41-3420. CHARGES AND RATES. (1) Subscription rates, fees, and payments to be charged by a service corporation to or on account of its subscribers shall not be excessive, inadequate, or unfairly discriminatory; and rates of payments to be made to participant physicians, participant hospitals, and participant pharmacists for services rendered under a subscriber’s contract, shall be fair and reasonable.
(2) The service corporation shall, before use, file with the director a schedule of subscription rates, fees, or payments of any kind to be charged subscribers; and shall likewise so file before use every proposed change or modification in such rates, fees, or payments.
(3) If the subscriber’s contracts to be issued by the service corporation provide for indemnity benefits, where permitted under this chapter, the service corporation shall include in the rate, fee, or payment required of the subscriber an adequate additional charge for such indemnity benefit, and shall separately set forth the amount of such additional charge in the schedule filed with the director.
History:
[41-3420, added 1961, ch. 330, sec. 778, p. 645; am. 1967, ch. 399, sec. 11, p. 1194.]
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.