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Section 376.005 - Definitions. - Effective - 28 Aug 2008 376.005. Definitions. — As used...
Section 376.010 - Who may form company — purposes. - Effective - 28 Aug 2012 376.010. Who may form company...
Section 376.015 - Involuntary unemployment insurance may be issued in connection with extension of credit or certain group life insurance, requirements. - Effective - 28 Aug 2012 376.015. Involuntary unemployment insurance may...
Section 376.020 - Various companies defined. - Effective - 28 Aug 1939 376.020. Various companies defined. —...
Section 376.050 - Declaration of corporators. - Effective - 28 Aug 1939 376.050. Declaration of corporators. —...
Section 376.060 - Stock companies — content of charter. - Effective - 28 Aug 1943 376.060. Stock companies — content...
Section 376.070 - To be submitted to attorney general. - Effective - 28 Aug 1957 376.070. To be submitted to...
Section 376.080 - Director to examine, when. - Effective - 28 Aug 1967 376.080. Director to examine, when....
Section 376.090 - To furnish certificate of deposit, when. - Effective - 28 Aug 1939 376.090. To furnish certificate of...
Section 376.100 - Mutual companies — contents of charter. - Effective - 28 Aug 1951 376.100. Mutual companies — contents...
Section 376.110 - To be submitted to attorney general. - Effective - 28 Aug 1957 376.110. To be submitted to...
Section 376.120 - Director to examine and certify, when. - Effective - 28 Aug 1939 376.120. Director to examine and...
Section 376.130 - To furnish certificate of deposit, when. - Effective - 28 Aug 1939 376.130. To furnish certificate of...
Section 376.142 - Stock company may become mutual — procedure — policyholders' meeting — acquisition of stock. - Effective - 28 Aug 1957 376.142. Stock company may become...
Section 376.143 - Stock company may acquire its own shares to be held in trust for mutual — appointment, powers and duties of trustees. - Effective - 28 Aug 1957 376.143. Stock company may acquire...
Section 376.144 - Acquisition of shares of dissenting stockholders, procedure — abandonment of mutualization. - Effective - 28 Aug 1957 376.144. Acquisition of shares of...
Section 376.145 - Officers of stock company to continue as officers of mutual. - Effective - 28 Aug 1957 376.145. Officers of stock company...
Section 376.146 - Board of directors or trustees of mutual, membership qualifications, term of office. - Effective - 28 Aug 1976 376.146. Board of directors or...
Section 376.147 - Meetings of board of mutual, notice — executive committee of board, powers. - Effective - 28 Aug 1957 376.147. Meetings of board of...
Section 376.148 - Policyholders are members of mutual — voting rights — directors may alter articles — additional assessments prohibited. - Effective - 28 Aug 1957 376.148. Policyholders are members of...
Section 376.150 - Stock and mutual companies — content of charter. - Effective - 28 Aug 1939 376.150. Stock and mutual companies...
Section 376.160 - Formation of stock and mutual companies. - Effective - 28 Aug 1939 376.160. Formation of stock and...
Section 376.170 - Special deposits for registered policies and annuity bonds. - Effective - 28 Aug 2007 376.170. Special deposits for registered...
Section 376.180 - Certificates as to registration and reserves on policy — policies exempt, exceptions. - Effective - 28 Aug 1969 376.180. Certificates as to registration...
Section 376.190 - Additional deposits required. - Effective - 28 Aug 2007 376.190. Additional deposits required. —...
Section 376.200 - Definition of net value. - Effective - 28 Aug 1939 376.200. Definition of net value....
Section 376.210 - Excess deposits. - Effective - 28 Aug 1939 376.210. Excess deposits. — Whenever...
Section 376.220 - May use realty to secure notes and bonds. - Effective - 28 Aug 1939 376.220. May use realty to...
Section 376.230 - Changing of securities on deposit. - Effective - 28 Aug 1939 376.230. Changing of securities on...
Section 376.240 - Deposits to be held in trust by director. - Effective - 28 Aug 1939 376.240. Deposits to be held...
Section 376.250 - Deposits to be kept separate. - Effective - 28 Aug 1939 376.250. Deposits to be kept...
Section 376.260 - Fees collected by director of revenue. - Effective - 28 Aug 1945 376.260. Fees collected by director...
Section 376.270 - Director may proceed against depositary companies. - Effective - 28 Aug 1939 376.270. Director may proceed against...
Section 376.280 - Capital necessary to do business — how invested. - Effective - 28 Aug 2007 376.280. Capital necessary to do...
Section 376.290 - Deposit and transfer of securities. - Effective - 28 Aug 1982 376.290. Deposit and transfer of...
Section 376.291 - Applicability and inapplicability. - Effective - 28 Aug 2007 376.291. Applicability and inapplicability. —...
Section 376.292 - Definitions. - Effective - 28 Aug 2007 376.292. Definitions. — As used...
Section 376.293 - Permissible investments — written plan for investments required. - Effective - 28 Aug 2007 376.293. Permissible investments — written...
Section 376.294 - Prohibited acts. - Effective - 28 Aug 2007 376.294. Prohibited acts. — 1....
Section 376.295 - Additional prohibited acts — authorized actions. - Effective - 28 Aug 2007 376.295. Additional prohibited acts —...
Section 376.296 - Value of investments, how calculated. - Effective - 28 Aug 2007 376.296. Value of investments, how...
Section 376.297 - Investment subsidiaries not permitted, when. - Effective - 28 Aug 2007 376.297. Investment subsidiaries not permitted,...
Section 376.298 - Acquisition of rate credit instruments, when. - Effective - 28 Aug 2007 376.298. Acquisition of rate credit...
Section 376.300 - Equity interests permitted, when. - Effective - 28 Aug 2007, 2 histories 376.300. Equity interests...
Section 376.301 - Tangible personal property interests permitted, when. - Effective - 28 Aug 2007 376.301. Tangible personal property interests...
Section 376.302 - Mortgage interests, may be acquired, when — other real estate interests. - Effective - 28 Aug 2007 376.302. Mortgage interests, may be...
Section 376.303 - Lending and repurchase, permitted when. - Effective - 28 Aug 2007 376.303. Lending and repurchase, permitted...
Section 376.304 - Acquisition of foreign investments, when. - Effective - 28 Aug 2007 376.304. Acquisition of foreign investments,...
Section 376.305 - Rulemaking authority. - Effective - 28 Aug 2007 376.305. Rulemaking authority. — The...
Section 376.306 - Cash surrender value, life insurer may lend to policyholder, when. - Effective - 28 Aug 2007 376.306. Cash surrender value, life...
Section 376.307 - Limits on acquisition of certain investments. - Effective - 28 Aug 2012, 2 histories 376.307. Limits on...
Section 376.308 - Secondary mortgage market act, not to preempt health insurer, when. - Effective - 28 Aug 1991 376.308. Secondary mortgage market act,...
Section 376.309 - Separate account defined — establishment of account and special voting or control rights authorized — approved investments — approval of director required. - Effective - 28 Aug 2007 376.309. Separate account defined —...
Section 376.310 - Investment of surplus and reserve funds by foreign companies. - Effective - 28 Aug 1945 376.310. Investment of surplus and...
Section 376.311 - Investment of capital reserve and surplus of life insurance companies in investment pools — definitions — qualifications — requirements. - Effective - 28 Aug 2002 376.311. Investment of capital reserve...
Section 376.325 - Any willing provider provision — definitions. - Effective - 28 Aug 2013 376.325. Any willing provider provision...
Section 376.330 - Securities may be changed. - Effective - 28 Aug 1939 376.330. Securities may be changed....
Section 376.350 - Reports to director. - Effective - 28 Aug 2000 376.350. Reports to director. —...
Section 376.360 - Distribution of surplus funds to participating policyholders — method. - Effective - 28 Aug 1945 376.360. Distribution of surplus funds...
Section 376.365 - Standard valuation law — definitions. - Effective - 28 Aug 2015 376.365. Standard valuation law —...
