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Section 354.010 - Definitions. - Effective - 28 Aug 1983, 2 histories 354.010. Definitions. —...
Section 354.015 - Health services corporations, laws applicable to — exceptions. - Effective - 28 Aug 1983 354.015. Health services corporations, laws...
Section 354.020 - Preexisting health services corporation to amend articles, effect of. - Effective - 28 Aug 1983, 2 histories 354.020. Preexisting health...
Section 354.025 - Corporate purposes and authority. - Effective - 28 Aug 1983 354.025. Corporate purposes and authority....
Section 354.027 - Discrimination in coverage or reimbursement for covered service by licensed persons, prohibited. - Effective - 28 Aug 1993 354.027. Discrimination in coverage or...
Section 354.030 - For-profit corporations excluded from act. - Effective - 28 Aug 1983, 2 histories 354.030. For-profit corporations...
Section 354.035 - Procedure for organization of corporation. - Effective - 28 Aug 1983 354.035. Procedure for organization of...
Section 354.040 - Articles of incorporation, required information and contents. - Effective - 28 Aug 1983, 2 histories 354.040. Articles of...
Section 354.045 - Issuance of certificate, effect of. - Effective - 28 Aug 1983 354.045. Issuance of certificate, effect...
Section 354.050 - General powers of corporation. - Effective - 28 Aug 1983, 2 histories 354.050. General powers...
Section 354.055 - Certificate of authority required — expiration of, extended how. - Effective - 28 Aug 1983 354.055. Certificate of authority required...
Section 354.060 - Director to issue certificate, when. - Effective - 28 Aug 1983, 2 histories 354.060. Director to...
Section 354.065 - Articles of incorporation, how amended — copy to director, when. - Effective - 28 Aug 2007 354.065. Articles of incorporation, how...
Section 354.070 - Certificate of authority automatically extended, when. - Effective - 28 Aug 1983, 2 histories 354.070. Certificate of...
Section 354.075 - Capital required to do business. - Effective - 28 Aug 1983 354.075. Capital required to do...
Section 354.080 - Reserves required, how computed. - Effective - 28 Aug 1973, 2 histories 354.080. Reserves required,...
Section 354.085 - Membership contract forms, approval by director, when — time for filing — time for disapproval. - Effective - 28 Aug 2003 354.085. Membership contract forms, approval...
Section 354.090 - Health services corporation contracts, purposes, parties to. - Effective - 28 Aug 1983, 2 histories 354.090. Health services...
Section 354.095 - Limitation of membership and benefits — certain benefits to be provided, when. - Effective - 28 Aug 1983 354.095. Limitation of membership and...
Section 354.105 - Annual report required, contents of. - Effective - 28 Aug 1983 354.105. Annual report required, contents...
Section 354.115 - Member's grievance, how and where filed — director may investigate, court action not barred. - Effective - 28 Aug 1983 354.115. Member's grievance, how and...
Section 354.120 - Rules and regulations by director authorized — procedure, review. - Effective - 28 Aug 1995, 2 histories 354.120. Rules and...
Section 354.125 - Corporation not liable for injuries resulting from medical services rendered members. - Effective - 28 Aug 1973 354.125. Corporation not liable for...
Section 354.130 - Exemption from certain taxes, exceptions. - Effective - 28 Aug 1983, 2 histories 354.130. Exemption from...
Section 354.140 - Dissolution, liquidation or rehabilitation of corporation, procedure for. - Effective - 28 Aug 1983 354.140. Dissolution, liquidation or rehabilitation...
Section 354.145 - Appeal from director's actions or decisions, how taken. - Effective - 28 Aug 1983 354.145. Appeal from director's actions...
Section 354.150 - Fees — waiver, when. - Effective - 01 Jan 2019, 3 histories 354.150. Fees —...
Section 354.152 - Premiums, dues or fees subject to restrictions — violation, hearing — order prohibiting. - Effective - 28 Aug 1979 354.152. Premiums, dues or fees...
Section 354.155 - Disclaimer as to nonhealth services corporations. - Effective - 28 Aug 1983 354.155. Disclaimer as to nonhealth...
Section 354.165 - Certain organizations exempt. - Effective - 28 Aug 1983 354.165. Certain organizations exempt. —...
