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Section 27-18-1. - “Policy of accident and sickness insurance” construed. - § 27-18-1. “Policy of accident and sickness insurance” construed. “Policy...
Section 27-18-1.1. - Definitions. - § 27-18-1.1. Definitions. As used in this chapter: (1) “Adverse...
Section 27-18-2. - Form of policy. - § 27-18-2. Form of policy. No policy of accident and...
Section 27-18-2.1. - Uniform explanation of benefits and coverage. - § 27-18-2.1. Uniform explanation of benefits and coverage. (a) A...
Section 27-18-3. - Required provisions. - § 27-18-3. Required provisions. (a) Except as provided in §...
Section 27-18-3.1. - Alternative coverage by employer. - § 27-18-3.1. Alternative coverage by employer. (a) Each employer or...
Section 27-18-3.2. - Rules and regulations. - § 27-18-3.2. Rules and regulations. The department of business regulation...
Section 27-18-3.3. - Penalties. - § 27-18-3.3. Penalties. In addition to any other penalty provided...
Section 27-18-3.4. - Judicial review. - § 27-18-3.4. Judicial review. Any person, firm, or corporation aggrieved...
Section 27-18-3.5. - Non-applicability. - § 27-18-3.5. Non-applicability. Sections 27-18-3.1 — 27-18-3.5 shall not apply...
Section 27-18-4. - Optional provisions. - § 27-18-4. Optional provisions. Except as provided in § 27-18-5,...
Section 27-18-5. - Inapplicable or inconsistent provisions. - § 27-18-5. Inapplicable or inconsistent provisions. If any provision of...
Section 27-18-6. - Sequence of provisions. - § 27-18-6. Sequence of provisions. The provisions which are the...
Section 27-18-7. - Third party ownership. - § 27-18-7. Third party ownership. The word “insured”, as used...
Section 27-18-8. - Filing of accident and sickness insurance policy forms. - § 27-18-8. Filing of accident and sickness insurance policy forms....
Section 27-18-8.1. - Waiting period — Effective date of filings. - § 27-18-8.1. Waiting period — Effective date of filings. Each...
Section 27-18-8.2. - Notice of disapproval. - § 27-18-8.2. Notice of disapproval. If within the waiting period...
Section 27-18-8.3. - Withdrawal of approval. - § 27-18-8.3. Withdrawal of approval. After proper notice and a...
Section 27-18-8.4. - Rules as to filing. - § 27-18-8.4. Rules as to filing. The commissioner may make...
Section 27-18-9. - Policies of foreign insurers. - § 27-18-9. Policies of foreign insurers. Any policy of a...
Section 27-18-10. - Compliance by domestic insurer with laws of other states. - § 27-18-10. Compliance by domestic insurer with laws of other...
Section 27-18-11. - Application of provisions to policy issued to nonresident. - § 27-18-11. Application of provisions to policy issued to nonresident....
Section 27-18-12. - Less favorable provisions prohibited. - § 27-18-12. Less favorable provisions prohibited. No policy provision that...
Section 27-18-13. - Effect of policies inconsistent with chapter. - § 27-18-13. Effect of policies inconsistent with chapter. A policy...
Section 27-18-14. - Copies of applications. - § 27-18-14. Copies of applications. The insured shall not be...
Section 27-18-15. - Alteration of application. - § 27-18-15. Alteration of application. No alteration of any written...
Section 27-18-16. - False statements in application. - § 27-18-16. False statements in application. The falsity of any...
Section 27-18-17. - Acts not constituting waiver of insurer’s defenses. - § 27-18-17. Acts not constituting waiver of insurer’s defenses. The...
Section 27-18-18. - Acceptance of premiums after effective period of policy. - § 27-18-18. Acceptance of premiums after effective period of policy....
Section 27-18-19. - Insurance exempt from chapter. - § 27-18-19. Insurance exempt from chapter. Nothing in the chapter...
Section 27-18-20. - Penalties for violations. - § 27-18-20. Penalties for violations. Any person, partnership, or corporation...
Section 27-18-21. - Appeals from commissioner. - § 27-18-21. Appeals from commissioner. Any order or decision of...
Section 27-18-22. - Effect on other law. - § 27-18-22. Effect on other law. Nothing in this chapter...
Section 27-18-23. - Severability. - § 27-18-23. Severability. If any provision of this chapter, or...
Section 27-18-24. - Immunity of benefits from process. - § 27-18-24. Immunity of benefits from process. The proceeds, avails,...
Section 27-18-25. - Unfair discrimination prohibited. - § 27-18-25. Unfair discrimination prohibited. Notwithstanding any provision of any...
Section 27-18-26. - Physical examinations by insurance company. - § 27-18-26. Physical examinations by insurance company. Any applicant for...
Section 27-18-27. - Adoptive children. - § 27-18-27. Adoptive children. Subscribers to any accident and sickness...
Section 27-18-28. - [Repealed.] - § 27-18-28. [Repealed.] History of Section.P.L. 1983, ch. 212, §...
Section 27-18-29. - Changing coverage. - § 27-18-29. Changing coverage. No group health insurer subject to...
Section 27-18-30. - Health insurance contracts — Infertility. - § 27-18-30. Health insurance contracts — Infertility. (a) Any health...
