Idaho Code
Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS
Section 41-3419 - FILING AND APPROVAL OF AGREEMENTS AND CONTRACTS.

41-3419. FILING AND APPROVAL OF AGREEMENTS AND CONTRACTS. (1) No service corporation shall issue or use any basic form of service agreement or subscriber’s contract, or application, identification, supplement, or endorsement to be connected with any such agreement or contract, until such form has been filed with the director and approved by him. This provision shall not apply to agreements, contracts, applications, identification, supplements, endorsements or other forms of unique character designed for and used with relation to a particular set of circumstances.
(2) The director shall approve any such form unless disapproved by him on one or more of the grounds set forth in subsection (3) below. If not so approved or disapproved by order transmitted to the filing service corporation within sixty (60) days after the date filed, the form shall be deemed to have been approved, provided, however, that the director may extend by not more than an additional sixty (60) days the period within which he may so affirmatively approve or disapprove any such form, by giving notice to the service corporation of such extension before expiration of the initial sixty (60) day period. At the expiration of any such period as so extended, and in the absence of such prior affirmative approval or disapproval, any such form shall be deemed approved. The director may at any time, after notice and for cause shown, withdraw any such approval.
(3) The director shall disapprove any proposed form referred to in subsection (1) above which:
(a) Is in any respect not in compliance with or in violation of law; or
(b) Contains any inconsistent, ambiguous, or misleading clauses, or exceptions and conditions which deceptively affect the services or benefits purported to be provided for in the general terms of the agreement or contract; or
(c) Has any indication of its provisions which is misleading; or
(d) Is printed or otherwise reproduced in such manner as to render any provision of the form substantially illegible.
(4) In any order of disapproval the director shall state the particulars of the grounds for disapproval.

History:
[41-3419, added 1961, ch. 330, sec. 777, p. 645; am. 1989, ch. 141, sec. 1, p. 331.]

Structure Idaho Code

Idaho Code

Title 41 - INSURANCE

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 41-3406 - INCORPORATION — LAWS APPLICABLE — APPROVAL OF ARTICLES OF INCORPORATION — AMENDMENT.

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 41-3418 - SERVICE AGREEMENTS AND SUBSCRIBER’S CONTRACTS MUST PROVIDE SUBSTANTIAL SERVICE BENEFITS.

Section 41-3419 - FILING AND APPROVAL OF AGREEMENTS AND CONTRACTS.

Section 41-3420 - CHARGES AND RATES.

Section 41-3421 - RESERVES.

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 41-3436 - DEPENDENT’S COVERAGE — DEPENDENT’S TERMINATION OF COVERAGE, DISABILITY AND DEPENDENCY PROOF AND APPLICATION.

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.