
|
|
376.1361
|
Documented clinical review criteria used in a utilization program — medical ... (8/28/1997) |
|
|
376.1363
|
Utilization review decisions, procedures. (8/28/2019) |
|
|
376.1364
|
Unique confirmation number required, prior authorization review — secure ... (8/28/2019) |
|
|
376.1365
|
Reconsideration of an adverse determination, when. (8/28/1997) |
|
|
376.1367
|
Emergency services benefit determination, coverage required, when. (8/28/2018) |
|
|
376.1369
|
Certification of compliance, when. (8/28/1997) |
|
|
376.1372
|
Certification and member handbook to include utilization review procedures ... (8/28/2019) |
|
|
376.1375
|
Registry of grievances maintained, procedures — definitions. (8/28/1997) |
|
|
376.1378
|
Grievances and certificate of compliance filed with the director, when. (8/28/1997) |
|
|
376.1382
|
First- and second-level grievance review for managed care plans, ... (8/28/1997) |
|
|
376.1385
|
Second-level review procedures. (8/28/2019) |
|
|
376.1387
|
Appeals of grievances determined by the director. (8/28/1997) |
|
|
376.1389
|
Expedited grievance review procedure. (8/28/1997) |
|
|
|
RULEMAKING AUTHORITY |
|
|
376.1399
|
Rules, effective, when — rules invalid and void, when. (8/28/2007) |
|
|
|
STANDARDIZATION OF INFORMATION |
|
|
376.1400
|
Explanation of benefits, standardized information used, contents, when. (8/28/1999) |
|
|
376.1403
|
Referrals, standardized information used, content, when. (8/28/1999) |
|
|
|
DOCUMENTS AND MATERIALS |
|
|
376.1450
|
Enrollee's right to receive documents and materials in printed or ... (8/28/2010) |
|
|
|
DISCOUNT MEDICAL PLANS |
|
|
376.1500
|
Definitions. (8/28/2007) |
|
|
376.1502
|
Requirements for transaction of business. (8/28/2007) |
|
|
376.1504
|
Registration requirements — term of registration — renewal. (8/28/2007) |
|
|
376.1506
|
Violations, penalty. (8/28/2007) |
|
|
376.1508
|
Processing fee — cancellation of membership, effect of. (8/28/2007) |
|
|
376.1510
|
Prohibited acts. (8/28/2007) |
|
|
376.1512
|
Required disclosures. (8/28/2007) |
|
|
376.1514
|
Written agreement required, contents. (8/28/2007) |
|
|
376.1516
|
Written membership materials, required contents — forms to be filed with ... (1/1/2008) |
|
|
376.1516
|
Written membership materials, required contents — forms to be submitted to ... (8/28/2007) |
|
|
376.1518
|
Net worth to be maintained, amount. (8/28/2007) |
|
|
376.1520
|
Notice of changes. (8/28/2007) |
|
|
376.1522
|
List of providers to be maintained on website. (8/28/2007) |
|
|
376.1524
|
Advertising and marketing materials, approval in writing required. (8/28/2007) |
|
|
376.1528
|
Rulemaking authority. (8/28/2007) |
|
|
376.1530
|
Denial and refusal to issue registrations, when. (8/28/2007) |
|
|
376.1532
|
Violations, penalties. (8/28/2007) |
|
|
|
MENTAL HEALTH COVERAGE |
|
|
376.1550
|
Mental health coverage, requirements — definitions — exclusions. (8/28/2018) |
|
|
376.1551
|
Federal mental health parity and addiction equity requirements — ... (8/28/2021) |
|
|
|
CREDENTIALING OF PRACTITIONERS |
|
|
376.1575
|
Definitions. (8/28/2022) |
|
|
376.1578
|
Credentialing procedure, health carrier duties — covered health services, ... (8/28/2020) |
|
|
|
LIVING ORGAN DONORS |
|
|
376.1590
|
Status as living organ donor not sole factor for insurance coverage. (8/28/2020) |
|
|
|
HEALTH CARE SHARING MINISTRY |
|
|
376.1750
|
Health care sharing ministry, provisions not to apply to — ministry not ... (8/28/2007) |
|
|
|
SERVICES RELATED TO PREGNANCY |
|
|
376.1753
|
Services related to pregnancy, persons holding ministerial or tocological ... (8/28/2007) |
|
|
|
MEDICAL RETAINER AGREEMENTS |
|
|
376.1800
|
Definitions — medical retainer agreements not insurance — agreement ... (8/28/2022) |
|
|
|
TELEHEALTH |
|
|
376.1900
|
Definitions — reimbursement for telehealth services, when. (1/1/2014) |
|
|
|
HEALTH INSURANCE MARKETPLACE INNOVATION ACT |
|
|
376.2000
|
Citation of law — definitions. (7/12/2013) |
|
|
376.2002
|
Navigators, license required — permitted acts — prohibited acts — exemptions. (7/12/2013) |
|
|
376.2004
|
Application procedure. (7/12/2013) |
|
|
376.2006
|
Term of licensure — renewal — continuing education. (7/12/2013) |
|
|
376.2008
|
Consultation with licensed insurance producer, navigator to advise, when. (7/12/2013) |
|
|
376.2010
|
Sanction of license, when — restitution required, when — examination and ... (7/12/2013) |
|
|
376.2011
|
Violations, administrative orders, civil actions — penalty. (7/12/2013) |
|
|
376.2012
|
Navigators duty to report, when. (7/12/2013) |
|
|
376.2014
|
Applicability — severability — rulemaking authority. (7/12/2013) |
|
|
|
DISCLOSURE OF COSTS |
|
|
376.2020
|
Contracts prohibiting disclosure of certain payments and costs are ... (10/14/2016) |
|
|
|
STEP THERAPY |
|
|
376.2030
|
Definitions. (8/28/2016) |
|
|
376.2034
|
Restriction on step therapy protocol, patient to have access to override ... (8/28/2021) |
|
|
376.2036
|
Enforcement — applicability to health insurance plans, when. (8/28/2016) |
|
|
|
UNCLAIMED LIFE INSURANCE BENEFITS ACT |
|
|
376.2050
|
Citation of act. (8/28/2016) |
|
|
376.2051
|
Definitions. (8/28/2016) |
|
|
376.2052
|
Comparison of in-force policies to death master file — violation deemed an ... (8/28/2016) |
|
|
376.2053
|
Exemption from requirements, when. (8/28/2016) |
|
|
|
FUNDING AGREEMENTS |
|
|
376.2080
|
Funding agreement defined — authority to issue — rulemaking authority. (8/28/2021) |
|
|