Kansas Statutes
Article 21 - Miscellaneous Provisions
40-2131 Same; health service provider agreements; charge to insured not permitted, when.

40-2131. Same; health service provider agreements; charge to insured not permitted, when. Unless otherwise specified by the plan, as a prerequisite for payment from the plan, each provider of health services to persons covered under the plan shall enter into a provider agreement with the association under which reimbursement for services provided shall be at rates established by the board. Providers shall not charge persons covered under the plan with the exception of authorized deductible and co-pay requirements and noncovered services if the recipient has been informed in advance of the noncoverage.
History: L. 1992, ch. 209, ยง 15; July 1.

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Structure Kansas Statutes

Kansas Statutes

Chapter 40 - Insurance

Article 21 - Miscellaneous Provisions

40-2101 Apportionment agreements among insurers as to persons unable to procure certain insurance.

40-2102 Apportionment or assignment of risk of certain motor vehicle bodily injury and property damage liability insurance; filing of plan; requirements; governing board of plan; membership; meetings, term of office and duties; review of plan; approv...

40-2103 Same; payment of commissions.

40-2104 Same; invalidity of part.

40-2105 Stock and membership records of stock or mutual life or stock fire or stock casualty companies; inspection.

40-2106 Same; demand for examination; specification of mismanagement; hearing; powers and duties of commissioner.

40-2107 Same; definitions.

40-2108 Apportionment agreements among insurers as to persons unable to procure workmen's compensation and employer liability policies.

40-2109 Apportionment or assignment of risk of certain workers compensation and employer's liability insurance; filing of plan; requirements; governing board of plan; membership, meetings, term of office and duties; review of plan; approval; disappro...

40-2110 Same; payment of commissions.

40-2111 Apportionment or assignment of risk for certain insurance; filing of plan; requirements; governing board of plan, membership, meetings, terms of office and duties; accident and sickness insurance report.

40-2112 Review of plan; approval; disapproval; notice and hearing; order specifying defect in plan; amendment of plan; assignment made under plan.

40-2113 Preparation of plan by commissioner, when; unreasonable or unfair activity or practice by insurer or rating organization; hearing; order.

40-2114 Participating insurer may pay commission to other participating insurer or agent.

40-2115 Hearings; compliance with 40-281 and the Kansas administrative procedure act.

40-2116 Rules and regulations.

40-2117 Uninsurable health insurance plan; citation of act.

40-2118 Uninsurable health insurance plan; definitions.

40-2119 Same; Kansas health insurance association, membership, board of directors; plan of operation, approval of commissioner; powers and duties of association; reinsurance program for medicare supplement policies.

40-2120 Same; plan administering carrier, selection, functions.

40-2121 Same; member assessments; credit for loss assessments against premium and privilege tax liability.

40-2122 Same; persons eligible for plan coverage; termination upon cessation of eligibility; notice of availability of coverage.

40-2123 Same; expenses and services covered under plan; exclusions; plan not subject to coverages mandated by other laws.

40-2124 Same; deductible and copayment provisions; maximum lifetime benefit; preexisting conditions exclusion; reduction of plan benefits for duplicate coverage; recovery of benefits paid for noncovered expenses.

40-2125 Same; loans to finance plan commencement, repayment.

40-2126 Same; uninsurable health insurance plan fund; transfers to fund plan losses; transfer of plan surplus to fund.

40-2127 Same; annual financial report to commissioner; financial examination by commissioner.

40-2128 Same; submission of financial report to joint committee on health care decisions for the 90's; information required.

40-2129 Same; commissioner's recommendations for plan improvements to joint committee, when.

40-2130 Same; form directing withholding or withdrawal of life-sustaining procedures to be provided applicants for coverage; retention upon execution.

40-2131 Same; health service provider agreements; charge to insured not permitted, when.

40-2132 Long-term care partnership act; citation of act.

40-2133 Same; definitions.

40-2134 Same; department of health and environment duties; long-term care partnership policies, benefits of; duties of certain state agencies.

40-2135 Same; duties of commissioner.

40-2136 Same; duties of issuers of long-term care partnership policies; exchange of certain long-term policies.

40-2137 Same; rules and regulations.

40-2138 Payment of claims by property insurer; requirements; dual endorsement not required.

40-2139 Commissions not administrative expenses for purposes of medical loss ratio.

40-2140 Law enforcement officer health insurance; continuation.

40-2141 Emergency personnel health insurance; continuation.

40-2142 Fair plan act; requirements.

40-2143 Predetermination of health care benefits act; predetermination request procedures.