41-3921. STATUTORY CONSTRUCTION AND RELATIONSHIP TO OTHER LAWS. (1) Except as stated in this chapter, provisions of title 41, Idaho Code, applicable to disability insurers shall be applicable to the lawful transactions and business of an organization offering a managed care plan for which a certificate of authority is required pursuant to this chapter.
(2) With respect to all managed care organizations, the provision of factually accurate information regarding coverage, rates, locations and hours of service, names of affiliated institutions, and credentials of participating providers by the organization or its personnel to potential members shall not constitute a violation of any law relating to solicitation or advertising by health care professionals.
(3) Any managed care organization which contracts with a health care facility or enters into arrangements with one (1) or more groups of providers organized on a group practice or individual practice basis shall not by virtue of such contracts or arrangements be deemed to have entered into a "conspiracy in restraint of trade".
(4) Except as expressly and specifically stated in this chapter, the provisions of chapter 34, title 41, Idaho Code, are not amended, repealed or otherwise affected by this chapter.
History:
[41-3921, added 1974, ch. 177, sec. 21, p. 1444; am. 1988, ch. 265, sec. 573, p. 871; am. 1997, ch. 204, sec. 23, p. 595; am. 2015, ch. 251, sec. 5, p. 1047.]
Structure Idaho Code
Chapter 39 - MANAGED CARE REFORM
Section 41-3901 - SHORT TITLE.
Section 41-3902 - INTENT AND PURPOSE.
Section 41-3903 - DEFINITIONS.
Section 41-3905 - QUALIFICATIONS FOR CERTIFICATE OF AUTHORITY.
Section 41-3906 - APPLICATION FOR CERTIFICATE OF AUTHORITY.
Section 41-3910 - REPORTS TO THE DIRECTOR.
Section 41-3911 - EXAMINATIONS.
Section 41-3912 - SUSPENSION OR REVOCATION OF CERTIFICATE OF AUTHORITY.
Section 41-3914 - ANNUAL DISCLOSURES.
Section 41-3915 - HEALTH CARE CONTRACTS.
Section 41-3916 - ADVISORY PANELS.
Section 41-3917 - CERTAIN WORDS PROHIBITED IN NAME OF ORGANIZATION.
Section 41-3918 - GRIEVANCE SYSTEM.
Section 41-3919 - OPEN ENROLLMENT.
Section 41-3921 - STATUTORY CONSTRUCTION AND RELATIONSHIP TO OTHER LAWS.
Section 41-3922 - TAXATION — PENALTY FOR FAILURE TO FILE.
Section 41-3924 - LIMITATION OF BENEFITS FOR ELECTIVE ABORTIONS.
Section 41-3925 - SERVICES PROVIDED BY GOVERNMENTAL ENTITIES.
Section 41-3926 - MAMMOGRAPHY COVERAGE.
Section 41-3928 - INCENTIVES TO WITHHOLD CARE PROHIBITED.
Section 41-3930 - UTILIZATION MANAGEMENT PROGRAM REQUIREMENTS.
Section 41-3931 - PARTICIPATION IN IDAHO LIFE AND HEALTH INSURANCE GUARANTY ASSOCIATION.