Section 376.370 - Director to value reserves, methods. - Effective - 28 Aug 2015 376.370. Director to value reserves,...
Section 376.379 - Medication synchronization services, offer of coverage required. - Effective - 28 Aug 2016 *376.379. Medication synchronization services, offer...
Section 376.380 - Legal minimum standards for valuation — interest rates — valuation manual, operative date, effect of — reserves required — confidential information — exemptions for specific product forms or product lines. - Effective - 28 Aug 2022, 2 histories 376.380. Legal minimum...
Section 376.381 - Health insurance products, department duties. - Effective - 12 Jul 2013, 2 histories 376.381. Health insurance...
Section 376.383 - Health care claims for reimbursement, how paid, when — definitions — clean claims, procedure — unpaid claims, procedure — fraudulent claims, notification to the department, procedure — requests for additional information, contents. - Effective - 28 Aug 2020, 2 histories 376.383. Health care...
Section 376.384 - Reimbursement of claims, duties of health carriers — claims submitted in electronic format, when — compliance monitored by department — complaint procedures developed — standard medical code sets required, when — rulemaking authorit... - Effective - 01 Jan 2002 376.384. Reimbursement of claims, duties...
Section 376.385 - Diabetes — insurance coverage for equipment, supplies and self-management training. - Effective - 28 Aug 1997 376.385. Diabetes — insurance coverage...
Section 376.386 - Prescription drugs, one co-payment for dosage prescribed. - Effective - 28 Aug 2006 376.386. Prescription drugs, one co-payment...
Section 376.387 - Pharmacy benefits manager, limitations and restrictions — enforcement. - Effective - 28 Aug 2020, 2 histories 376.387. Pharmacy benefits...
Section 376.388 - Maximum allowable costs — definitions — contract requirements — reimbursement — appeals process required. - Effective - 28 Aug 2016 *376.388. Maximum allowable costs —...
Section 376.390 - Reserve liability for group insurance — how computed. - Effective - 28 Aug 1943 376.390. Reserve liability for group...
Section 376.391 - Co-payments for chiropractic services, cap. - Effective - 28 Aug 2009 376.391. Co-payments for chiropractic services,...
Section 376.392 - Prescription drug formularies, enrollees to be notified of changes to, when. - Effective - 01 Jan 2008 376.392. Prescription drug formularies, enrollees...
Section 376.393 - Pharmacy benefits manager, license required — definitions — complaints, procedure. - Effective - 28 Aug 2020 376.393. Pharmacy benefits manager, license...
Section 376.395 - Definitions for group health conversion policy requirements. - Effective - 01 Jan 1983 376.395. Definitions for group health...
Section 376.397 - Converted policy to be offered on termination of group health coverage, when — exceptions — terms and conditions. - Effective - 01 Jan 1983 376.397. Converted policy to be...
Section 376.398 - Application to all group policies — effective, when. - Effective - 01 Jan 1983 376.398. Application to all group...
Section 376.401 - Conversion rights — retirees — dependents of insured. - Effective - 01 Jan 1983 376.401. Conversion rights — retirees...
Section 376.403 - Benefit levels — group coverage may be provided in lieu of converted policy — delivery outside state, form. - Effective - 01 Jan 1983 376.403. Benefit levels — group...
Section 376.404 - Specific requirement requests of policyholder may be met by alteration. - Effective - 01 Jan 1983 376.404. Specific requirement requests of...
Section 376.405 - Group health and accident policies, approval required — exempt, when, director's powers. - Effective - 28 Aug 2013 376.405. Group health and accident...
Section 376.406 - Newborn child to be covered under health policies, extent of coverage — notification of birth, when, effect of — definitions. - Effective - 28 Aug 2001 376.406. Newborn child to be...
Section 376.407 - Advance practice nurse, claims for service to be reimbursed, when. - Effective - 28 Aug 1998 376.407. Advance practice nurse, claims...
Section 376.410 - Insurance companies to maintain reserves — exemptions. - Effective - 28 Aug 1945 376.410. Insurance companies to maintain...
Section 376.421 - Group health insurance, authorized categories. - Effective - 28 Aug 2021, 3 histories 376.421. Group health...
Section 376.422 - Direct response solicitation and sponsoring or endorsing entity, defined — certain group or individual insurers paying compensation to policyholder or sponsoring entity to notify policyholders. - Effective - 28 Aug 1985 376.422. Direct response solicitation and...
Section 376.423 - Health insurance, claims for chiropractic services denial, qualified chiropractor to review, qualifications — investigation by department, when. - Effective - 28 Aug 1997 376.423. Health insurance, claims for...
Section 376.424 - Group health insurance policies may be extended to insure family members or dependents. - Effective - 28 Aug 1985 376.424. Group health insurance policies...
Section 376.425 - Student accident policies, may not limit surgical benefits, when. - Effective - 01 Jan 1993 376.425. Student accident policies, may...
Section 376.426 - Group health policies, required provisions. - Effective - 28 Aug 2013, 2 histories 376.426. Group health...
Section 376.427 - Assignment of benefits made by insured to provider — payment, how made — exceptions — all claims to be paid, when — out-of-network services, how paid. - Effective - 28 Aug 2022, 3 histories 376.427. Assignment of...
Section 376.428 - Federal COBRA provisions to apply to group health insurance policies. - Effective - 26 Jun 2009 376.428. Federal COBRA provisions to...
Section 376.429 - Coverage for certain clinical trials for prevention, early detection and treatment of cancer, restrictions — definitions — exclusions. - Effective - 28 Aug 2006 376.429. Coverage for certain clinical...
Section 376.431 - Employees or members of unions or associations, group or group-type basis coverage, sections 376.431 to 376.442 to apply. - Effective - 28 Aug 1999 376.431. Employees or members of...
Section 376.432 - Group-type basis, defined. - Effective - 28 Aug 1999 376.432. Group-type basis, defined. —...
Section 376.433 - Self-insurance plans for health care, public entities — subject to Medicaid rights, obligations, and remedies. - Effective - 28 Aug 2004 376.433. Self-insurance plans for health...
Section 376.434 - Carrier liable for claims incurred during grace period, when — exceptions. - Effective - 28 Aug 1985 376.434. Carrier liable for claims...
Section 376.435 - Claim information to be reported, when — covered lives defined. - Effective - 28 Aug 2007 376.435. Claim information to be...
Section 376.436 - Discontinuance notice by carrier, contents — notice forms furnished by carrier for distribution to policyholders. - Effective - 28 Aug 1999 376.436. Discontinuance notice by carrier,...
Section 376.438 - Group policies, modifying or amending benefits shall provide extension of benefits in event of total disability at date of termination or discontinuance. - Effective - 28 Aug 1999 376.438. Group policies, modifying or...
Section 376.441 - Carrier contract replaced by similar benefit plan of another carrier — liability of prior carrier — succeeding carrier coverage requirements. - Effective - 28 Aug 1999 376.441. Carrier contract replaced by...
Section 376.442 - Rules and regulations, procedure. - Effective - 28 Aug 1993 376.442. Rules and regulations, procedure....
Section 376.446 - Enrollee cost-sharing responsibilities, health carriers to provide timely information — exceptions. - Effective - 28 Aug 2011 376.446. Enrollee cost-sharing responsibilities, health...
Section 376.450 - Citation of law — definitions (Missouri HIPAA). - Effective - 01 Jan 2008, 2 histories 376.450. Citation of...
Section 376.451 - Standards prohibiting discrimination. - Effective - 01 Jan 2008 376.451. Standards prohibiting discrimination. —...
Section 376.452 - Large group market, renewal or continuation of coverage required — nonrenewal or discontinuation permitted, when — conditions for discontinuation. - Effective - 01 Jan 2008 376.452. Large group market, renewal...
Section 376.453 - Premium — only cafeteria plans required, when. - Effective - 01 Jan 2008 376.453. Premium — only cafeteria...
