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Health Maintenance Organizations
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Section
27-41-1
Short title.
Section
27-41-2
Definitions.
Section
27-41-3
Establishment of health maintenance organizations.
Section
27-41-4
Issuance of license.
Section
27-41-5
Powers of health maintenance organizations.
Section
27-41-6
Governing body.
Section
27-41-7
Fiduciary responsibilities.
Section
27-41-8
Evidence of coverage and charges for health care services.
Section
27-41-9
Required reports.
Section
27-41-10
Information to enrollees.
Section
27-41-11
Complaint system.
Section
27-41-12
Investments.
Section
27-41-13
Protection against insolvency.
Section
27-41-13.1
Initial net worth and capital requirements.
Section
27-41-13.2
Ongoing net worth and capital requirements.
Section
27-41-13.3
Waiver, surplus notes, and risk based capital requirements.
Section
27-41-14
Prohibited practices.
Section
27-41-14.1
Prohibition against restraint on provider - Patient communications.
Section
27-41-15
Powers of insurers and hospital and medical service corporations.
Section
27-41-16
Examination.
Section
27-41-17
Suspension or revocation of license.
Section
27-41-18
Rehabilitation, liquidation, or conservation of health maintenance organization.
Section
27-41-18.1
Summary orders and supervision.
Section
27-41-19
Rules and regulations.
Section
27-41-20
Administrative procedures.
Section
27-41-21
Penalties and enforcement.
Section
27-41-22
Statutory construction and relationship to other laws.
Section
27-41-23
Filings and reports as public documents.
Section
27-41-24
Director of health's authority to contract.
Section
27-41-25
Holding company systems.
Section
27-41-26
Enrollee liability.
Section
27-41-26.1
Patient responsibility - Administrative requirements.
Section
27-41-27
Offer of health maintenance organization alternative to employees.
Section
27-41-27.1
No derogation of attorney general.
Section
27-41-27.2
Health insurance rates.
Section
27-41-28
Applicability.
Section
27-41-29
Severability.
Section
27-41-29.1
Uniform explanation of benefits and coverage.
Section
27-41-29.2
Filing of policy forms.
Section
27-41-30
Mammograms and pap smears - Coverage mandated.
Section
27-41-30.1
Post-partum hospital stays.
Section
27-41-31
Mammograms - Quality assurance standards.
Section
27-41-32
Pap smears - Quality assurance standards.
Section
27-41-33
Coverage for infertility.
Section
27-41-34
Health maintenance organizations' assessment.
Section
27-41-35
Enrollment period in the event of insolvency.
Section
27-41-36
Services of midwives.
Section
27-41-37
Discontinuance of coverage - Chronic disabilities.
Section
27-41-38
Drug coverage.
Section
27-41-38.1
Medication synchronization.
Section
27-41-38.2
Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies.
Section
27-41-39
Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists.
Section
27-41-40
Certified counselors in mental health and therapists in marriage and family practice.
Section
27-41-41
Repealed.
Section
27-41-41.1
Repealed.
Section
27-41-41.2
Repealed.
Section
27-41-41.3
Repealed.
Section
27-41-42
Repealed.
Section
27-41-43
Mastectomy treatment.
Section
27-41-43.1
Insurance coverage for mastectomy hospital stays.
Section
27-41-44
Diabetes treatment.
Section
27-41-45
Primary and preventive obstetric and gynecological care.
Section
27-41-46
Whistleblowers protection.
Section
27-41-47
Penalties and remedies.
Section
27-41-48
Additional relief and damages - Reinstatement.
Section
27-41-49
Third-party reimbursement for services of certain healthcare workers.
Section
27-41-49.1
Third party reimbursement for services of registered nurse first assistants.
Section
27-41-50
Human leukocyte antigen testing.
Section
27-41-51
Drug coverage.
Section
27-41-52
Restricted annual rate payments prohibited.
Section
27-41-53
Genetic testing.
Section
27-41-53.1
Genetic information.
Section
27-41-54
Disassociation prohibited.
Section
27-41-55
Repealed.
Section
27-41-56
Magnetic resonance imaging - Quality assurance standards.
Section
27-41-57
Acupuncture services.
Section
27-41-58
Prohibition against requiring indemnification from dentists.
Section
27-41-59
F.D.A. approved prescription contraceptive drugs and devices.
Section
27-41-60
Prostate and colorectal examinations - Coverage mandated.
Section
27-41-61
Eligibility for children's benefits.
Section
27-41-62
Temporary credentials.
Section
27-41-63
Hearing aids.
Section
27-41-64
Prompt processing of claims.
Section
27-41-65
Mandatory coverage for certain lyme disease treatments.
Section
27-41-66
Dental insurance assignment of benefits.
Section
27-41-67
Determination of maximum coverage limitation for prescription drug benefits.
Section
27-41-68
Coverage for early intervention services.
Section
27-41-69
Post-payment audits.
Section
27-41-70
Tobacco cessation programs.
Section
27-41-71
Mandatory coverage for scalp hair prosthesis.
Section
27-41-72
Reimbursement for orthotic and prosthetic services.
Section
27-41-73
Licensed ambulance service.
Section
27-41-74
Enteral nutrition products.
Section
27-41-75
Prohibition on rescission of coverage.
Section
27-41-76
Prohibition on annual and lifetime limits.
Section
27-41-77
Coverage for individual participating in approved clinical trials.
Section
27-41-78
Medical loss ratio reporting and rebates.
Section
27-41-79
Emergency services.
Section
27-41-80
Internal and external appeal of adverse benefit determinations.
Section
27-41-81
Prohibition on preexisting condition exclusions.
Section
27-41-82
Primary care provider designation requirement.
Section
27-41-83
Discretionary clauses.
Section
27-41-84
Orally administered anticancer medication - Cost-sharing requirement.
Section
27-41-85
Consumer notification.
Section
27-41-86
Opioid antagonists.
Section
27-41-87
Healthcare provider credentialing.
Section
27-41-88
Unfair discrimination prohibited.
Section
27-41-89
Health insurance contracts - Full year coverage for contraception.