Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS
Chapter 376 Life, Health and Accident Insurance ^(with repealers and transfers)| GENERAL PROVISIONS | |||
| 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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| 376.030 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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| 376.040 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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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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| 376.140 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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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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| 376.320 | (Repealed L. 2007 S.B. 66 § A) (8/28/2007) |
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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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| 376.340 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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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, ... (8/28/2015) |
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| 376.381 | Health insurance products, department duties. (7/12/2013) |
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| 376.381 | (Repealed L. 1997 H.B. 335 § A) (8/28/1997) |
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| 376.382 | (Repealed L. 1997 H.B. 335 § A) (8/28/1997) |
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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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| 376.420 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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| 376.421 | Group health insurance, authorized categories. (8/28/2009) |
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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 — ... (8/28/2018) |
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| 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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| 376.430 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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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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| 376.440 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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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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| 376.450 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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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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| 376.460 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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| 376.465 | Missouri health insurance rate transparency act — definitions — rate filing ... (8/28/2016) |
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| 376.470 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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| 376.480 | Domestic companies may assume risks of foreign companies — duties of director. (8/28/1939) |
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| 376.490 | (Repealed L. 1988 S.B. 430) (8/13/1988) |
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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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| 376.520 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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| 376.530 | (Repealed L. 2007 S.B. 613 Revision § A) (8/28/2007) |
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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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| 376.550 | (Repealed L. 2007 S.B. 613 Revision § A) (8/28/2007) |
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| 376.560 | (Repealed L. 1982 S.B. 490 § 1) (8/13/1982) |
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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) |
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| 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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| 376.672 | (Repealed L. 2007 S.B. 66 § A) (8/28/2007) |
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| 376.673 | Life insurance policies, regulations relative to. (8/28/1967) |
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| 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) |
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| 376.679 | Life insurance company may reinsure for risks involving aircraft, limitation. (1/1/1993) |
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| 376.680 | Assignment of incidents of ownership, group life policy, effect of. (8/28/1971) |
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| 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 | |||
| 376.691 | Group life policies, eligible groups authorized for issue — premiums, how paid. (8/28/1987) |
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| 376.693 | Special group life policies, requirements — director's approval. (8/28/1982) |
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| 376.694 | Group life, definitions of direct response solicitation and sponsoring or ... (8/28/1985) |
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| 376.695 | Extension of policy to insure for loss due to death of spouse or dependent ... (8/28/1985) |
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| 376.696 | Political subdivisions purchasing any insurance policies to submit to ... (8/28/1985) |
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| 376.697 | Required provisions for group life policies. (8/28/1982) |
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| 376.699 | Person insured by group policy entitled to individual life policy, notice ... (8/28/1982) |
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| BUYER'S GUIDE | |||
| 376.700 | Purpose — use of additional material. (8/28/1979) |
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| 376.702 | Application of law — exceptions. (8/28/1979) |
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| 376.704 | Definitions. (8/28/1979) |
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| 376.706 | Delivery of guide and summary required, when. (8/28/1979) |
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| 376.708 | Required presentations and statements — company to maintain file. (8/28/1979) |
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| 376.710 | Effect of omission. (8/28/1979) |
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| 376.712 | Effective date. (8/28/1979) |
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| 376.714 | Contents and form of buyer's guide. (8/28/1979) |