Section 376.454 - Individual market, renewal or continuation at option of individual — nonrenewal or discontinuation permitted, when — discontinuation of a type of coverage, procedure. - Effective - 01 Jan 2008 376.454. Individual market, renewal or...
Section 376.465 - Missouri health insurance rate transparency act — definitions — rate filing requirements, procedure — rulemaking authority. - Effective - 28 Aug 2016 376.465. Missouri health insurance rate...
Section 376.480 - Domestic companies may assume risks of foreign companies — duties of director. - Effective - 28 Aug 1939 376.480. Domestic companies may assume...
Section 376.500 - Discriminations, rebates and favors prohibited — contracts to conform to policy. - Effective - 28 Aug 1965 376.500. Discriminations, rebates and favors...
Section 376.502 - Life insurers not to discriminate based on lawful travel destinations — violations, penalty. - Effective - 28 Aug 2009 376.502. Life insurers not to...
Section 376.510 - Penalty for violation of section 376.500. - Effective - 28 Aug 1939 376.510. Penalty for violation of...
Section 376.531 - Life insurance policies, consent of insured required, exceptions — employers have insurable interest in employees, when, effects. - Effective - 28 Aug 1994 376.531. Life insurance policies, consent...
Section 376.540 - Policy, to whom payable. - Effective - 28 Aug 1983 376.540. Policy, to whom payable....
Section 376.562 - Charitable, benevolent, educational and religious organizations may be beneficiary or owner of policy, life insurance, when — fraud or coercion, exception. - Effective - 28 Aug 1997 376.562. Charitable, benevolent, educational and...
Section 376.570 - Foreign executor or administrator. - Effective - 28 Aug 1939 376.570. Foreign executor or administrator....
Section 376.580 - Misrepresentation. - Effective - 28 Aug 1939 376.580. Misrepresentation. — No misrepresentation...
Section 376.590 - Misrepresentations, false estimates and circulars prohibited — agents — notes to be held until policy delivered. - Effective - 28 Aug 1939 376.590. Misrepresentations, false estimates and...
Section 376.600 - Penalty for violating section 376.590. - Effective - 28 Aug 1939 376.600. Penalty for violating section...
Section 376.610 - Defense in case of suits. - Effective - 28 Aug 1939 376.610. Defense in case of...
Section 376.620 - Suicide, effect on liability — refund of premiums, when. - Effective - 28 Aug 2017, 2 histories 376.620. Suicide, effect...
Section 376.630 - Life insurance policies not to be forfeited or become invalid, when. - Effective - 28 Aug 1943 376.630. Life insurance policies not...
Section 376.640 - Paid-up policy may be demanded, when. - Effective - 28 Aug 1943 376.640. Paid-up policy may be...
Section 376.650 - Rules of payment on commuted policy. - Effective - 28 Aug 1943 376.650. Rules of payment on...
Section 376.660 - Foregoing provisions inapplicable, when. - Effective - 28 Aug 1943 376.660. Foregoing provisions inapplicable, when....
Section 376.669 - Annuity contract requirements — paid-up annuity benefits, how calculated — cash surrender benefits, how calculated — applicable, when. - Effective - 21 Jun 2004 376.669. Annuity contract requirements —...
Section 376.670 - Provisions which shall be contained in life insurance policies, exceptions. - Effective - 28 Aug 2015 376.670. Provisions which shall be...
Section 376.671 - Provisions which shall be contained in annuity contracts — inapplicability date. - Effective - 28 Aug 2010 376.671. Provisions which shall be...
Section 376.673 - Life insurance policies, regulations relative to. - Effective - 28 Aug 1967 376.673. Life insurance policies, regulations...
Section 376.674 - Life insurance policies, no cash surrender value, regulations relative to. - Effective - 28 Aug 1987 376.674. Life insurance policies, no...
Section 376.675 - Life insurance policies and annuity contracts to be approved — exemption, when — director's powers — judicial review of disapproval. - Effective - 28 Aug 1984 376.675. Life insurance policies and...
Section 376.676 - Regulation of the valuation of life insurance policies — may adopt NAIC model regulation. - Effective - 27 Jun 2000 376.676. Regulation of the valuation...
Section 376.677 - Life policies may be issued that have no cash surrender value prior to death — no policy loans so law regulating not applicable — requirements to issue. - Effective - 28 Aug 1987 376.677. Life policies may be...
Section 376.678 - Life insurance policies and annuity contracts, annual statement to holder required — company to furnish policy or contract information to holder upon request. - Effective - 28 Aug 1987 376.678. Life insurance policies and...
Section 376.679 - Life insurance company may reinsure for risks involving aircraft, limitation. - Effective - 01 Jan 1993 376.679. Life insurance company may...
Section 376.680 - Assignment of incidents of ownership, group life policy, effect of. - Effective - 28 Aug 1971 376.680. Assignment of incidents of...
Section 376.685 - Optometrists, health insurance plans not to limit fees charged unless reimbursed by plan — requirements — definitions. - Effective - 28 Aug 2016 376.685. Optometrists, health insurance plans...
Section 376.690 - Unanticipated out-of-network care, claim procedure — definitions — limitation on amount billed to patient — external arbitration process — rulemaking authority. - Effective - 28 Aug 2019, 2 histories 376.690. Unanticipated out-of-network...
Section 376.691 - Group life policies, eligible groups authorized for issue — premiums, how paid. - Effective - 28 Aug 1987 376.691. Group life policies, eligible...
Section 376.693 - Special group life policies, requirements — director's approval. - Effective - 28 Aug 1982 376.693. Special group life policies,...
Section 376.694 - Group life, definitions of direct response solicitation and sponsoring or endorsing entity — certain insurers required to give notice of compensation to policyholder or endorsing entity. - Effective - 28 Aug 1985 376.694. Group life, definitions of...
Section 376.695 - Extension of policy to insure for loss due to death of spouse or dependent children, requirements, limitations. - Effective - 28 Aug 1985 376.695. Extension of policy to...
Section 376.696 - Political subdivisions purchasing any insurance policies to submit to competitive bidding, when — renewal between bidding periods deemed extension. - Effective - 28 Aug 1985 376.696. Political subdivisions purchasing any...
Section 376.697 - Required provisions for group life policies. - Effective - 28 Aug 1982 376.697. Required provisions for group...
Section 376.699 - Person insured by group policy entitled to individual life policy, notice requirements. - Effective - 28 Aug 1982 376.699. Person insured by group...
Section 376.700 - Purpose — use of additional material. - Effective - 28 Aug 1979 376.700. Purpose — use of...
Section 376.702 - Application of law — exceptions. - Effective - 28 Aug 1979 376.702. Application of law —...
Section 376.704 - Definitions. - Effective - 28 Aug 1979 376.704. Definitions. — For the...
Section 376.706 - Delivery of guide and summary required, when. - Effective - 28 Aug 1979 376.706. Delivery of guide and...
Section 376.708 - Required presentations and statements — company to maintain file. - Effective - 28 Aug 1979 376.708. Required presentations and statements...
Section 376.710 - Effect of omission. - Effective - 28 Aug 1979 376.710. Effect of omission. —...
Section 376.712 - Effective date. - Effective - 28 Aug 1979 376.712. Effective date. — Sections...
Section 376.714 - Contents and form of buyer's guide. - Effective - 28 Aug 1979 376.714. Contents and form of...
Section 376.715 - Citation of law, purpose. - Effective - 28 Aug 2018, 2 histories 376.715. Citation of...
Section 376.717 - Coverages provided, persons covered — coverage not provided, when — maximum benefits allowable. - Effective - 28 Aug 2018, 3 histories 376.717. Coverages provided,...
Section 376.718 - Definitions. - Effective - 28 Aug 2018, 2 histories 376.718. Definitions. —...
Section 376.720 - Association, created — accounts — director to supervise. - Effective - 28 Aug 2018, 2 histories 376.720. Association, created...
