Ask a question on the site
Questions
Lawyers
Blogs
Legislation
Contacts
Become a lawyer
Login Registration
§ 58-67-1 - Short title. - 58-67-1. Short title. This Article may be cited as the...
§ 58-67-5 - Definitions. - 58-67-5. Definitions. (a) "Commissioner" means the Commissioner of Insurance. (b)...
§ 58-67-10 - Establishment of health maintenance organizations. - 58-67-10. Establishment of health maintenance organizations. (a) Notwithstanding any law...
§ 58-67-11 - Additional HMO application information. - 58-67-11. Additional HMO application information. (a) In addition to the...
§ 58-67-12 - Commissioner use of consultants and other professionals. - 58-67-12. Commissioner use of consultants and other professionals. (a) The...
§ 58-67-15 - Health maintenance organization of bordering states may be admitted to do business; reciprocity. - 58-67-15. Health maintenance organization of bordering states may be admitted...
§ 58-67-20 - Issuance and continuation of license. - 58-67-20. Issuance and continuation of license. (a) Before issuing or...
§ 58-67-25 - Deposits. - 58-67-25. Deposits. (a) The Commissioner shall require a minimum deposit...
§ 58-67-30 - Management and exclusive agreements; custodial agreements. - 58-67-30. Management and exclusive agreements; custodial agreements. (a) No health...
§ 58-67-35 - Powers of health maintenance organizations. - 58-67-35. Powers of health maintenance organizations. (a) The powers of...
§ 58-67-45 - Fiduciary responsibilities. - 58-67-45. Fiduciary responsibilities. Any director, officer or partner of a...
§ 58-67-50 - Evidence of coverage and premiums for health care services. - 58-67-50. Evidence of coverage and premiums for health care services....
§ 58-67-55 - Statements filed with Commissioner. - 58-67-55. Statements filed with Commissioner. Every HMO subject to this...
§ 58-67-60 - Investments. - 58-67-60. Investments. With the exception of investments made in accordance...
§ 58-67-65 - Prohibited practices. - 58-67-65. Prohibited practices. (a) No health maintenance organization, or representative...
§ 58-67-66 - Collaboration with local health departments. - 58-67-66. Collaboration with local health departments. A health maintenance organization...
§ 58-67-70 - Coverage for chemical dependency treatment. - 58-67-70. Coverage for chemical dependency treatment. (a) As used in...
§ 58-67-74 - Coverage for certain treatment of diabetes. - 58-67-74. Coverage for certain treatment of diabetes. (a) Every health...
§ 58-67-75 - No discrimination against mentally ill or chemically dependent individuals. - 58-67-75. No discrimination against mentally ill or chemically dependent individuals....
§ 58-67-76 - Coverage for mammograms and cervical cancer screening. - 58-67-76. Coverage for mammograms and cervical cancer screening. (a) Every...
§ 58-67-77 - Coverage for prostate-specific antigen (PSA) tests. - 58-67-77. Coverage for prostate-specific antigen (PSA) tests. (a) Every health...
§ 58-67-78 - Coverage of certain prescribed drugs for cancer treatment. - 58-67-78. Coverage of certain prescribed drugs for cancer treatment. (a)...
§ 58-67-79 - Coverage for reconstructive breast surgery following mastectomy. - 58-67-79. Coverage for reconstructive breast surgery following mastectomy. (a) Every...
§ 58-67-80 - Meaning of terms "accident", "accidental injury", and "accidental means". - 58-67-80. Meaning of terms "accident", "accidental injury", and "accidental means"....
§ 58-67-85 - Master group contracts, filing requirement; required and prohibited provisions. - 58-67-85. Master group contracts, filing requirement; required and prohibited provisions....
§ 58-67-88 - Continuity of care. - 58-67-88. Continuity of care. (a) Definitions. - As used in...
§ 58-67-90 - Licensing and regulation of agents. - 58-67-90. Licensing and regulation of agents. Every agent of any...
§ 58-67-95 - Powers of insurers, hospitals, prepaid health plans, and medical service corporations. - 58-67-95. Powers of insurers, hospitals, prepaid health plans, and medical...
§ 58-67-100 - Examinations. - 58-67-100. Examinations. (a) The Commissioner may make an examination of...
§ 58-67-105 - Hazardous financial condition. - 58-67-105. Hazardous financial condition. (a) Whenever the financial condition of...
§ 58-67-110 - Protection against insolvency. - 58-67-110. Protection against insolvency. (a) The Commissioner shall require deposits...
§ 58-67-115 - Hold harmless agreements or special deposit. - 58-67-115. Hold harmless agreements or special deposit. (a) Unless the...
§ 58-67-120 - Continuation of benefits. - 58-67-120. Continuation of benefits. (a) The Commissioner shall require that...
§ 58-67-125 - Enrollment period. - 58-67-125. Enrollment period. (a) In the event of an insolvency...
§ 58-67-130 - Replacement coverage. - 58-67-130. Replacement coverage. (a) Any carrier providing replacement coverage with...
§ 58-67-135 - Incurred but not reported claims. - 58-67-135. Incurred but not reported claims. (a) Every HMO shall,...
§ 58-67-140 - Suspension or revocation of license. - 58-67-140. Suspension or revocation of license. (a) The Commissioner may...
§ 58-67-145 - Rehabilitation, liquidation, or conservation of health maintenance organization. - 58-67-145. Rehabilitation, liquidation, or conservation of health maintenance organization. Any...
§ 58-67-150 - Regulations. - 58-67-150. Regulations. The Commissioner may, after notice and hearing, promulgate...
§ 58-67-155 - Administrative procedures. - 58-67-155. Administrative procedures. (a) When the Commissioner has cause to...
§ 58-67-160 - Fees. - 58-67-160. Fees. Every health maintenance organization subject to this Article...
§ 58-67-165 - Penalties and enforcement. - 58-67-165. Penalties and enforcement. (a) The Commissioner may, in addition...
§ 58-67-170 - Statutory construction and relationship to other laws. - 58-67-170. Statutory construction and relationship to other laws. (a) Except...
§ 58-67-171 - Other laws applicable to HMOs. - 58-67-171. Other laws applicable to HMOs. The following provisions of...
§ 58-67-175 - Filings and reports as public documents. - 58-67-175. Filings and reports as public documents. All applications, filings...
§ 58-67-180 - Confidentiality of medical information. - 58-67-180. Confidentiality of medical information. Any data or information pertaining...
§ 58-67-185 - Severability. - 58-67-185. Severability. If any section, term, or provision of this...