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| GUARANTY ASSOCIATION — LIFE AND HEALTH INSURANCE | |||
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Effective date of certain amendments, 376.758 |
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| 376.715 | Citation of law, purpose. (8/28/2018) |
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| 376.717 | Coverages provided, persons covered — coverage not provided, when — maximum ... (8/28/2018) |
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| 376.718 | Definitions. (8/28/2018) |
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| 376.720 | Association, created — accounts — director to supervise. (8/28/2018) |
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| 376.722 | Board of directors, established, members, how selected — expense reimbursement. (8/28/2018) |
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| 376.724 | Impaired insurers, association's options, duties — insolvent insurers, ... (8/28/2018) |
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| 376.725 | Terminated coverage, reissuance of, premium set, how — obligation to cease, ... (8/28/2018) |
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| 376.726 | Nonpayment of premiums, effect of. (8/28/2018) |
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| 376.728 | Law not applicable, when. (8/28/1988) |
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| 376.730 | Liens, association may impose, when. (8/28/1988) |
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| 376.732 | Director to have association's powers and duties, when — association may ... (8/28/2010) |
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| 376.733 | Assignment of rights to association by persons receiving benefits, when — ... (8/28/2018) |
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| 376.734 | Additional powers of association. (8/28/2018) |
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| 376.735 | Assessments against members, when due, classes — amounts, how determined. (8/28/2018) |
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| 376.737 | Deferment of assessment, how, when — maximum assessment — refund of, when — ... (8/28/2018) |
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| 376.738 | Certificate of contribution, when issued. (8/28/2018) |
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| 376.740 | Plan of operation, required, approval of director — provisions of plan. (8/28/2010) |
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| 376.742 | Director, powers and duties. (8/28/2018) |
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| 376.743 | Board of directors, powers. (8/28/2018) |
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| 376.745 | Assessments, offset against tax liability, when, how. (8/28/1988) |
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| 376.746 | Records of association meetings to be kept — association deemed creditor of ... (8/28/2018) |
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| 376.747 | Distribution of member insurer assets upon liquidation, priority of ... (8/28/2018) |
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| 376.748 | Liquidation, recovery of distributions, when, exceptions, limitations. (8/28/2018) |
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| 376.750 | Financial report, submitted to director, when — tax exempt status — ... (8/28/1988) |
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| 376.752 | Member insurer's deposit with director, exemption from, amount. (8/28/1988) |
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| 376.754 | Stay of proceedings, insolvent insurer, when. (8/28/1988) |
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| 376.755 | Advertising, use of guaranty association prohibited. (8/28/2018) |
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| 376.756 | Summary document, association to prepare, contents — policy not covered by ... (8/28/2018) |
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| 376.758 | Law inapplicable to insolvent insurers on effective date of law. (8/28/2018) |
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| INDIVIDUAL ACCIDENT AND SICKNESS INSURANCE | |||
| 376.770 | Title of law. (8/28/1959) |
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| 376.773 | Definitions. (8/28/1959) |
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| 376.775 | Matters required in policies. (8/28/1959) |
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| 376.776 | Hospital and medical expense provisions extended for certain handicapped ... (1/1/2008) |
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| 376.777 | Specifically required provisions — exemptions, when — director's powers — ... (8/28/2013) |
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| 376.778 | Payment direct to public hospitals or clinics with or without assignment, ... (8/28/1983) |
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| 376.779 | Health insurance policies to offer coverage for treatment of alcoholism — ... (8/28/2004) |
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| 376.780 | Limits on provisions, effect of conflict of policy with law. (8/28/1959) |
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| 376.781 | Speech and hearing disorders, companies to offer coverage, when — rules, ... (8/28/1995) |
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| 376.782 | Mammography — low-dose screening, defined — health care policies to provide ... (8/28/2020) |
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| 376.783 | Insured bound only if copy of application attached to policy. (8/28/1959) |
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| 376.785 | What does not constitute waiver of defenses. (8/28/1959) |
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| 376.787 | Effect of age limit provision. (8/28/1959) |
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| 376.789 | Definition of actual charge and actual fee. (8/28/2009) |
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| 376.790 | Limits on applicability of law. (8/28/1959) |
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| 376.791 | Portion of section 376.777 not applicable to individual health insurance ... (8/28/2015) |
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| 376.795 | (Repealed L. 1967 p. 516 § A) (10/13/1967) |
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| 376.800 | Misrepresentation made in obtaining individual accident and health policy ... (8/28/1967) |
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| 376.801 | Coverage for child health supervision services required — definitions — ... (8/28/1989) |
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| 376.805 | Elective abortion to be by optional rider and requires additional premium — ... (8/28/2010) |
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| 376.806 | Refund of health insurance unearned premium on notice of death of insured — ... (8/28/1991) |