Section 354.175 - Wage continuation plans by employer exempt. - Effective - 28 Aug 1983 354.175. Wage continuation plans by...
Section 354.180 - Administrative order, director to issue, when. - Effective - 28 Aug 2007 354.180. Administrative order, director to...
Section 354.190 - Examinations, procedures. - Effective - 28 Aug 1983 354.190. Examinations, procedures. — 1....
Section 354.195 - Records of examination, duty to keep. - Effective - 28 Aug 1983 354.195. Records of examination, duty...
Section 354.200 - Examinations, false testimony, penalty. - Effective - 28 Aug 1983 354.200. Examinations, false testimony, penalty....
Section 354.205 - Examinations — costs, how paid. - Effective - 28 Aug 1983 354.205. Examinations — costs, how...
Section 354.207 - Second medical opinion to be allowed by health services corporations, procedure, costs. - Effective - 28 Aug 1998 354.207. Second medical opinion to...
Section 354.210 - Director may seek relief, when. - Effective - 28 Aug 2007 354.210. Director may seek relief,...
Section 354.215 - Examiner's sick leave to apply to health services corporations. - Effective - 28 Aug 1983 354.215. Examiner's sick leave to...
Section 354.220 - Director may bring suit to recover fees or sums. - Effective - 28 Aug 1983 354.220. Director may bring suit...
Section 354.225 - Enrollment representative, defined — annual report to furnish information — solicitors of members to be insurance agent or broker, exception. - Effective - 28 Aug 1993 354.225. Enrollment representative, defined —...
Section 354.230 - License required for enrollment representative. - Effective - 28 Aug 1983 354.230. License required for enrollment...
Section 354.235 - Enrollment representative — license issued when, qualifications. - Effective - 28 Aug 1993 354.235. Enrollment representative — license...
Section 354.240 - Nonresident may be licensed — examination waived, when. - Effective - 28 Aug 1983 354.240. Nonresident may be licensed...
Section 354.265 - Nonrenewable temporary license issued, when. - Effective - 28 Aug 1983 354.265. Nonrenewable temporary license issued,...
Section 354.275 - Violations by enrollment representatives, penalties. - Effective - 28 Aug 1983 354.275. Violations by enrollment representatives,...
Section 354.280 - Officers of corporation found to be of known bad character or incompetent — authority to transact business, effect. - Effective - 28 Aug 1983 354.280. Officers of corporation found...
Section 354.285 - Management agreements to control corporation, notice to department, when — examination requirements — violations. - Effective - 28 Aug 1983 354.285. Management agreements to control...
Section 354.290 - Examiner's duties — examination contents — hearing on reports allowed — publication of report, when. - Effective - 28 Aug 1983 354.290. Examiner's duties — examination...
Section 354.295 - Certificate of authority not to be issued if controlling management involved in improper actions. - Effective - 28 Aug 1983 354.295. Certificate of authority not...
Section 354.300 - Certificate of authority suspended or revoked, when. - Effective - 28 Aug 1983 354.300. Certificate of authority suspended...
Section 354.305 - Corporation advertising assets also to show liabilities — penalties. - Effective - 28 Aug 2008 354.305. Corporation advertising assets also...
Section 354.315 - Data processing system authorized, cost, amount allowed — amortization not to exceed ten years. - Effective - 28 Aug 1983 354.315. Data processing system authorized,...
Section 354.320 - Corporate funds and securities use for private gain by officers and employees prohibited, penalty. - Effective - 01 Jan 2017, 2 histories 354.320. Corporate funds...
Section 354.325 - Investigation by director of investments — records to be kept by division — criminal action, when. - Effective - 28 Aug 1983 354.325. Investigation by director of...
Section 354.330 - Public official failing to perform duties as to investment violations, penalty. - Effective - 28 Aug 1983 354.330. Public official failing to...
Section 354.335 - Damages allowed if corporation without reasonable cause refuses to pay. - Effective - 28 Aug 1983 354.335. Damages allowed if corporation...
Section 354.340 - Unsatisfied judgments against corporation — suspension or revocation of certificate of authority until judgment satisfied. - Effective - 28 Aug 1983 354.340. Unsatisfied judgments against corporation...
Section 354.345 - Court decree of specific performance — membership contract, failure of corporation to comply, procedure, effect. - Effective - 28 Aug 1983 354.345. Court decree of specific...
