Section 376.1510

Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS

Chapter 376

Effective - 28 Aug 2007 

  376.1510.  Prohibited acts. — A discount medical plan organization shall not:

  (1)  Use in its advertisements, marketing material, brochures, and discount cards the terms "health plan", "coverage", "co-pay", "co-payments", "preexisting conditions", "guaranteed issue", "premium", "PPO", "preferred provider organization", or other terms in a manner that could reasonably mislead a person to believe that the discount medical plan is health insurance;

  (2)  Except for hospital services, have restrictions on free access to plan providers including waiting periods and notification periods;

  (3)  Pay providers any fees for medical services;

  (4)  Collect or accept money from a member for payment to a provider for specific medical services furnished or to be furnished to the member, unless the organization is licensed by the director to act as an administrator; or

  (5)  Except as otherwise provided in sections 376.1500 to 376.1532, as a disclaimer of any relationship between discount medical plan benefits and insurance, or as a description of an insurance product connected with a discount medical plan, use in its advertisements, marketing material, brochures, and discount cards the term "insurance".

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(L. 2007 H.B. 818 merged with S.B. 66)

Effective 8-28-07 (S.B. 66); 1-01-08 (H.B. 818)