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| 376.807 | Policies not to reduce or deny benefits to persons eligible for medical ... (8/28/1988) |
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| 376.810 | Definitions for policy requirements for chemical dependency. (8/28/2014) |
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| 376.811 | Coverage required for chemical dependency by all insurance and health ... (8/28/2018) |
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| 376.814 | Rules and regulations authorized, department of mental health to advise ... (8/28/1993) |
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| 376.816 | Adopted children to be provided health care coverage on the same basis as ... (8/28/2010) |
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| 376.817 | (Repealed L. 1994 H.B. 1491 & 1134 § A merged with S.B. 508 § A) (7/1/1994) |
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| 376.818 | Eligibility for Medicaid may not be considered by insurers. (7/1/1994) |
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| 376.819 | MO HealthNet division to have right to payment for health care services ... (8/28/2014) |
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| 376.820 | Insurers may not deny coverage of child because of marital status of ... (7/1/1994) |
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| 376.821 | Insurers may not cancel health or dental insurance solely because the ... (8/28/1995) |
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| 376.823 | Prohibition on kickbacks not applicable for rebates for certain chronic ... (8/28/2005) |
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| 376.825 | (Repealed L. 2014 H.B. 1298 Revision § A) (8/28/2014) |
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| 376.826 | (Repealed L. 2014 H.B. 1298 Revision § A) (8/28/2014) |
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| 376.827 | (Repealed L. 2014 H.B. 1298 Revision § A) (8/28/2014) |
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| 376.830 | (Repealed L. 2014 H.B. 1298 Revision § A) (8/28/2014) |
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| 376.833 | (Repealed L. 2014 H.B. 1298 Revision § A) (8/28/2014) |
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| 376.836 | (Repealed L. 2014 H.B. 1298 Revision § A) (8/28/2014) |
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| 376.840 | (Repealed L. 2004 H.B. 855 § A) (8/28/2004) |
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| EATING DISORDERS | |||
| 376.845 | Definitions — eating disorders, coverage for diagnosis and treatment of — ... (8/28/2015) |
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| MEDICARE SUPPLEMENT INSURANCE | |||
| 376.850 | Law, how cited. (8/28/1989) |
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| 376.854 | Definitions. (4/26/1996) |
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| 376.855 | (Repealed L. 1989 H.B. 615 & 563) (8/28/1989) |
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| 376.859 | Medicare supplement law applicable to what policies — policies not included. (4/26/1996) |
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| 376.860 | (Repealed L. 1989 H.B. 615 & 563) (8/28/1989) |
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| 376.864 | Policies not to duplicate benefits provided by Medicare — preexisting ... (4/26/1996) |
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| 376.865 | (Repealed L. 1989 H.B. 615 & 563) (8/28/1989) |
|
|
| 376.869 | Standards for policies, minimum, director to adopt. (4/26/1996) |
|
|
| 376.870 | (Repealed L. 1989 H.B. 615 & 563) (8/28/1989) |
|
|
| 376.874 | Requirements of policy, return to policyholders. (7/6/1992) |
|
|
| 376.875 | (Repealed L. 1989 H.B. 615 & 563) (8/28/1989) |
|
|
| 376.879 | Outline of coverage for fair disclosure — furnished to each applicant — ... (4/26/1996) |
|
|
| 376.880 | (Repealed L. 1989 H.B. 615 & 563) (8/28/1989) |
|
|
| 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) |
|
|
| 376.885 | (Repealed L. 1989 H.B. 615 & 563) (8/28/1989) |
|
|
| 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) |
|
|
| LONG-TERM CARE | |||
| 376.951 | (Transferred 2002; now 376.1100) (8/28/2002) |
|
|
| 376.952 | (Transferred 2002; now 376.1103) (8/28/2002) |
|
|
| 376.953 | (Transferred 2002; now 376.1106) (8/28/2002) |
|
|
| 376.955 | (Transferred 2002; now 376.1109) (8/28/2002) |
|
|
| 376.956 | (Transferred 2002; now 376.1112) (8/28/2002) |
|
|
| 376.957 | (Transferred 2002; now 376.1115) (8/28/2002) |
|
|
| 376.958 | (Transferred 2002; now 376.1118) (8/28/2002) |
|
|
| 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) |
|
|
| 376.990 | (Repealed L. 2010 H.B. 1516 Revision § A merged with H.B. 1965 § A) (8/28/2010) |
|
|
| 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) |
|
|
| DENTAL SERVICES | |||
| 376.1060 | Access to dental services not to be sold, assigned, or granted access ... (8/28/2014) |
|
|
| 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 — ... (8/28/2010) |
|
|
| 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) |
|
|
| 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) |
|
|
| 376.1192 | (Repealed L. 2018 S.B. 975 & 1024 Revision) (8/28/2018) |
|
|
| 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) |
|
|
| 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 — ... (8/28/2020) |
|
|
| 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) |
|
|
| CREDENTIALING OF PRACTITIONERS | |||
| 376.1575 | Definitions (1/1/2014) |
|
|
| 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 ... (8/28/2015) |
|
|
| 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 ... (8/28/2016) |
|
|
| 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) |
|
| - Cross References | |
|---|---|
| All license, permit and certificate applications shall contain the Social Security number of the applicant, 324.024 | |
| Annual statement convention blank to be filed by insurers with the N.A.I.C., failure to comply, effect, 375.041 | |
| Group service or indemnity contracts to cover newborn child, 376.406 | |
| Health coverage provider subject to jurisdiction and examination of department of insurance, 374.194 | |
| Incorporation of insurance companies other than life, may issue life policy, 379.010 | |
| Injured employees, insurance, payment of fees and integration of systems of insurers and entities administering claims, department rules not applicable, when, 375.427 | |
| Insurer, defined, 375.932 | |
| Penalty for unauthorized person or corporation transacting insurance business, 375.310 | |
| Reduction of capital stock where not fully subscribed, 375.231 | |
| Second mortgages, insurance coverage authorized as additional charge, 408.233 | |
| Unfair practices and frauds, 375.930 to 375.948 | |
| Withdrawal of securities, 375.480 | |
2020 Cumulative Supplement Available
Official Website for the Revised Statutes of Missouri
6 Mar 2021 08:54
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