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4301 - Organization of Corporation; Purposes; Board of Directors. - (b) (1) Medical expense indemnity shall consist of reimbursement for:...
4302 - Permit and License to Do Business. - (b) No such corporation shall furnish medical expense indemnity, dental...
4303 - Benefits. - (1) For preadmission testing performed in hospital facilities prior to...
4303-A - Prescription Synchronization. - (i) The medications are covered by the policy or plan....
4304 - Individual Contracts. - (b)(1) Any such contract shall be for a period not...
4305 - Group Contracts. - (b) Any such contract which provides for the adjustment of...
4306 - Required Contract Provisions. - (a) a statement of the amount payable to the corporation...
4306-A - Health Insurance Coverage for Full-Time Students on Medical Leaves of Absence. - (b) In order to qualify under this section, the medical...
4306-B - Primary and Preventive Obstetric and Gynecologic Care. - (b) A corporation shall treat the provision of obstetric and...
4306-C - Grievance Procedure and Access to Specialty Care. - (b) A corporation, including a municipal cooperative health benefits plan...
4306-D - Choice of Health Care Provider. - § 4306-d. Choice of health care provider. A corporation that...
4306-E - Prohibition on Lifetime and Annual Limits. - (b) A corporation shall not establish an annual limit on...
4306-F - Maternal Depression Screenings. - § 4306-f. Maternal depression screenings. To the extent a contract...
4306-G - Telehealth Delivery of Services. - (2) A corporation that provides comprehensive coverage for hospital, medical...
4306-H - Essential Health Benefits Package and Limit on Cost-Sharing. - (A) ambulatory patient services; (B) emergency services; (C) hospitalization; (D)...
4306-I - Coverage for Medically Fragile Children. - * § 4306-i. Coverage for medically fragile children. A corporation...
4307 - Providers of Services. - (b) All rates of payments to hospitals, nursing homes, convalescent...
4308 - Supervision of Superintendent. - (b) No corporation subject to the provisions of this article...
4309 - Limitation on Expenses. - (1) For hospital service corporations: fifteen per centum reduced by...
4310 - Investments; Financial Conditions; Reserves. - (b) No such corporation shall invest in any securities other...
4312 - Employment of Solicitors; Pension Plans. - (b) No corporation subject to the provisions of this article...
4313 - Applicability of Other Provisions of This Chapter. - (b) Every such corporation shall be subject to liquidation, dissolution...
4314 - Not to Affect Provisions of Workers' Compensation Law. - § 4314. Not to affect provisions of workers' compensation law....
4315 - Arbitration; Judicial Review. - (b) Except as provided in subsection (a) of this section,...
4316 - Individual Contracts; Premium Refund at Death of Insured. - § 4316. Individual contracts; premium refund at death of insured....
4317 - Rating of Individual and Small Group Health Insurance Contracts. - (b) (1) The superintendent may set standard premium tiers and...
4318 - Pre-Existing Condition Provisions. - (a) In determining whether a pre-existing condition provision applies to...
4318-A - Certification of Creditable Coverage by Corporations Organized Under This Article. - (1) the period of creditable coverage, as defined in section...
4320 - Limitations on Administrative Services and Stop-Loss Coverage. - § 4320. Limitations on administrative services and stop-loss coverage. No...
4321 - Standardization of Individual Enrollee Direct Payment Contracts Offered by Health Maintenance Organizations Prior to October First, Two Thousand Thirteen. - (b) The standardized individual enrollee direct payment contract shall provide...
4321-A - Fund for Standardized Individual Enrollee Direct Payment Contracts. - (b) The superintendent shall promulgate regulations setting forth procedures for...
4322 - Standardization of Individual Enrollee Direct Payment Contracts Offered by Health Maintenance Organizations Which Provide Out-of-Plan Benefits Prior to October First, Two Thousand Thirteen. - (i) On and after January first, two thousand fourteen, each...
4322-A - Fund for Standardized Individual Enrollee Direct Payment Contracts Which Provide Out-of-Plan Benefits. - (b) The superintendent shall promulgate regulations that set forth procedures...
4323 - Marketing Materials. - (b) Health maintenance organizations may distribute additional sales or marketing...
4324 - Disclosure of Information. - (a) Each health service, hospital service, or medical expense indemnity...
4325 - Prohibitions. - (1) a condition or a course of treatment with a...
4326 - Standardized Health Insurance Contracts for Qualifying Small Employers and Individuals. - (b) Participation in the program established by this section and...
4327 - Stop Loss Funds for Standardized Health Insurance Contracts Issued to Qualifying Small Employers and Qualifying Individuals. - (b) Health maintenance organizations, corporations or insurers shall be eligible...
4328 - Individual Enrollee Direct Payment Contracts Offered by Health Maintenance Organization on and After October First, Two Thousand Thirteen. - (b) (1) The individual enrollee direct payment contract offered pursuant...
4329 - Prescription Drug Coverage. - (b) (1) Every contract issued by a corporation subject to...
4330 - Discrimination Because of Sex or Marital Status in Hospital, Surgical or Medical Expense Insurance. - (1) make any distinction or discrimination between persons as to...