Missouri Revised Statutes
Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans
Section 354.612 - Continuation of care after provider termination, when.

Missouri Revised Statutes

Title XXIII - Corporations, Associations and Partnerships

Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans

Section 354.010 - Definitions.

Section 354.015 - Health services corporations, laws applicable to — exceptions.

Section 354.020 - Preexisting health services corporation to amend articles, effect of.

Section 354.025 - Corporate purposes and authority.

Section 354.027 - Discrimination in coverage or reimbursement for covered service by licensed persons, prohibited.

Section 354.030 - For-profit corporations excluded from act.

Section 354.035 - Procedure for organization of corporation.

Section 354.040 - Articles of incorporation, required information and contents.

Section 354.045 - Issuance of certificate, effect of.

Section 354.050 - General powers of corporation.

Section 354.055 - Certificate of authority required — expiration of, extended how.

Section 354.060 - Director to issue certificate, when.

Section 354.065 - Articles of incorporation, how amended — copy to director, when.

Section 354.070 - Certificate of authority automatically extended, when.

Section 354.075 - Capital required to do business.

Section 354.080 - Reserves required, how computed.

Section 354.085 - Membership contract forms, approval by director, when — time for filing — time for disapproval.

Section 354.090 - Health services corporation contracts, purposes, parties to.

Section 354.095 - Limitation of membership and benefits — certain benefits to be provided, when.

Section 354.105 - Annual report required, contents of.

Section 354.115 - Member's grievance, how and where filed — director may investigate, court action not barred.

Section 354.120 - Rules and regulations by director authorized — procedure, review.

Section 354.125 - Corporation not liable for injuries resulting from medical services rendered members.

Section 354.130 - Exemption from certain taxes, exceptions.

Section 354.140 - Dissolution, liquidation or rehabilitation of corporation, procedure for.

Section 354.145 - Appeal from director's actions or decisions, how taken.

Section 354.150 - Fees — waiver, when.

Section 354.152 - Premiums, dues or fees subject to restrictions — violation, hearing — order prohibiting.

Section 354.155 - Disclaimer as to nonhealth services corporations.

Section 354.165 - Certain organizations exempt.

Section 354.175 - Wage continuation plans by employer exempt.

Section 354.180 - Administrative order, director to issue, when.

Section 354.190 - Examinations, procedures.

Section 354.195 - Records of examination, duty to keep.

Section 354.200 - Examinations, false testimony, penalty.

Section 354.205 - Examinations — costs, how paid.

Section 354.207 - Second medical opinion to be allowed by health services corporations, procedure, costs.

Section 354.210 - Director may seek relief, when.

Section 354.215 - Examiner's sick leave to apply to health services corporations.

Section 354.220 - Director may bring suit to recover fees or sums.

Section 354.225 - Enrollment representative, defined — annual report to furnish information — solicitors of members to be insurance agent or broker, exception.

Section 354.230 - License required for enrollment representative.

Section 354.235 - Enrollment representative — license issued when, qualifications.

Section 354.240 - Nonresident may be licensed — examination waived, when.

Section 354.265 - Nonrenewable temporary license issued, when.

Section 354.275 - Violations by enrollment representatives, penalties.

Section 354.280 - Officers of corporation found to be of known bad character or incompetent — authority to transact business, effect.

Section 354.285 - Management agreements to control corporation, notice to department, when — examination requirements — violations.

Section 354.290 - Examiner's duties — examination contents — hearing on reports allowed — publication of report, when.

Section 354.295 - Certificate of authority not to be issued if controlling management involved in improper actions.

Section 354.300 - Certificate of authority suspended or revoked, when.

Section 354.305 - Corporation advertising assets also to show liabilities — penalties.

Section 354.315 - Data processing system authorized, cost, amount allowed — amortization not to exceed ten years.

Section 354.320 - Corporate funds and securities use for private gain by officers and employees prohibited, penalty.

Section 354.325 - Investigation by director of investments — records to be kept by division — criminal action, when.

Section 354.330 - Public official failing to perform duties as to investment violations, penalty.

Section 354.335 - Damages allowed if corporation without reasonable cause refuses to pay.

Section 354.340 - Unsatisfied judgments against corporation — suspension or revocation of certificate of authority until judgment satisfied.

Section 354.345 - Court decree of specific performance — membership contract, failure of corporation to comply, procedure, effect.

Section 354.350 - Fraudulent or bad faith conduct — investigation by division — hearing, procedure.

Section 354.355 - Injunctions, permanent or temporary, grounds, procedure — dissolution of corporation or rehabilitation, procedure.

Section 354.357 - Receivership, grounds, procedure.

Section 354.362 - Newborn child coverage required — notice of birth, when, effect.

Section 354.380 - Certain provisions of insurance law to be applicable.

Section 354.400 - Definitions.

Section 354.405 - Certificate of authority, who may make application — foreign corporation may qualify, requirements — procedure.

Section 354.407 - PACE projects not deemed health maintenance organizations, when.

Section 354.410 - Certificate issued, when — annual deposit, requirements — capital account, amount, contents.

Section 354.415 - Powers of organization.

Section 354.420 - Advisory panels to afford enrollees participation in policy decisions.

Section 354.425 - Bonding of officers who disburse or invest funds — bond requirements.

Section 354.430 - Evidence of coverage, requirements — rights of enrollee — toll-free telephone number required.

Section 354.435 - Annual reports filed with director, when — content — forms.

Section 354.440 - Information to be available to enrollees.

Section 354.441 - Disclosures to subscribers shall not be prohibited or restricted.

Section 354.442 - Disclosure information to enrollees required, when.

Section 354.443 - Financial disclosures to the department required by health maintenance organizations, when.

