Idaho Code
Chapter 34 - HOSPITAL AND PROFESSIONAL SERVICE CORPORATIONS
Section 41-3443 - BEST PRICE — MOST FAVORED NATIONS CLAUSE PROHIBITED.

41-3443. BEST PRICE — MOST FAVORED NATIONS CLAUSE PROHIBITED. No service corporation may require, as an element of any service agreement, that any licensee or hospital agree:
(1) To the unnegotiated adjustment by the service corporation of the licensee’s or hospital’s contractual reimbursement rate to equal the lowest reimbursement rate the licensee or hospital has agreed to charge any other payor;
(2) To a requirement that the licensee or hospital adjust, or enter into negotiations to adjust, their charges to the service corporation if the licensee or hospital agrees to charge another payor lower rates; or
(3) To a requirement that the licensee or hospital disclose his, her or its contractual reimbursement rates from other payors.

History:
[41-3443, added 1998, ch. 422, sec. 3, p. 1334.]

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.