41-3401. SCOPE OF CHAPTER. (1) This chapter shall apply to every individual, person, firm, corporation, association, or organization of any kind hereafter engaging or purporting to engage in the provision of all or part of any health care service, as hereinafter defined, for its subscribers in exchange for periodic prepayments in identifiable amount by or as to such subscribers.
(2) This chapter does not apply as to:
(a) Insurers or fraternal benefit societies authorized to transact the kind of insurance involved pursuant to other chapters of this code.
(b) Fraternal and other organizations exempted under section 41-3237, Idaho Code, from the provisions of chapter 32, title 41, Idaho Code.
(c) Health care services provided by an employer to his employees and their dependents, with or without contribution to the costs thereof by such employees, through health care service facilities owned, employed, or controlled by the employers.
(d) Contracts between employers and physicians or hospitals, relative to the care and treatment of employees of such employers, which contracts are subject to the jurisdiction of the industrial commission of Idaho.
(e) Infrequent instances of prepayment by or for the patient direct to the licensee or hospital for specific services thereafter rendered to such patient by such licensee or hospital.
History:
[41-3401, added 1961, ch. 330, sec. 759, p. 645; am. 1971, ch. 252, sec. 1, p. 1008; am. 2021, ch. 321, sec. 30, p. 970.]
Structure Idaho Code
Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS
Section 41-3401 - SCOPE OF CHAPTER.
Section 41-3402 - PURPOSE AND INTERPRETATION.
Section 41-3403 - DEFINITIONS.
Section 41-3404 - PROVISIONS EXCLUSIVE.
Section 41-3405 - INCORPORATION — CERTIFICATE OF AUTHORITY REQUIRED.
Section 41-3407 - NAME OF CORPORATION.
Section 41-3408 - QUALIFICATIONS FOR CERTIFICATE OF AUTHORITY.
Section 41-3409 - APPLICATION FOR CERTIFICATE OF AUTHORITY.
Section 41-3410 - ISSUANCE OR REFUSAL OF CERTIFICATE OF AUTHORITY.
Section 41-3411 - CONTINUANCE OR EXPIRATION OF CERTIFICATE OF AUTHORITY.
Section 41-3412 - SUSPENSION OR REVOCATION OF CERTIFICATE OF AUTHORITY.
Section 41-3413 - SERVICES AND BENEFITS WHICH MAY BE PROVIDED PROFESSIONAL SERVICE CORPORATIONS.
Section 41-3414 - SERVICES AND BENEFITS WHICH MAY BE PROVIDED — HOSPITAL SERVICE CORPORATIONS.
Section 41-3415 - PROFESSIONAL SERVICE AGREEMENTS.
Section 41-3415A - PHARMACISTS’ SERVICE AGREEMENTS.
Section 41-3416 - HOSPITAL SERVICE AGREEMENTS.
Section 41-3417 - SUBSCRIBER’S CONTRACTS.
Section 41-3419 - FILING AND APPROVAL OF AGREEMENTS AND CONTRACTS.
Section 41-3420 - CHARGES AND RATES.
Section 41-3422 - SURPLUS FUND.
Section 41-3423 - INVESTMENTS.
Section 41-3424 - RECORDS AND ACCOUNTS.
Section 41-3425 - ANNUAL STATEMENT.
Section 41-3426 - EXAMINATION.
Section 41-3427 - TAXATION AND ANNUAL REPORT.
Section 41-3428 - JOINT OPERATIONS.
Section 41-3429 - COMBINED CORPORATION.
Section 41-3430 - CONTRACTS COVERING WORKMEN’S COMPENSATION RISKS.
Section 41-3431 - ANNUAL ADJUSTMENT OF SERVICE PAYMENTS — DISPOSITION OF EXCESS FUNDS.
Section 41-3432 - FIDELITY BOND.
Section 41-3433 - SERVICE CORPORATION FEES.
Section 41-3434 - OTHER PROVISIONS APPLICABLE.
Section 41-3435 - PRODUCER LICENSING.
Section 41-3437 - REQUIRED PROVISIONS — INFANTS.
Section 41-3438 - COMPLICATIONS OF PREGNANCY.
Section 41-3439 - LIMITATION OF BENEFITS FOR ELECTIVE ABORTIONS.
Section 41-3440 - SERVICES PROVIDED BY GOVERNMENTAL ENTITIES.
Section 41-3441 - MAMMOGRAPHY COVERAGE.
Section 41-3443 - BEST PRICE — MOST FAVORED NATIONS CLAUSE PROHIBITED.
Section 41-3444 - CONTRACTS WITH PROVIDERS OF DENTAL SERVICES.