Section 354.350 - Fraudulent or bad faith conduct — investigation by division — hearing, procedure. - Effective - 28 Aug 2007 354.350. Fraudulent or bad faith...
Section 354.355 - Injunctions, permanent or temporary, grounds, procedure — dissolution of corporation or rehabilitation, procedure. - Effective - 28 Aug 1983 354.355. Injunctions, permanent or temporary,...
Section 354.357 - Receivership, grounds, procedure. - Effective - 28 Aug 1983 354.357. Receivership, grounds, procedure. —...
Section 354.362 - Newborn child coverage required — notice of birth, when, effect. - Effective - 28 Aug 1983 354.362. Newborn child coverage required...
Section 354.380 - Certain provisions of insurance law to be applicable. - Effective - 28 Aug 1983 354.380. Certain provisions of insurance...
Section 354.400 - Definitions. - Effective - 28 Aug 2007 354.400. Definitions. — As used...
Section 354.405 - Certificate of authority, who may make application — foreign corporation may qualify, requirements — procedure. - Effective - 28 Aug 2003 354.405. Certificate of authority, who...
Section 354.407 - PACE projects not deemed health maintenance organizations, when. - Effective - 28 Aug 2002 354.407. PACE projects not deemed...
Section 354.410 - Certificate issued, when — annual deposit, requirements — capital account, amount, contents. - Effective - 28 Aug 2013 354.410. Certificate issued, when —...
Section 354.415 - Powers of organization. - Effective - 28 Aug 2013 354.415. Powers of organization. —...
Section 354.420 - Advisory panels to afford enrollees participation in policy decisions. - Effective - 28 Aug 1983 354.420. Advisory panels to afford...
Section 354.425 - Bonding of officers who disburse or invest funds — bond requirements. - Effective - 28 Aug 1983 354.425. Bonding of officers who...
Section 354.430 - Evidence of coverage, requirements — rights of enrollee — toll-free telephone number required. - Effective - 28 Aug 2013 354.430. Evidence of coverage, requirements...
Section 354.435 - Annual reports filed with director, when — content — forms. - Effective - 28 Aug 2007 354.435. Annual reports filed with...
Section 354.440 - Information to be available to enrollees. - Effective - 28 Aug 1983 354.440. Information to be available...
Section 354.441 - Disclosures to subscribers shall not be prohibited or restricted. - Effective - 28 Aug 1997 354.441. Disclosures to subscribers shall...
Section 354.442 - Disclosure information to enrollees required, when. - Effective - 28 Aug 2010 354.442. Disclosure information to enrollees...
Section 354.443 - Financial disclosures to the department required by health maintenance organizations, when. - Effective - 28 Aug 1997 354.443. Financial disclosures to the...
Section 354.444 - Administrative orders for violations — voluntary forfeitures, civil actions. - Effective - 28 Aug 2007 354.444. Administrative orders for violations...
Section 354.445 - Complaints by enrollees, organization to establish system. - Effective - 28 Aug 1983 354.445. Complaints by enrollees, organization...
Section 354.450 - Investments authorized. - Effective - 28 Aug 1983 354.450. Investments authorized. — With...
Section 354.455 - Deposit required, how made. - Effective - 28 Aug 2007 354.455. Deposit required, how made....
Section 354.460 - Advertising not to be untrue or misleading — deceptive solicitation — prohibited — how determined. - Effective - 28 Aug 2007 354.460. Advertising not to be...
Section 354.462 - Enrollee, grounds for disenrollment. - Effective - 28 Aug 1983 354.462. Enrollee, grounds for disenrollment....
Section 354.464 - Names not authorized for use, exceptions. - Effective - 28 Aug 2007 354.464. Names not authorized for...
Section 354.465 - Examinations by division, when — costs, how paid. - Effective - 28 Aug 2014 354.465. Examinations by division, when...
Section 354.470 - Suspension or revocation, when — effect. - Effective - 28 Aug 1997 354.470. Suspension or revocation, when...
Section 354.475 - Insurance companies or health service company may organize and operate a health maintenance organization. - Effective - 28 Aug 2007 354.475. Insurance companies or health...
