Idaho Code
Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS
Section 41-3440 - SERVICES PROVIDED BY GOVERNMENTAL ENTITIES.

41-3440. SERVICES PROVIDED BY GOVERNMENTAL ENTITIES. (1) From and after July 1, 1990, no hospital or professional service corporation subscriber’s contract shall be issued in Idaho which excludes from coverage services rendered the subscriber while a resident in an Idaho state institution, provided the services to the subscriber would be covered by the contract if rendered to him outside an Idaho state institution.
(2) From and after July 1, 1990, no hospital or professional service corporation subscriber’s contract may contain any provision denying or reducing benefits otherwise provided under the policy for the reason that the person insured is receiving health or mental health care or developmental services provided by the department of health and welfare, whether or not the department of health and welfare bases its charges for such services on the recipient’s ability to pay. Provided, nothing in this section shall prevent the issuance of a contract which excludes or reduces benefits where the charge level or amount of the charge levied by a governmental entity for such services would vary or be affected in any way by the existence of coverage under a hospital or professional service corporation subscriber contract.

History:
[41-3440, added 1990, ch. 300, sec. 3, p. 829.]

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.