Section 376.722 - Board of directors, established, members, how selected — expense reimbursement. - Effective - 28 Aug 2018, 2 histories 376.722. Board of...
Section 376.724 - Impaired insurers, association's options, duties — insolvent insurers, association's options, duties — alternative policies, requirements. - Effective - 28 Aug 2018, 2 histories 376.724. Impaired insurers,...
Section 376.725 - Terminated coverage, reissuance of, premium set, how — obligation to cease, date — interest rate, guaranteed minimum. - Effective - 28 Aug 2018, 2 histories 376.725. Terminated coverage,...
Section 376.726 - Nonpayment of premiums, effect of. - Effective - 28 Aug 2018, 2 histories 376.726. Nonpayment of...
Section 376.728 - Law not applicable, when. - Effective - 28 Aug 1988 376.728. Law not applicable, when....
Section 376.730 - Liens, association may impose, when. - Effective - 28 Aug 1988 376.730. Liens, association may impose,...
Section 376.732 - Director to have association's powers and duties, when — association may appear in court, when. - Effective - 28 Aug 2010 376.732. Director to have association's...
Section 376.733 - Assignment of rights to association by persons receiving benefits, when — subrogation rights. - Effective - 28 Aug 2018, 2 histories 376.733. Assignment of...
Section 376.734 - Additional powers of association. - Effective - 28 Aug 2018, 2 histories 376.734. Additional powers...
Section 376.735 - Assessments against members, when due, classes — amounts, how determined. - Effective - 28 Aug 2018, 2 histories 376.735. Assessments against...
Section 376.737 - Deferment of assessment, how, when — maximum assessment — refund of, when — members may increase premiums to cover assessments. - Effective - 28 Aug 2018, 2 histories 376.737. Deferment of...
Section 376.738 - Certificate of contribution, when issued. - Effective - 28 Aug 2018, 2 histories 376.738. Certificate of...
Section 376.740 - Plan of operation, required, approval of director — provisions of plan. - Effective - 28 Aug 2010 376.740. Plan of operation, required,...
Section 376.742 - Director, powers and duties. - Effective - 28 Aug 2018, 2 histories 376.742. Director, powers...
Section 376.743 - Board of directors, powers. - Effective - 28 Aug 2018, 2 histories 376.743. Board of...
Section 376.745 - Assessments, offset against tax liability, when, how. - Effective - 28 Aug 1988 376.745. Assessments, offset against tax...
Section 376.746 - Records of association meetings to be kept — association deemed creditor of insolvent or impaired insured. - Effective - 28 Aug 2018, 2 histories 376.746. Records of...
Section 376.747 - Distribution of member insurer assets upon liquidation, priority of association. - Effective - 28 Aug 2018, 2 histories 376.747. Distribution of...
Section 376.748 - Liquidation, recovery of distributions, when, exceptions, limitations. - Effective - 28 Aug 2018, 2 histories 376.748. Liquidation, recovery...
Section 376.750 - Financial report, submitted to director, when — tax exempt status — immunity from liability. - Effective - 28 Aug 1988 376.750. Financial report, submitted to...
Section 376.752 - Member insurer's deposit with director, exemption from, amount. - Effective - 28 Aug 1988 376.752. Member insurer's deposit with...
Section 376.754 - Stay of proceedings, insolvent insurer, when. - Effective - 28 Aug 1988 376.754. Stay of proceedings, insolvent...
Section 376.755 - Advertising, use of guaranty association prohibited. - Effective - 28 Aug 2018, 2 histories 376.755. Advertising, use...
Section 376.756 - Summary document, association to prepare, contents — policy not covered by guaranty association to contain notice, form determined by director. - Effective - 28 Aug 2018, 2 histories 376.756. Summary document,...
Section 376.758 - Law inapplicable to insolvent insurers on effective date of law. - Effective - 28 Aug 2018, 2 histories 376.758. Law inapplicable...
Section 376.770 - Title of law. - Effective - 28 Aug 1959 376.770. Title of law. —...
Section 376.773 - Definitions. - Effective - 28 Aug 1959 376.773. Definitions. — 1. The...
Section 376.775 - Matters required in policies. - Effective - 28 Aug 1959 376.775. Matters required in policies....
Section 376.776 - Hospital and medical expense provisions extended for certain handicapped and dependent children past normal coverage age. - Effective - 01 Jan 2008 376.776. Hospital and medical expense...
Section 376.777 - Specifically required provisions — exemptions, when — director's powers — inapplicability of certain provisions to individual health insurance coverage. - Effective - 28 Aug 2013 376.777. Specifically required provisions —...
Section 376.778 - Payment direct to public hospitals or clinics with or without assignment, when — provisions required in contracts. - Effective - 28 Aug 1983 376.778. Payment direct to public...
Section 376.779 - Health insurance policies to offer coverage for treatment of alcoholism — exclusions. - Effective - 28 Aug 2004 376.779. Health insurance policies to...
Section 376.780 - Limits on provisions, effect of conflict of policy with law. - Effective - 28 Aug 1959 376.780. Limits on provisions, effect...
Section 376.781 - Speech and hearing disorders, companies to offer coverage, when — rules, procedure. - Effective - 28 Aug 1995 376.781. Speech and hearing disorders,...
Section 376.782 - Mammography — low-dose screening, defined — health care policies to provide required coverage. - Effective - 28 Aug 2020, 3 histories 376.782. Mammography —...
Section 376.783 - Insured bound only if copy of application attached to policy. - Effective - 28 Aug 1959 376.783. Insured bound only if...
Section 376.785 - What does not constitute waiver of defenses. - Effective - 28 Aug 1959 376.785. What does not constitute...
Section 376.787 - Effect of age limit provision. - Effective - 28 Aug 1959 376.787. Effect of age limit...
Section 376.789 - Definition of actual charge and actual fee. - Effective - 28 Aug 2009 376.789. Definition of actual charge...
Section 376.790 - Limits on applicability of law. - Effective - 28 Aug 1959 376.790. Limits on applicability of...
Section 376.791 - Portion of section 376.777 not applicable to individual health insurance coverage. - Effective - 28 Aug 2015 376.791. Portion of section 376.777...
Section 376.800 - Misrepresentation made in obtaining individual accident and health policy no defense, exception. - Effective - 28 Aug 1967 376.800. Misrepresentation made in obtaining...
Section 376.801 - Coverage for child health supervision services required — definitions — permitted limitations on benefits. - Effective - 28 Aug 1989 376.801. Coverage for child health...
Section 376.805 - Elective abortion to be by optional rider and requires additional premium — elective abortion defined — health insurance exchanges not to offer coverage for elective abortions. - Effective - 28 Aug 2010 376.805. Elective abortion to be...
Section 376.806 - Refund of health insurance unearned premium on notice of death of insured — refunded to whom — definitions — exception — failure to notify within one year. - Effective - 28 Aug 1991 376.806. Refund of health insurance...
Section 376.807 - Policies not to reduce or deny benefits to persons eligible for medical assistance — deemed primary contract. - Effective - 28 Aug 1988 376.807. Policies not to reduce...
Section 376.810 - Definitions for policy requirements for chemical dependency. - Effective - 28 Aug 2014 376.810. Definitions for policy requirements...
Section 376.811 - Coverage required for chemical dependency by all insurance and health service corporations — minimum standards — offer of coverage may be accepted or rejected by policyholders, companies may offer as standard coverage — mental healt... - Effective - 28 Aug 2018, 2 histories 376.811. Coverage required...
Section 376.814 - Rules and regulations authorized, department of mental health to advise department — procedure. - Effective - 28 Aug 1993 376.814. Rules and regulations authorized,...
Section 376.816 - Adopted children to be provided health care coverage on the same basis as other dependents — effective from date of birth or on placement — placement defined. - Effective - 28 Aug 2010 376.816. Adopted children to be...
Section 376.818 - Eligibility for Medicaid may not be considered by insurers. - Effective - 01 Jul 1994 376.818. Eligibility for Medicaid may...
