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Non-Profit Hospital Service Corporations
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Non-Profit Hospital Service Corporations
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Section
1
Corporations Governed by Chapter; Services Received in Nonparticipating Hospital; Substitution of Benefits in Nursing Homes
Section
1a
Right to Become Subscriber; Open Enrollment Periods
Section
1b
Medicare Supplemental Group Coverage; Medical Assistance Recipients
Section
1c
Retroactive Premium Rate Increase
Section
1d
Contracts of Reinsurance
Section
2
Incorporators; Directors; Certificate of Organization; Commissioner's Examination Report
Section
3
Certificate of Compliance; Examination by Commissioner
Section
3a
Discrimination Against Abuse Victims in Terms of Hospital Service Plans
Section
3b
Medical Service Plans; Genetic Tests; Discrimination Based on Genetic Information
Section
4
Accounting System; Accountant, Claim Manager, Underwriter and Actuary
Section
5
Joint Administration With Certain Corporations
Section
6
Approval of Nongroup Contracts
Section
7
Information Gathering Authority of Commissioner; Confidentiality and Privilege
Section
8
Conditions to Issuance or Delivery of Contract
Section
8a
Mental Illness Expenses; Inclusion in Contracts as Benefits; Biologically-Based Mental Disorders; Rape-Related Mental Disorders; Non-Biologically-Based Mental Disorders for Children and Adolescents Under Age 19
Section
8a.75
Retroactive Claims Denials for Behavioral Health Services
Section
8a1/2
Repealed, 2000, 80, Sec. 5
Section
8aa
Coverage of Prosthetic Devices and Repairs
Section
8b
Dependent Coverage for Newborn Infants or Adoptive Children; Inclusion in Contracts
Section
8bb
Coverage for Eligible Dependents Under 26 Years of Age
Section
8c
Refusal to Contract With Blind or Deaf Persons; Prohibition
Section
8cc
Coverage for Medically Necessary Hypodermic Syringes or Needles
Section
8d
Limited Extension of Benefits
Section
8dd
Coverage for Diagnosis and Treatment of Autism Spectrum Disorder
Section
8e
Diethylstilbestrol Exposure; Discrimination
Section
8ee
Coverage for Children Under Age 18 for Cleft Lip and Cleft Palate
Section
8f
Divorced or Separated Spouses; Continuation of Eligibility for Benefits
Section
8ff
Coverage for Orally Administered Anticancer Medications
Section
8g
Cardiac Rehabilitation Expense Benefits
Section
8gg
Coverage for Abuse Deterrent Opioid Drug Products
Section
8h
Prenatal, Childbirth and Postpartum Care Benefits; Minimum Coverage for In-Patient Care
Section
8hh
Preauthorization for Substance Abuse Treatment Not to Be Required
Section
8i
Home Care Benefits
Section
8ii
Coverage for Medically Necessary Acute Treatment or Clinical Stabilization Services
Section
8j
Minimum Requirements for Cytologic Screening and Mammographic Examination Expense Benefits
Section
8jj
Coverage for Long-Term Antibiotic Therapy for Patients With Lyme Disease
Section
8k
Infertility Diagnosis and Treatment Benefits
Section
8kk
Coverage for Medical or Drug Treatments to Correct or Repair Disturbances of Body Composition Caused by HIV Associated Lipodystrophy Syndrome
Section
8l
Nonprescription Enteral Formulas for Home Use
Section
8ll
Filling of Remaining Portion of Prescription for Covered Drug That Is a Narcotic Substance Earlier Filled in Lesser Quantity
Section
8m
Standardized Claim Form
Section
8mm
Pain Management Access Plans
Section
8n
Off-Label Drug Use; Cancer
Section
8nn
Coverage for Tobacco Use Cessation Counseling and Tobacco Cessation Products
Section
8o
Hospital Service Plan Benefits for Bone Marrow Transplants
Section
8p
Items Medically Necessary for Diagnosis and Treatment of Diabetes
Section
8q
HIV/AIDS Treatment; Off-Label Prescription Drug Coverage
Section
8r
Coverage of Hospice Services for Terminally Ill Patients
Section
8s
Nurse Anesthetist and Nurse Practitioner Services
Section
8t
Scalp Hair Prostheses Necessary Due to Cancer or Leukemia Treatment
Section
8u
Emergency Services Provided to Insureds for Emergency Medical Conditions
Section
8v
Coverage for Human Leukocyte or Histocompatibility Locus Antigen Testing
Section
8w
Outpatient Services; Hormone Replacement Therapy for Peri and Post Menopausal Women; Contraceptive Services; Approved Prescription Contraceptive Drugs and Devices; Exception
Section
8x
Coverage for Patient Care Services Under Qualified Clinical Trials
Section
8y
Diagnosis and Treatment of Speech, Hearing and Language Disorders
Section
8z
Repealed, 2008, 451, Sec. 136
Section
9
Repealed, 1996, 297, Sec. 11
Section
10
Group Hospital Service Plan; Approval or Disapproval of Contracts and Rates; Filing
Section
10a
Preferred Provider Arrangements
Section
11
Officers; Duties
Section
12
Publication of Assets and Liabilities
Section
13
Hospitalization and Medical Service for Officers and Employees of Corporation
Section
14
Misrepresentation of Terms of Subscriber's Contract
Section
14a
[There Is No 176a:14a.]
Section
14b
Disclosure of Information; Mental or Nervous Conditions; Exceptions
Section
15
Costs of Solicitation of Subscribers and Administration
Section
16
Acquisition of Real Estate; Leases; Tax Exemption; Limit; Approval of Investments, Sales, Loans and Places of Deposit
Section
17
Submission of Disputes and Controversies
Section
18
Annual Statement of Condition; Verification, Filing, Form, Violations; Applicability of Chapter 176v
Section
18a
Financial Statements; Inclusion of Electronic Data Processing Equipment as Asset
Section
19
Tax Exemption
Section
20
Filing of Amendment of By-Laws
Section
21
Submission of Advertising Matter to Commissioner
Section
22
Filing of Riders, Endorsements and Applications With Commissioner
Section
23
Grounds for Enjoining Transaction of Business; Rehabilitation Proceedings; Duties of Receiver; Distribution of Assets
Section
24
Special Contingent Reserve Fund
Section
25
Licensing of Agents
Section
26
Salaries, Compensation or Emoluments Paid by Corporation
Section
27
Payroll Deductions for Governmental Employees
Section
27a
Repealed, 1955, 628, Sec. 3
Section
28
Violations; Penalties
Section
29
Application
Section
30
Savings Clause
Section
31
Contracts for Administrative or Other Services; Loans and Investments
Section
32
Payment of Sums Owed to Subscriber's Estate
Section
33
Insolvency of Health Maintenance Organization; Replacement Coverage
Section
34
Report of Individuals Provided With Creditable Coverage
Section
35
[There Is No 176a:35.]
Section
36
Attribution of Members to a Primary Care Provider
Section
37
Disclosure of Patient-Level Data and Contracted Prices of Individual Health Care Services by Carriers to Providers
Section
81/2
Sale of Group Non-Profit Hospital Service Contracts