Section 354.480 - Rehabilitation, liquidation, or conservation, grounds, procedure — enrollee's priorities — claims, priority. - Effective - 28 Aug 1983 354.480. Rehabilitation, liquidation, or conservation,...
Section 354.485 - Rules and regulations authorized. - Effective - 28 Aug 2007 354.485. Rules and regulations authorized....
Section 354.490 - Certificate of authority, denial, suspension or revocation, grounds — procedure. - Effective - 28 Aug 1997 354.490. Certificate of authority, denial,...
Section 354.495 - Fees to be paid to director. - Effective - 01 Jan 2019, 2 histories 354.495. Fees to...
Section 354.500 - Conferences called by director as to suspected or potential violations. - Effective - 28 Aug 2007 354.500. Conferences called by director...
Section 354.505 - Laws regulating insurance or health service corporations not to apply, exceptions. - Effective - 28 Aug 1997 354.505. Laws regulating insurance or...
Section 354.510 - Public documents, all filings and required reports. - Effective - 28 Aug 2007 354.510. Public documents, all filings...
Section 354.515 - Confidential information, diagnosis, treatment, health of enrollees or applicants, exceptions. - Effective - 28 Aug 1997 354.515. Confidential information, diagnosis, treatment,...
Section 354.520 - Mergers, consolidations, control of organization, requirements. - Effective - 28 Aug 1983 354.520. Mergers, consolidations, control of...
Section 354.525 - Health provision collective bargaining agreements or contracts — charge for coverage, how determined. - Effective - 28 Aug 1983 354.525. Health provision collective bargaining...
Section 354.530 - Severability clause. - Effective - 28 Aug 2007 354.530. Severability clause. — If...
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... - Effective - 28 Aug 1998 354.535. Pharmacist, emergency situation, may...
Section 354.536 - Continuation of dependent child coverage, when — dependent child defined. - Effective - 01 Jan 2008 354.536. Continuation of dependent child...
Section 354.540 - Health maintenance organization of bordering states may be admitted to do business — procedure. - Effective - 28 Aug 2007 354.540. Health maintenance organization of...
Section 354.545 - Exempt plans and companies. - Effective - 28 Aug 2007 354.545. Exempt plans and companies....
Section 354.546 - Second medical opinion to be allowed by health maintenance organizations, procedure, costs. - Effective - 28 Aug 1998 354.546. Second medical opinion to...
Section 354.550 - Laws not applicable to community health companies. - Effective - 28 Aug 2007 354.550. Laws not applicable to...
Section 354.551 - Health maintenance organizations may offer point of service (POS) riders, when. - Effective - 28 Aug 1997 354.551. Health maintenance organizations may...
Section 354.552 - Community-based health maintenance organizations, requirements. - Effective - 28 Aug 1997 354.552. Community-based health maintenance organizations,...
Section 354.554 - Standing referrals for certain members of community-based health maintenance organizations, when. - Effective - 28 Aug 1997 354.554. Standing referrals for certain...
Section 354.556 - Trustees, vacancies, elections. - Effective - 28 Aug 1997 354.556. Trustees, vacancies, elections. —...
Section 354.558 - Materials provided to prospective purchasers. - Effective - 28 Aug 1997 354.558. Materials provided to prospective...
Section 354.559 - Disclosure to members, restrictions and prohibitions. - Effective - 28 Aug 1997 354.559. Disclosure to members, restrictions...
Section 354.560 - Payment arrangements, department to adopt rules — disclosure of financial arrangements — confidentiality. - Effective - 28 Aug 1997 354.560. Payment arrangements, department to...
Section 354.562 - Grievance procedures, rulemaking authority. - Effective - 28 Aug 1997 354.562. Grievance procedures, rulemaking authority....
Section 354.563 - Medicare rules to apply to community-based health maintenance organizations, when. - Effective - 28 Aug 1997 354.563. Medicare rules to apply...
Section 354.565 - Community-based health maintenance organization designation given, when — revocation. - Effective - 28 Aug 1997 354.565. Community-based health maintenance organization...
Section 354.567 - Community-based health maintenance organizations subject to other laws regarding health maintenance organizations. - Effective - 28 Aug 1997 354.567. Community-based health maintenance organizations...
Section 354.570 - Rulemaking — procedure. - Effective - 28 Aug 1997 354.570. Rulemaking — procedure. —...