Section 376.819 - MO HealthNet division to have right to payment for health care services provided. - Effective - 28 Aug 2014 376.819. MO HealthNet division to...
Section 376.820 - Insurers may not deny coverage of child because of marital status of parents, residence or income tax dependency claim. - Effective - 01 Jul 1994 376.820. Insurers may not deny...
Section 376.821 - Insurers may not cancel health or dental insurance solely because the insured is incarcerated — insurer, defined. - Effective - 28 Aug 1995 376.821. Insurers may not cancel...
Section 376.823 - Prohibition on kickbacks not applicable for rebates for certain chronic illnesses. - Effective - 28 Aug 2005 376.823. Prohibition on kickbacks not...
Section 376.845 - Definitions — eating disorders, coverage for diagnosis and treatment of — limitations on coverage. - Effective - 28 Aug 2015 376.845. Definitions — eating disorders,...
Section 376.850 - Law, how cited. - Effective - 28 Aug 1989 376.850. Law, how cited. —...
Section 376.854 - Definitions. - Effective - 26 Apr 1996 376.854. Definitions. — As used...
Section 376.859 - Medicare supplement law applicable to what policies — policies not included. - Effective - 26 Apr 1996 376.859. Medicare supplement law applicable...
Section 376.864 - Policies not to duplicate benefits provided by Medicare — preexisting conditions, limitations on — director to issue rules establishing standards. - Effective - 26 Apr 1996 376.864. Policies not to duplicate...
Section 376.869 - Standards for policies, minimum, director to adopt. - Effective - 26 Apr 1996 376.869. Standards for policies, minimum,...
Section 376.874 - Requirements of policy, return to policyholders. - Effective - 06 Jul 1992 376.874. Requirements of policy, return...
Section 376.879 - Outline of coverage for fair disclosure — furnished to each applicant — format and content — rules and standards. - Effective - 26 Apr 1996 376.879. Outline of coverage for...
Section 376.881 - Policy certificate front page to contain notice of right to return and receive premium refund. - Effective - 06 Jul 1992 376.881. Policy certificate front page...
Section 376.882 - Cancellation of policy, refund required — notification. - Effective - 28 Aug 2010 376.882. Cancellation of policy, refund...
Section 376.884 - Advertisement to be reviewed by director. - Effective - 06 Jul 1992 376.884. Advertisement to be reviewed...
Section 376.886 - Regulations, requirements — rules, procedure. - Effective - 26 Apr 1996 376.886. Regulations, requirements — rules,...
Section 376.889 - Violations, penalty. - Effective - 28 Aug 2007 376.889. Violations, penalty. — 1....
Section 376.890 - Invalidity of any section regulating Medicare supplement not to affect others. - Effective - 28 Aug 1989 376.890. Invalidity of any section...
Section 376.891 - Definitions. - Effective - 28 Aug 1993 376.891. Definitions. — As used...
Section 376.892 - Surviving spouse may continue coverage, when — divorced or separated spouse may continue coverage, when — services offered. - Effective - 28 Aug 1993 376.892. Surviving spouse may continue...
Section 376.893 - Divorced or separated spouse, continuation of coverage, notice — contents of notice — failure to elect, effect — application. - Effective - 28 Aug 1996 376.893. Divorced or separated spouse,...
Section 376.894 - Amount of premium, date of payment — termination of right of continuation of coverage, grounds. - Effective - 28 Aug 1993 376.894. Amount of premium, date...
Section 376.900 - Definitions. - Effective - 28 Aug 1981 376.900. Definitions. — For the...
Section 376.905 - Administration by department, powers, duties — fees. - Effective - 28 Aug 1981 376.905. Administration by department, powers,...
Section 376.910 - Certificate of authority required. - Effective - 28 Aug 1981 376.910. Certificate of authority required....
Section 376.915 - Application for certificate, content — renewal, content, filed when — extensions, fee. - Effective - 28 Aug 1981 376.915. Application for certificate, content...
Section 376.920 - Annual statement, form, contents. - Effective - 28 Aug 1981 376.920. Annual statement, form, contents....
Section 376.925 - Seven-day rescission period, all money or property to be refunded. - Effective - 28 Aug 1981 376.925. Seven-day rescission period, all...
Section 376.930 - Insured to be furnished application for certificate and annual statement, when. - Effective - 28 Aug 1981 376.930. Insured to be furnished...
Section 376.935 - Certificates issued for one year — nontransferable — not endorsement by department. - Effective - 28 Aug 1981 376.935. Certificates issued for one...
Section 376.940 - Escrow account for entrance fees required, released when. - Effective - 28 Aug 1981 376.940. Escrow account for entrance...
Section 376.945 - Escrow account, amount required — principal, how released, investment. - Effective - 28 Aug 2020, 2 histories 376.945. Escrow account,...
Section 376.950 - Board of directors, one member to be resident of facility. - Effective - 28 Aug 1981 376.950. Board of directors, one...
Section 376.960 - Definitions. - Effective - 01 Jan 2008 376.960. Definitions. — As used...
Section 376.961 - Missouri health insurance pool created — members to be all health insurers in state — board of directors, members, terms, qualifications — transitioning resources. - Effective - 28 Aug 2013, 3 histories 376.961. Missouri health...
Section 376.962 - Plan of operation to be submitted by board — effective when — failure to submit, director's duty to develop rules — plan content — amendments, procedure. - Effective - 28 Aug 2013 376.962. Plan of operation to...
Section 376.964 - Board, powers and duties — including providing for issuing policies and reinsuring risks — staff appointment — rulemaking authority. - Effective - 28 Aug 2013, 2 histories 376.964. Board, powers...
Section 376.965 - Board members not civilly liable for performance of duties, exception. - Effective - 28 Aug 1991 376.965. Board members not civilly...
Section 376.966 - No employee to lose coverage by enrolling in pool — eligibility for pool coverage, ineligibility — medical underwriting considerations, notification required, when — expiration date. - Effective - 28 Aug 2013, 3 histories 376.966. No employee...
Section 376.968 - Administration of pool by insurer or insurers by competitive bids — insurer's qualifications — board to establish criteria for bid content. - Effective - 28 Aug 2013 376.968. Administration of pool by...
Section 376.970 - Administering insurer to serve for three years subject to removal for cause — duties — reports — bidding process. - Effective - 28 Aug 2013 376.970. Administering insurer to serve...
Section 376.973 - Administering insurer at close of fiscal year to make accounting and assessment — how calculated — excess to be held at interest for future losses or to reduce premiums — future losses, defined — assessments, continuation of. - Effective - 28 Aug 2013 376.973. Administering insurer at close...
Section 376.975 - Member's proportion of participation in pool to be determined annually — deficits to be recouped by proportioned assessment — amount of assessment to be offset against certain taxes. - Effective - 01 Jan 1991 376.975. Member's proportion of participation...
Section 376.978 - Director of revenue to determine reduced amount in county foreign insurance tax fund, state treasurer to reimburse fund by reducing amount to general revenue. - Effective - 01 Jan 1991 376.978. Director of revenue to...
Section 376.980 - Pool member exempt from taxation of financial institution, may be allowed to offset against sales or use tax, when — excess of assessment over sales or use tax payable in any one year a credit in succeeding years until excess is exh... - Effective - 01 Jan 1991 376.980. Pool member exempt from...
Section 376.982 - Rulemaking procedure. - Effective - 28 Aug 1995 376.982. Rulemaking procedure. — No...
Section 376.984 - Abatement or deferring all or part of assessment of member, when — amount abated or deferred may be assessed against other members — deficiency liability. - Effective - 01 Jan 1991 376.984. Abatement or deferring all...
Section 376.986 - Pool to offer medical coverage — premiums, how established — standard risk rate, how calculated — director to approve rates — exclusions — benefits reduced by other insurance or workers' compensation — medical expense to include pra... - Effective - 01 Jan 2008 376.986. Pool to offer medical...