Section 354.444 - Administrative orders for violations — voluntary forfeitures, civil actions.

Section 354.445 - Complaints by enrollees, organization to establish system.

Section 354.450 - Investments authorized.

Section 354.455 - Deposit required, how made.

Section 354.460 - Advertising not to be untrue or misleading — deceptive solicitation — prohibited — how determined.

Section 354.462 - Enrollee, grounds for disenrollment.

Section 354.464 - Names not authorized for use, exceptions.

Section 354.465 - Examinations by division, when — costs, how paid.

Section 354.470 - Suspension or revocation, when — effect.

Section 354.475 - Insurance companies or health service company may organize and operate a health maintenance organization.

Section 354.480 - Rehabilitation, liquidation, or conservation, grounds, procedure — enrollee's priorities — claims, priority.

Section 354.485 - Rules and regulations authorized.

Section 354.490 - Certificate of authority, denial, suspension or revocation, grounds — procedure.

Section 354.495 - Fees to be paid to director.

Section 354.500 - Conferences called by director as to suspected or potential violations.

Section 354.505 - Laws regulating insurance or health service corporations not to apply, exceptions.

Section 354.510 - Public documents, all filings and required reports.

Section 354.515 - Confidential information, diagnosis, treatment, health of enrollees or applicants, exceptions.

Section 354.520 - Mergers, consolidations, control of organization, requirements.

Section 354.525 - Health provision collective bargaining agreements or contracts — charge for coverage, how determined.

Section 354.530 - Severability clause.

Section 354.535 - Pharmacist, emergency situation, may take an assignment of enrollee's right to reimbursement — health maintenance organizations shall only contract with entities licensed by the board of pharmacy — requirements for drug prescription...

Section 354.536 - Continuation of dependent child coverage, when — dependent child defined.

Section 354.540 - Health maintenance organization of bordering states may be admitted to do business — procedure.

Section 354.545 - Exempt plans and companies.

Section 354.546 - Second medical opinion to be allowed by health maintenance organizations, procedure, costs.

Section 354.550 - Laws not applicable to community health companies.

Section 354.551 - Health maintenance organizations may offer point of service (POS) riders, when.

Section 354.552 - Community-based health maintenance organizations, requirements.

Section 354.554 - Standing referrals for certain members of community-based health maintenance organizations, when.

Section 354.556 - Trustees, vacancies, elections.

Section 354.558 - Materials provided to prospective purchasers.

Section 354.559 - Disclosure to members, restrictions and prohibitions.

Section 354.560 - Payment arrangements, department to adopt rules — disclosure of financial arrangements — confidentiality.

Section 354.562 - Grievance procedures, rulemaking authority.

Section 354.563 - Medicare rules to apply to community-based health maintenance organizations, when.

Section 354.565 - Community-based health maintenance organization designation given, when — revocation.

Section 354.567 - Community-based health maintenance organizations subject to other laws regarding health maintenance organizations.

Section 354.570 - Rulemaking — procedure.

Section 354.600 - Definitions.

Section 354.603 - Sufficiency of health carrier network, requirements, criteria — access plan filed with the department, when.

Section 354.606 - Providers notified of specific covered services, when — hold harmless provision — cessation of operations procedure — selection standards for health care professionals, filing with the department.

Section 354.609 - Termination of a contract, procedure.

Section 354.612 - Continuation of care after provider termination, when.

Section 354.615 - Referrals to appropriate providers, when.

Section 354.618 - Open referral health plans offered, when — definitions — obstetrician/ gynecologist services to be offered, when — eye care providers, discrimination against, prohibited — exemptions.

Section 354.621 - Intermediary and participating provider requirements.

Section 354.624 - Proposed provider contract forms filed with the director — contracts maintained at place of business, available for review, when.

Section 354.627 - Liability of a health carrier, when.

Section 354.636 - Contract requirements after January 1, 1998.

Section 354.650 - Definitions.

Section 354.652 - Designation as essential community provider, procedure, qualifications.

Section 354.654 - Department of health and senior services, duties — rulemaking authority.

Section 354.656 - Inclusion of essential community providers in health care network, exceptions.

Section 354.658 - Designation nontransferable, site specific — annual affidavit required — notice of certain changes, required when.

Section 354.700 - Definitions.

Section 354.702 - Prepaid dental plans, who may offer — certificate of authority required — certain state laws not to apply.

Section 354.703 - Director may order violators to cease and desist, hearing — noncompliance, director's remedies.

Section 354.704 - Application for certificate of authority, content.

Section 354.705 - Certificate of authority granted, when.

Section 354.707 - Capital, surplus, security required — cash, securities, bond to be deposited or filed with director, director to return deposit, when — security subject to final judgments — security not required for prepaid dental plans funded by g...

Section 354.710 - Reserve requirements — reserve not required for prepaid dental plans funded by government — surplus requirement for prepaid dental plans in existence January 1, 1987, additional time.

Section 354.712 - Contract or contract certificate to be issued to enrollees, content, copy to be filed with director — newborn child to be covered, when, extent of coverage, notification of birth and additional premium, when, effect of.

Section 354.715 - Providers of dental care, written contract with prepaid dental plan corporations, review and mediation procedures for enrollees required.

Section 354.717 - Director, powers — financial examinations, when, by whom made and paid.

Section 354.720 - Annual report, required, content.

Section 354.721 - Agents, registration required — rules and regulations authorized.

Section 354.722 - Revocation or suspension of certificate of authority, when — notice, civil suit authorized — suspension, revocation, activity permitted.

Section 354.723 - Rulemaking authorized.

Section 354.725 - Exclusion, labor organization's health plans.