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Medical Service Corporations
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Section
1
Definitions
Section
2
Incorporators; Formation; Articles of Organization; Certification
Section
3
By-Laws; Joint Service Contracts; Preferred Provider Arrangements
Section
3a
Contracts of Reinsurance
Section
3b
Group Medical Service Agreements; Contribution Percentages
Section
4
Contracts for Medical, Chiropractic, Visual, Surgical, and Other Health Services; Approval, Subscription Certificates; Classification of Risks
Section
4a
Mental Illness Expenses; Inclusion as Benefits; Biologically-Based Mental Disorders; Rape-Related Mental Disorders; Non-Biologically-Based Mental Disorders of Children and Adolescents Under Age 19
Section
4a1/2
Repealed, 2008, 256, Sec. 12
Section
4aa
Coverage for Prosthetic Devices and Repairs
Section
4b
Repealed, 2000, 80, Sec. 7
Section
4bb
Coverage for Eligible Dependents Under 26 Years of Age
Section
4c
Dependent Coverage for Newborn Infants or Adoptive Children; Inclusion of Medical Expenses as Benefits
Section
4cc
Coverage for Medically Necessary Hypodermic Syringes or Needles
Section
4d
Refusal to Contract With Blind or Deaf Persons; Prohibition
Section
4dd
Coverage for Diagnosis and Treatment of Autism Spectrum Disorder
Section
4e
Diethylstilbestrol Exposure; Discrimination
Section
4ee
Coverage for Children 21 Years of Age or Younger for Hearing AIDS and Related Services
Section
4f
Cardiac Rehabilitation Expense Benefits
Section
4ff
Coverage for Orally Administered Anticancer Medications
Section
4g
Certified Nurse Midwife Services Benefits
Section
4gg
Coverage for Abuse Deterrent Opioid Drug Products
Section
4h
Prenatal, Childbirth and Postpartum Care Benefits; Minimum Coverage for In-Patient Care
Section
4hh
Preauthorization for Substance Abuse Treatment Not to Be Required
Section
4i
Cytologic Screening and Mammographic Examination Benefits
Section
4ii
Coverage for Medically Necessary Acute Treatment or Clinical Stabilization Services
Section
4j
Infertility Diagnosis and Treatment Benefits
Section
4jj
Coverage for Long-Term Antibiotic Therapy for Patients With Lyme Disease
Section
4k
Nonprescription Enteral Formulas for Home Use
Section
4kk
Coverage for Medical or Drug Treatments to Correct or Repair Disturbances of Body Composition Caused by HIV Associated Lipodystrophy Syndrome
Section
4l
Chiropractic Services Benefits
Section
4ll
Filling of Remaining Portion of Prescription for Covered Drug That Is a Narcotic Substance Earlier Filled in Lesser Quantity
Section
4m
Standardized Claim Form
Section
4mm
Pain Management Access Plans
Section
4n
Off-Label Drug Use; Cancer
Section
4nn
Coverage for Tobacco Use Cessation Counseling and Tobacco Cessation Products
Section
4o
Medical Service Agreement Coverage for Bone Marrow Transplants
Section
4p
Off-Label Use of Prescription Drugs for HIV/AIDS Treatment
Section
4q
Coverage for Licensed Hospice Services
Section
4r
Scalp Hair Prostheses Necessary Due to Cancer or Leukemia Treatment
Section
4s
Items Medically Necessary for Diagnosis and Treatment of Diabetes
Section
4t
Subscription Certificate Benefits for Services Rendered by a Nurse Anesthetist or Nurse Practitioner
Section
4u
Emergency Services Provided to Insureds for Emergency Medical Conditions
Section
4v
Coverage for Human Leukocyte or Histocompatibility Locus Antigen Testing
Section
4w
Outpatient Services; Hormone Replacement Therapy for Peri and Post Menopausal Women; Contraceptive Services; Approved Prescription Contraceptive Drugs or Devises; Exception
Section
4x
Coverage for Patient Care Services Provided Under Qualified Clinical Trials
Section
4y
Coverage for Speech, Hearing and Language Disorders
Section
4z
Repealed, 2008, 451, Sec. 138
Section
5
Subscribers; Qualifications, Misrepresentation; Open Enrollment Periods
Section
5a
Discrimination Against Abuse Victims in Terms of Medical Service Plans
Section
5b
Medical Service Plans; Genetic Tests; Discrimination Based on Genetic Information
Section
6
Subscription Certificate; Issuance; Content
Section
6a
Limited Extension of Benefits
Section
6b
Divorced or Separated Spouses; Continuation of Eligibility for Benefits
Section
7
Contracts Between Corporation and Care Providers
Section
7a
Medicare Supplemental Group Coverage; Eligibility Due to Age or Disability
Section
7b
Medicare Supplemental Group Coverage; Medical Assistance Recipients
Section
7c
Retroactive Premium Rate Increase
Section
7d
Retroactive Claims Denial for Behavioral Health Services
Section
8
Annual Statement; Verification, Form, Violations
Section
8a
Financial Statements; Inclusion of Electronic Data Processing Equipment as Asset
Section
8b
Applicability of Chapter 176v to Medical Service Corporations Governed by This Chapter
Section
8c
Applicability of Chapter 176w to Medical Service Corporations Governed by This Chapter
Section
9
Inspection and Examination of Affairs of Corporation; Confidentiality and Privilege; Inability to Pay Providers; Pro Rata Payments; Termination of Contract
Section
10
Investments, Sales, Loans and Places of Deposit; Approval; Acquisition of Real Estate; Leases; Tax Exemption; Limit; Special Contingent Surplus
Section
11
Salaries, Compensation or Emoluments
Section
12
Submission of Disputes or Controversies to Board; Privacy of Patient Information
Section
13
Grounds for Enjoining Transaction of Business; Receivers
Section
14
Liability of Corporation; Exemption From Insurance Laws; Tax Exemption
Section
15
Repealed, 1951, 797
Section
16
Operators of Medical Service Plan
Section
16a
Payroll Deductions of Governmental Employees
Section
17
Enforcement
Section
18
Contracts for Administrative or Other Services; Loans and Investments
Section
19
Payment of Sums Owed Subscriber's Estate
Section
20
Disclosure of Information; Mental or Nervous Condition
Section
21
Insolvency of Health Maintenance Organization; Replacement Coverage
Section
22
Statement Provided to Individuals Provided With Creditable Coverage; Report
Section
23
Attribution of Members to a Primary Care Provider
Section
24
Disclosure of Patient-Level Data and Contracted Prices of Individual Health Care Services by Carriers to Providers