Section 376.987 - High deductible health plans and establishment of health savings plans to be offered as options — definitions — rulemaking authority. - Effective - 01 Jan 2008 376.987. High deductible health plans...
Section 376.989 - No liability, criminal or civil, for participation in pool by members. - Effective - 01 Jan 2008 376.989. No liability, criminal or...
Section 376.995 - Limited mandate health insurance policies defined — certain sections not to apply to limited mandate health insurance policies, exceptions — requirements to sell or issue — certain law to apply. - Effective - 28 Aug 1997 376.995. Limited mandate health insurance...
Section 376.998 - Health insurance mandate exemption for excepted benefit plans — definitions — procedure to exempt. - Effective - 28 Aug 2016 376.998. Health insurance mandate exemption...
Section 376.1000 - Multiple employer self-insured health plan, defined. - Effective - 28 Aug 1993 376.1000. Multiple employer self-insured health...
Section 376.1002 - Certificate of authority required — penalty for noncompliance — law inapplicable, when — exempt organizations. - Effective - 28 Aug 1993 376.1002. Certificate of authority required...
Section 376.1005 - Application for certificate of authority, form — fee — policy or other evidence of coverage provided to employees, form. - Effective - 28 Aug 1993 376.1005. Application for certificate of...
Section 376.1007 - Plan to file copy of bylaws, coverage and agreements with director. - Effective - 28 Aug 1993 376.1007. Plan to file copy...
Section 376.1010 - Excess stop-loss coverage maintained by plan. - Effective - 28 Aug 1993 376.1010. Excess stop-loss coverage maintained...
Section 376.1012 - Funds collected from employers held in trust — requirements — board of trustees, elected, duties — annual report, filed when. - Effective - 28 Aug 2007 376.1012. Funds collected from employers...
Section 376.1015 - Department not to grant approval, when. - Effective - 28 Aug 1993 376.1015. Department not to grant...
Section 376.1017 - Plan to establish loss reserves — plan to establish surplus account, amount. - Effective - 28 Aug 1993 376.1017. Plan to establish loss...
Section 376.1020 - Plan to maintain principal place of business in Missouri, exception. - Effective - 28 Aug 1993 376.1020. Plan to maintain principal...
Section 376.1022 - Dissolution of plan, application, procedure, granted when — distribution of assets, procedures. - Effective - 28 Aug 1993 376.1022. Dissolution of plan, application,...
Section 376.1025 - Director may adopt rules. - Effective - 28 Aug 1995 376.1025. Director may adopt rules....
Section 376.1027 - Plan in unsound condition, powers of director. - Effective - 28 Aug 1993 376.1027. Plan in unsound condition,...
Section 376.1030 - Agreement of employer to pay benefits, requirements, form — copy filed with director — no excuse from liability. - Effective - 28 Aug 1993 376.1030. Agreement of employer to...
Section 376.1032 - Plan considered insurer, when. - Effective - 28 Aug 1993 376.1032. Plan considered insurer, when....
Section 376.1035 - Chapter 376 applicable to plan. - Effective - 28 Aug 1993 376.1035. Chapter 376 applicable to...
Section 376.1037 - Plan subject to premium taxes. - Effective - 28 Aug 1993 376.1037. Plan subject to premium...
Section 376.1040 - Plan not to be offered to public — marketing restrictions — exemption — use of brokers authorized. - Effective - 28 Aug 2019, 2 histories 376.1040. Plan not...
Section 376.1042 - Marketing by agent, agency or broker violation of law. - Effective - 28 Aug 2019, 2 histories 376.1042. Marketing by...
Section 376.1045 - Injunctive relief, director may seek, when — procedures. - Effective - 28 Aug 1993 376.1045. Injunctive relief, director may...
Section 376.1060 - Access to dental services not to be sold, assigned, or granted access without express authorization — definitions — requirements. - Effective - 28 Aug 2014 376.1060. Access to dental services...
Section 376.1065 - Official notification communications, contracting entity requirements. - Effective - 28 Aug 2018 376.1065. Official notification communications, contracting...
Section 376.1075 - Definitions. - Effective - 28 Aug 1998 376.1075. Definitions. — As used...
Section 376.1077 - Administrator to have agreement with insurer, form, contents — termination, how. - Effective - 28 Aug 1993 376.1077. Administrator to have agreement...
Section 376.1080 - Payments of premiums and claims deemed paid, when. - Effective - 28 Aug 1993 376.1080. Payments of premiums and...
Section 376.1082 - Records maintained by administrator for insurer — director may examine records — records owned by insurer, transfer allowed, when. - Effective - 28 Aug 1993 376.1082. Records maintained by administrator...
Section 376.1083 - Advertising restrictions for administrator. - Effective - 28 Aug 1993 376.1083. Advertising restrictions for administrator....
Section 376.1084 - Insurer responsible for benefits and underwriting practices — insurer to conduct review of administrator, when. - Effective - 28 Aug 1993 376.1084. Insurer responsible for benefits...
Section 376.1085 - Premiums held in fiduciary capacity, duties — financial records, duties — withdrawals from fiduciary account by agreement only, contents — payment of claims. - Effective - 28 Aug 1993 376.1085. Premiums held in fiduciary...
Section 376.1087 - Commissions not to be contingent on savings in payment of claims — may be based on premiums collected. - Effective - 28 Aug 1993 376.1087. Commissions not to be...
Section 376.1088 - Notice to policyholder of administrator, contents, required — disclosure of receipts to insurer. - Effective - 28 Aug 1993 376.1088. Notice to policyholder of...
Section 376.1090 - Materials delivered to administrator for insured to be promptly delivered. - Effective - 28 Aug 1993 376.1090. Materials delivered to administrator...
Section 376.1092 - Certificate of authority, required, application, contents, fee — refusal to issue, when — renewal — bond, required when. - Effective - 28 Aug 1993 376.1092. Certificate of authority, required,...
Section 376.1093 - Annual report filed with director, when — contents — filing fee, amount. - Effective - 28 Aug 1993 376.1093. Annual report filed with...
Section 376.1094 - Certificate of authority, suspension or revocation, grounds — civil action, when. - Effective - 28 Aug 2007 376.1094. Certificate of authority, suspension...
Section 376.1095 - Rules and regulations, promulgation. - Effective - 28 Aug 1995 376.1095. Rules and regulations, promulgation....
Section 376.1100 - Law, how cited — definitions. - Effective - 28 Aug 2002 376.1100. Law, how cited —...
Section 376.1103 - Laws applicable, Medicare supplement laws not applicable — purpose — policies or riders must be in compliance. - Effective - 28 Aug 2002 376.1103. Laws applicable, Medicare supplement...
Section 376.1106 - Policies issued in other states may be issued to residents of Missouri if in compliance with Missouri regulations. - Effective - 28 Aug 1990 376.1106. Policies issued in other...
Section 376.1109 - Policies, content requirements, provisions prohibited — rules authorized — cancellation, refund required — limitation on rate increases. - Effective - 28 Aug 2021, 2 histories 376.1109. Policies, content...
Section 376.1112 - Director to provide buyer's guide — content — advertising of long-term care policies to contain notice of availability of guide. - Effective - 28 Aug 1990 376.1112. Director to provide buyer's...
Section 376.1115 - Coverage outline to be delivered to applicants, when, content. - Effective - 28 Aug 2002 376.1115. Coverage outline to be...
Section 376.1118 - Benefits funded by a life insurance death benefit acceleration, reports to policyholder required, content. - Effective - 28 Aug 1990 376.1118. Benefits funded by a...
Section 376.1121 - Denial of claim, long-term care insurance, duties of issuer. - Effective - 28 Aug 2002 376.1121. Denial of claim, long-term...
Section 376.1124 - Rescinding of a long-term care policy, permitted when — grounds for contesting — no field issuance, when. - Effective - 28 Aug 2002 376.1124. Rescinding of a long-term...