Section 354.600 - Definitions. - Effective - 28 Aug 2007 354.600. Definitions. — For purposes...
Section 354.603 - Sufficiency of health carrier network, requirements, criteria — access plan filed with the department, when. - Effective - 28 Aug 2018, 2 histories 354.603. Sufficiency of...
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. - Effective - 28 Aug 2001 354.606. Providers notified of specific...
Section 354.609 - Termination of a contract, procedure. - Effective - 28 Aug 1997 354.609. Termination of a contract,...
Section 354.612 - Continuation of care after provider termination, when. - Effective - 28 Aug 1997 354.612. Continuation of care after...
Section 354.615 - Referrals to appropriate providers, when. - Effective - 28 Aug 1997 354.615. Referrals to appropriate providers,...
Section 354.618 - Open referral health plans offered, when — definitions — obstetrician/ gynecologist services to be offered, when — eye care providers, discrimination against, prohibited — exemptions. - Effective - 28 Aug 1999 354.618. Open referral health plans...
Section 354.621 - Intermediary and participating provider requirements. - Effective - 28 Aug 1997 354.621. Intermediary and participating provider...
Section 354.624 - Proposed provider contract forms filed with the director — contracts maintained at place of business, available for review, when. - Effective - 28 Aug 1997 354.624. Proposed provider contract forms...
Section 354.627 - Liability of a health carrier, when. - Effective - 28 Aug 1997 354.627. Liability of a health...
Section 354.636 - Contract requirements after January 1, 1998. - Effective - 28 Aug 1997 354.636. Contract requirements after January...
Section 354.650 - Definitions. - Effective - 28 Aug 1998 354.650. Definitions. — As used...
Section 354.652 - Designation as essential community provider, procedure, qualifications. - Effective - 28 Aug 1998 354.652. Designation as essential community...
Section 354.654 - Department of health and senior services, duties — rulemaking authority. - Effective - 28 Aug 1998 354.654. Department of health and...
Section 354.656 - Inclusion of essential community providers in health care network, exceptions. - Effective - 28 Aug 1998 354.656. Inclusion of essential community...
Section 354.658 - Designation nontransferable, site specific — annual affidavit required — notice of certain changes, required when. - Effective - 28 Aug 1998 354.658. Designation nontransferable, site specific...
Section 354.700 - Definitions. - Effective - 28 Aug 1992 354.700. Definitions. — As used...
Section 354.702 - Prepaid dental plans, who may offer — certificate of authority required — certain state laws not to apply. - Effective - 28 Aug 1987 354.702. Prepaid dental plans, who...
Section 354.703 - Director may order violators to cease and desist, hearing — noncompliance, director's remedies. - Effective - 28 Aug 1989 354.703. Director may order violators...
Section 354.704 - Application for certificate of authority, content. - Effective - 28 Aug 1987 354.704. Application for certificate of...
Section 354.705 - Certificate of authority granted, when. - Effective - 28 Aug 1987 354.705. Certificate of authority granted,...
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... - Effective - 28 Aug 1987 354.707. Capital, surplus, security required...
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. - Effective - 28 Aug 1997 354.710. Reserve requirements — reserve...
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. - Effective - 28 Aug 1987 354.712. Contract or contract certificate...
Section 354.715 - Providers of dental care, written contract with prepaid dental plan corporations, review and mediation procedures for enrollees required. - Effective - 28 Aug 1987 354.715. Providers of dental care,...
Section 354.717 - Director, powers — financial examinations, when, by whom made and paid. - Effective - 28 Aug 1987 354.717. Director, powers — financial...
Section 354.720 - Annual report, required, content. - Effective - 28 Aug 1987 354.720. Annual report, required, content....
Section 354.721 - Agents, registration required — rules and regulations authorized. - Effective - 28 Aug 1987 354.721. Agents, registration required —...
Section 354.722 - Revocation or suspension of certificate of authority, when — notice, civil suit authorized — suspension, revocation, activity permitted. - Effective - 28 Aug 2007 354.722. Revocation or suspension of...
Section 354.723 - Rulemaking authorized. - Effective - 28 Aug 1987 354.723. Rulemaking authorized. — The...
Section 354.725 - Exclusion, labor organization's health plans. - Effective - 28 Aug 1987 354.725. Exclusion, labor organization's health...