Iowa Code
Chapter 514C - SPECIAL HEALTH AND ACCIDENT INSURANCE COVERAGES
Section 514C.6 - Uniformity of treatment — employee welfare benefit plans.

514C.6 Uniformity of treatment — employee welfare benefit plans.
1. A statutory provision to mandate a health care coverage or service, or to mandate the offering of a health care coverage or service, applies to all state-regulated third-party payors and to employee welfare benefit plans described in 29 U.S.C. §1001 et seq. However, if an employee welfare benefit plan subject to federal regulation is not subject to a substantially similar requirement, the statutory provision does not apply to a state-regulated third-party payor until the employee welfare benefit plans are subject to a substantially similar standard under federal regulations as determined by the commissioner.
2. For purposes of this section unless the context otherwise requires, a third-party payor means:
a. An accident and sickness insurer, subject to chapter 509 or 514A.
b. A nonprofit health service corporation, subject to chapter 514.
c. A health maintenance organization, subject to chapter 514B.
d. Any other entity engaged in the business of insurance, risk transfer, or risk retention, which is subject to the jurisdiction of the commissioner.
91 Acts, ch 213, §20
Referred to in §514C.7, 514C.11, 514C.12, 514C.18, 514C.19, 514C.20, 514C.22, 514C.23, 514C.24, 514C.25, 514C.26, 514C.27, 514C.28, 514C.29, 514C.30, 514C.31, 514C.32, 514C.33, 514C.34, 514C.35

Structure Iowa Code

Iowa Code

Title XIII - COMMERCE

Chapter 514C - SPECIAL HEALTH AND ACCIDENT INSURANCE COVERAGES

Section 514C.1 - Supplemental coverage for adopted or newly born children.

Section 514C.2 - Skilled nursing care covered in hospitals.

Section 514C.3 - Dentist’s services under accident and sickness insurance policies.

Section 514C.3A - Disclosures relating to dental coverage reimbursement rates.

Section 514C.3B - Dental coverage — fee schedules.

Section 514C.4 - Mandated coverage for mammography.

Section 514C.5 - Prescription drug benefit restrictions.

Section 514C.6 - Uniformity of treatment — employee welfare benefit plans.

Section 514C.7 - Prohibition on restricting coverage in certain instances involving a diagnosis of a fibrocystic condition.

Section 514C.8 - Coordination of health care benefits with state medical assistance.

Section 514C.9 - Medical support — insurance requirements.

Section 514C.10 - Coverage for adopted child.

Section 514C.11 - Services provided by licensed physician assistants and licensed advanced registered nurse practitioners.

Section 514C.12 - Postdelivery benefits and care.

Section 514C.13 - Group managed care health plans — requirements attached to limited provider network plan offers.

Section 514C.14 - Continuity of care — pregnancy.

Section 514C.15 - Treatment options.

Section 514C.16 - Emergency room services.

Section 514C.17 - Continuity of care — terminal illness.

Section 514C.18 - Diabetes coverage.

Section 514C.19 - Prescription contraceptive coverage.

Section 514C.20 - Mandated coverage for dental care — anesthesia and certain hospital charges.

Section 514C.21 - Coverage for immunizations — mercury.

Section 514C.22 - Biologically based mental illness coverage.

Section 514C.23 - Human papilloma virus vaccinations — coverage.

Section 514C.24 - Cancer treatment — coverage.

Section 514C.25 - Coverage for prosthetic devices.

Section 514C.26 - Approved cancer clinical trials coverage.

Section 514C.27 - Mental illness and substance abuse treatment coverage for veterans.

Section 514C.28 - Autism spectrum disorders coverage.

Section 514C.29 - Services provided by a doctor of chiropractic.

Section 514C.30 - Services provided by a physical therapist, occupational therapist, or speech pathologist.

Section 514C.31 - Applied behavior analysis for treatment of autism spectrum disorder — coverage.

Section 514C.32 - Services provided by certain licensed master social workers, licensed mental health counselors, and licensed marital and family therapists.

Section 514C.33 - Services provided by provisionally licensed psychologists.

Section 514C.34 - Health care services delivered by telehealth — coverage.

Section 514C.35 - Behavioral health services provided in a school — coverage.