Section 376.1127 - Nonforfeiture benefit option required for long-term care insurance policies, requirements of offer — rulemaking authority. - Effective - 28 Aug 2002 376.1127. Nonforfeiture benefit option required...
Section 376.1130 - Rulemaking authority. - Effective - 28 Aug 2002 376.1130. Rulemaking authority. — 1....
Section 376.1186 - State-based health benefit exchanges prohibited without statutory authority — executive order to establish prohibited — state agency restrictions — taxpayer standing — definitions. - Effective - 06 Nov 2012 376.1186. State-based health benefit exchanges...
Section 376.1190 - Health care mandates — review by oversight division — actuarial analysis. - Effective - 28 Aug 2011 376.1190. Health care mandates —...
Section 376.1199 - Coverage for certain obstetrical/gynecological services — exclusion of contraceptive coverage permitted, when — rulemaking authority. - Effective - 12 Oct 2012 *376.1199. Coverage for certain obstetrical/gynecological...
Section 376.1200 - Certain policies to offer coverage for treatment of breast cancer — limitation on deductible, lifetime maximum benefit — administration of benefits — application, effect. - Effective - 28 Aug 1995 376.1200. Certain policies to offer...
Section 376.1209 - Mastectomy — mandatory insurance coverage for prosthetic devices and reconstructive surgery — no time limit to be imposed. - Effective - 28 Aug 2001 376.1209. Mastectomy — mandatory insurance...
Section 376.1210 - Maternity benefits, minimum hospital stays, exceptions — notice of benefits, contents — attending physician defined — rulemaking. - Effective - 28 Aug 1996 376.1210. Maternity benefits, minimum hospital...
Section 376.1215 - Immunizations, mandated coverage, exceptions, rulemaking. - Effective - 28 Aug 1996 376.1215. Immunizations, mandated coverage, exceptions,...
Section 376.1218 - Insurance coverage for children enrolled in the Part C early intervention system (First Steps). - Effective - 28 Aug 2007, 2 histories 376.1218. Insurance coverage...
Section 376.1219 - PKU formula and low protein modified food products covered by insurance, when — exceptions. - Effective - 28 Aug 2002 376.1219. PKU formula and low...
Section 376.1220 - Insurance coverage for newborn hearing screenings mandated. - Effective - 28 Aug 1999 376.1220. Insurance coverage for newborn...
Section 376.1222 - Prostheses and scalp prostheses to be provided for children under eighteen by Medicaid, children's health insurance and the consolidated plan — no additional insurance cost — amount allowable. - Effective - 28 Aug 2003 376.1222. Prostheses and scalp prostheses...
Section 376.1224 - Definitions — insurance coverage required — limitations on coverage — maximum benefit amount, adjustments — reimbursements, how made — applicability to plans. - Effective - 28 Aug 2019, 2 histories 376.1224. Definitions —...
Section 376.1225 - Mandated coverage for general anesthesia and hospital charges for dental care, when — prior authorization required, when — exceptions. - Effective - 28 Aug 1998 376.1225. Mandated coverage for general...
Section 376.1226 - Fee schedule for services not covered under health benefit plans — definitions. - Effective - 28 Aug 2013 376.1226. Fee schedule for services...
Section 376.1228 - Hearing aids coverage for children required — amount of coverage — exclusions — additional state costs subject to appropriations. - Effective - 28 Aug 2021 376.1228. Hearing aids coverage for...
Section 376.1230 - Chiropractic care coverage, rates, terms, conditions, limits, and exclusions. - Effective - 28 Aug 2003 376.1230. Chiropractic care coverage, rates,...
Section 376.1232 - Insurers to offer coverage for prosthetics. - Effective - 28 Aug 2009 376.1232. Insurers to offer coverage...
Section 376.1235 - No co-payments or coinsurance for physical or occupational therapy services, when — actuarial analysis of cost, when. - Effective - 28 Aug 2016, 2 histories *376.1235. No co-payments...
Section 376.1237 - Refills for prescription eye drops, required, when — definitions. - Effective - 28 Aug 2018, 3 histories 376.1237. Refills for...
Section 376.1250 - Cancer screening, health insurance coverage required, when, types. - Effective - 28 Aug 2011 376.1250. Cancer screening, health insurance...
Section 376.1253 - Second opinion, right of newly diagnosed cancer patients, attending physician to inform — insurance coverage for such second opinions required, when. - Effective - 28 Aug 2002 376.1253. Second opinion, right of...
Section 376.1257 - Orally administered anticancer medications, plan to provide coverage no less favorable than IV or injected medications — definitions — requirements — effective date. - Effective - 01 Jan 2015 376.1257. Orally administered anticancer medications,...
Section 376.1275 - Coverage for human leukocyte antigen testing for bone marrow transplantation required, when — exceptions. - Effective - 28 Aug 2002 376.1275. Coverage for human leukocyte...
Section 376.1290 - Coverage for lead testing. - Effective - 28 Aug 2001 376.1290. Coverage for lead testing....
Section 376.1300 - Reorganization of a domestic mutual life insurance company, authority. - Effective - 28 Aug 1996 376.1300. Reorganization of a domestic...
Section 376.1305 - Formation of holding company, application — shareholder approval. - Effective - 28 Aug 1996 376.1305. Formation of holding company,...
Section 376.1307 - Issuance of shares. - Effective - 28 Aug 1996 376.1307. Issuance of shares. —...
Section 376.1309 - Member's interest — nontransference of membership — immunity from liability — assessments, not imposed — security, membership interest. - Effective - 28 Aug 1996 376.1309. Member's interest — nontransference...
Section 376.1312 - Nonapplicability of certain provisions of insurance holding companies law. - Effective - 28 Aug 1996 376.1312. Nonapplicability of certain provisions...
Section 376.1315 - Incorporation of mutual holding company, authority, approval. - Effective - 28 Aug 1996 376.1315. Incorporation of mutual holding...
Section 376.1318 - Powers of mutual holding company, engaging in business of insurance, no authority, affiliation and merger agreements. - Effective - 28 Aug 1996 376.1318. Powers of mutual holding...
Section 376.1322 - Mutual holding company subject to supervision of director, dissolution or liquidation — demutualization. - Effective - 28 Aug 1996 376.1322. Mutual holding company subject...
Section 376.1345 - Method of reimbursement not to require fee, discount, or remuneration — notification requirements — electronic funds transfer, when — overpayment, procedure — violation, penalty. - Effective - 28 Aug 2020, 2 histories 376.1345. Method of...
Section 376.1350 - Definitions. - Effective - 28 Aug 2019, 3 histories 376.1350. Definitions. —...
Section 376.1353 - Utilization review activities monitored. - Effective - 28 Aug 1997 376.1353. Utilization review activities monitored....
Section 376.1356 - Utilization review entity monitored, when. - Effective - 28 Aug 2019, 2 histories 376.1356. Utilization review...
Section 376.1359 - Written utilization program implemented, filed with the director. - Effective - 28 Aug 1997 376.1359. Written utilization program implemented,...
Section 376.1361 - Documented clinical review criteria used in a utilization program — medical director qualifications — compensation of utilization review services. - Effective - 28 Aug 1997 376.1361. Documented clinical review criteria...
Section 376.1363 - Utilization review decisions, procedures. - Effective - 28 Aug 2019, 3 histories 376.1363. Utilization review...
Section 376.1364 - Unique confirmation number required, prior authorization review — secure electronic transmission for prior authorizations — single cover page, contents. - Effective - 28 Aug 2019 376.1364. Unique confirmation number required,...
Section 376.1365 - Reconsideration of an adverse determination, when. - Effective - 28 Aug 1997 376.1365. Reconsideration of an adverse...
Section 376.1367 - Emergency services benefit determination, coverage required, when. - Effective - 28 Aug 2018, 2 histories 376.1367. Emergency services...
Section 376.1369 - Certification of compliance, when. - Effective - 28 Aug 1997 376.1369. Certification of compliance, when....
Section 376.1372 - Certification and member handbook to include utilization review procedures — website or provider portal, prior authorization requirements available on. - Effective - 28 Aug 2019, 2 histories 376.1372. Certification and...
Section 376.1375 - Registry of grievances maintained, procedures — definitions. - Effective - 28 Aug 1997 376.1375. Registry of grievances maintained,...
Section 376.1378 - Grievances and certificate of compliance filed with the director, when. - Effective - 28 Aug 1997 376.1378. Grievances and certificate of...
Section 376.1382 - First- and second-level grievance review for managed care plans, first-level procedures. - Effective - 28 Aug 1997 376.1382. First- and second-level grievance...
Section 376.1385 - Second-level review procedures. - Effective - 28 Aug 2019, 2 histories 376.1385. Second-level review...
Section 376.1387 - Appeals of grievances determined by the director. - Effective - 28 Aug 1997 376.1387. Appeals of grievances determined...
Section 376.1389 - Expedited grievance review procedure. - Effective - 28 Aug 1997 376.1389. Expedited grievance review procedure....
Section 376.1399 - Rules, effective, when — rules invalid and void, when. - Effective - 28 Aug 2007 376.1399. Rules, effective, when —...
Section 376.1400 - Explanation of benefits, standardized information used, contents, when. - Effective - 28 Aug 1999 376.1400. Explanation of benefits, standardized...
Section 376.1403 - Referrals, standardized information used, content, when. - Effective - 28 Aug 1999 376.1403. Referrals, standardized information used,...
Section 376.1450 - Enrollee's right to receive documents and materials in printed or electronic form, when. - Effective - 28 Aug 2010 376.1450. Enrollee's right to receive...
Section 376.1500 - Definitions. - Effective - 28 Aug 2007, 2 histories 376.1500. Definitions. —...
Section 376.1502 - Requirements for transaction of business. - Effective - 28 Aug 2007 376.1502. Requirements for transaction of...
Section 376.1504 - Registration requirements — term of registration — renewal. - Effective - 28 Aug 2007 376.1504. Registration requirements — term...
Section 376.1506 - Violations, penalty. - Effective - 28 Aug 2007 376.1506. Violations, penalty. — 1....
Section 376.1508 - Processing fee — cancellation of membership, effect of. - Effective - 28 Aug 2007 376.1508. Processing fee — cancellation...
Section 376.1510 - Prohibited acts. - Effective - 28 Aug 2007 376.1510. Prohibited acts. — A...
Section 376.1512 - Required disclosures. - Effective - 28 Aug 2007 376.1512. Required disclosures. — 1....
Section 376.1514 - Written agreement required, contents. - Effective - 28 Aug 2007 376.1514. Written agreement required, contents....
Section 376.1516 - Written membership materials, required contents — forms to be filed with director, fee. - There are multiple enactments of 376.1516 Effective - 01 Jan...
Section 376.1516 - Written membership materials, required contents — forms to be submitted to director. - There are multiple enactments of 376.1516 Effective - 28 Aug...
Section 376.1518 - Net worth to be maintained, amount. - Effective - 28 Aug 2007 376.1518. Net worth to be...
Section 376.1520 - Notice of changes. - Effective - 28 Aug 2007 376.1520. Notice of changes. —...
Section 376.1522 - List of providers to be maintained on website. - Effective - 28 Aug 2007 376.1522. List of providers to...
Section 376.1524 - Advertising and marketing materials, approval in writing required. - Effective - 28 Aug 2007 376.1524. Advertising and marketing materials,...
Section 376.1528 - Rulemaking authority. - Effective - 28 Aug 2007 376.1528. Rulemaking authority. — The...
Section 376.1530 - Denial and refusal to issue registrations, when. - Effective - 28 Aug 2007 376.1530. Denial and refusal to...
Section 376.1532 - Violations, penalties. - Effective - 28 Aug 2007 376.1532. Violations, penalties. — 1....
Section 376.1550 - Mental health coverage, requirements — definitions — exclusions. - Effective - 28 Aug 2018, 2 histories 376.1550. Mental health...
Section 376.1551 - Federal mental health parity and addiction equity requirements — inapplicable, when — rulemaking authority. - Effective - 28 Aug 2021 376.1551. Federal mental health parity...
Section 376.1575 - Definitions. - Effective - 28 Aug 2022, 2 histories 376.1575. Definitions. —...
Section 376.1578 - Credentialing procedure, health carrier duties — covered health services, payment, when — violations, mechanism for reporting. - Effective - 28 Aug 2020, 2 histories 376.1578. Credentialing procedure,...
Section 376.1590 - Status as living organ donor not sole factor for insurance coverage. - Effective - 28 Aug 2020 376.1590. Status as living organ...
Section 376.1750 - Health care sharing ministry, provisions not to apply to — ministry not engaging in the business of insurance, when — health care sharing ministry defined. - Effective - 28 Aug 2007 376.1750. Health care sharing ministry,...
Section 376.1753 - Services related to pregnancy, persons holding ministerial or tocological certification may provide. - Effective - 28 Aug 2007 376.1753. Services related to pregnancy,...
Section 376.1800 - Definitions — medical retainer agreements not insurance — agreement requirements — use of health savings accounts for fees. - Effective - 28 Aug 2022, 2 histories 376.1800. Definitions —...
Section 376.1900 - Definitions — reimbursement for telehealth services, when. - Effective - 01 Jan 2014 376.1900. Definitions — reimbursement for...
Section 376.2000 - Citation of law — definitions. - Effective - 12 Jul 2013 376.2000. Citation of law —...
Section 376.2002 - Navigators, license required — permitted acts — prohibited acts — exemptions. - Effective - 12 Jul 2013 376.2002. Navigators, license required —...
Section 376.2004 - Application procedure. - Effective - 12 Jul 2013 376.2004. Application procedure. — 1....
Section 376.2006 - Term of licensure — renewal — continuing education. - Effective - 12 Jul 2013 376.2006. Term of licensure —...
Section 376.2008 - Consultation with licensed insurance producer, navigator to advise, when. - Effective - 12 Jul 2013 376.2008. Consultation with licensed insurance...
Section 376.2010 - Sanction of license, when — restitution required, when — examination and investigation of records. - Effective - 12 Jul 2013 376.2010. Sanction of license, when...
Section 376.2011 - Violations, administrative orders, civil actions — penalty. - Effective - 12 Jul 2013 376.2011. Violations, administrative orders, civil...
Section 376.2012 - Navigators duty to report, when. - Effective - 12 Jul 2013 376.2012. Navigators duty to report,...
Section 376.2014 - Applicability — severability — rulemaking authority. - Effective - 12 Jul 2013 376.2014. Applicability — severability —...
Section 376.2020 - Contracts prohibiting disclosure of certain payments and costs are unenforceable. - Effective - 14 Oct 2016 *376.2020. Contracts prohibiting disclosure of...
Section 376.2030 - Definitions. - Effective - 28 Aug 2016 376.2030. Definitions. — As used...
Section 376.2034 - Restriction on step therapy protocol, patient to have access to override exception determination — procedure. - Effective - 28 Aug 2021, 2 histories 376.2034. Restriction on...
Section 376.2036 - Enforcement — applicability to health insurance plans, when. - Effective - 28 Aug 2016 376.2036. Enforcement — applicability to...
Section 376.2050 - Citation of act. - Effective - 28 Aug 2016 376.2050. Citation of act. —...
Section 376.2051 - Definitions. - Effective - 28 Aug 2016 376.2051. Definitions. — As used...
Section 376.2052 - Comparison of in-force policies to death master file — violation deemed an unfair trade practice. - Effective - 28 Aug 2016 376.2052. Comparison of in-force policies...
Section 376.2053 - Exemption from requirements, when. - Effective - 28 Aug 2016 376.2053. Exemption from requirements, when....
Section 376.2080 - Funding agreement defined — authority to issue — rulemaking authority. - Effective - 28 Aug 2021 376.2080. Funding agreement defined —...