Section 27-18-31. - Insurance coverage for services of licensed midwives. - § 27-18-31. Insurance coverage for services of licensed midwives. (a)...
Section 27-18-32. - Discontinuance of coverage — Chronic disabilities. - § 27-18-32. Discontinuance of coverage — Chronic disabilities. Notwithstanding the...
Section 27-18-33. - Drug coverage. - § 27-18-33. Drug coverage. No group health insurer subject to...
Section 27-18-33.1. - Insurance coverage for post-partum hospital stays. - § 27-18-33.1. Insurance coverage for post-partum hospital stays. (a) Every...
Section 27-18-33.2. - Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies. - § 27-18-33.2. Pharmacy benefit manager requirements with respect to multi-source...
Section 27-18-34. - Health insurance contracts — Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists. - § 27-18-34. Health insurance contracts — Certified registered nurse practitioners...
Section 27-18-35. - Certified counselors in mental health and therapists in marriage and family practice. - § 27-18-35. Certified counselors in mental health and therapists in...
Section 27-18-36. - Repealed. - § 27-18-36. Repealed. History of Section.P.L. 1994, ch. 301, §...
Section 27-18-36.1. - Repealed. - § 27-18-36.1. Repealed. History of Section.P.L. 1994, ch. 301, §...
Section 27-18-36.2. - Repealed. - § 27-18-36.2. Repealed. History of Section.P.L. 1994, ch. 301, §...
Section 27-18-36.3. - Repealed. - § 27-18-36.3. Repealed. History of Section.P.L. 1994, ch. 301, §...
Section 27-18-37. - Repealed. - § 27-18-37. Repealed.
Section 27-18-38. - Diabetes treatment. - § 27-18-38. Diabetes treatment. (a) Every individual or group health...
Section 27-18-39. - Mastectomy treatment. - § 27-18-39. Mastectomy treatment. (a) All individual or group health...
Section 27-18-40. - Insurance coverage for mastectomy hospital stays. - § 27-18-40. Insurance coverage for mastectomy hospital stays. (a) The...
Section 27-18-41. - Mammograms and pap smears — Coverage mandated. - § 27-18-41. Mammograms and pap smears — Coverage mandated. (a)(1)...
Section 27-18-42. - Mammograms — Quality assurance standards. - § 27-18-42. Mammograms — Quality assurance standards. A mammogram eligible...
Section 27-18-43. - Pap smears — Quality assurance standards. - § 27-18-43. Pap smears — Quality assurance standards. A pap...
Section 27-18-44. - Primary and preventive obstetric and gynecological care. - § 27-18-44. Primary and preventive obstetric and gynecological care. (a)...
Section 27-18-44.1. - Hysterectomy or myomectomy treatment. - § 27-18-44.1. Hysterectomy or myomectomy treatment. Commencing January 1, 2023,...
Section 27-18-45. - Whistleblowers protection. - § 27-18-45. Whistleblowers protection. No accident and sickness insurer pursuant...
Section 27-18-46. - Penalties and remedies. - § 27-18-46. Penalties and remedies. (a) Any person, firm, corporation,...
Section 27-18-47. - Additional relief and damages — Reinstatement. - § 27-18-47. Additional relief and damages — Reinstatement. (a) A...
Section 27-18-48. - Third party reimbursement for services of certain healthcare workers. - § 27-18-48. Third party reimbursement for services of certain healthcare...
Section 27-18-48.1. - Third party reimbursement for services of registered nurse first assistants. - § 27-18-48.1. Third party reimbursement for services of registered nurse...
Section 27-18-49. - Human leukocyte antigen testing. - § 27-18-49. Human leukocyte antigen testing. (a) Every individual or...
Section 27-18-50. - Drug coverage. - § 27-18-50. Drug coverage. (a) Any accident and sickness insurer...
Section 27-18-50.1. - Medication synchronization. - § 27-18-50.1. Medication synchronization. (a) An individual or group health...
Section 27-18-51. - Restricted annual rate payments prohibited. - § 27-18-51. Restricted annual rate payments prohibited. (a) No policy...
Section 27-18-52. - Genetic testing. - § 27-18-52. Genetic testing. (a) Except as provided in chapter...
Section 27-18-52.1. - Genetic information. - § 27-18-52.1. Genetic information. (a) Except as provided in chapter...
Section 27-18-53. - Magnetic resonance imaging — Quality assurance standards. - § 27-18-53. Magnetic resonance imaging — Quality assurance standards. (a)...
Section 27-18-54. - Health insurance rates. - § 27-18-54. Health insurance rates. No insurance company organized as...
Section 27-18-55. - Acupuncture services. - § 27-18-55. Acupuncture services. (a) Every group health insurance contract,...
Section 27-18-56. - Prohibition against dentists being required to indemnify provider. - § 27-18-56. Prohibition against dentists being required to indemnify provider....
Section 27-18-57. - F.D.A. approved prescription contraceptive drugs and devices. - § 27-18-57. F.D.A. approved prescription contraceptive drugs and devices. (a)...
Section 27-18-58. - Prostate and colorectal examinations — Coverage mandated — The Maryellen Goodwin Colorectal Cancer Screening Act. - § 27-18-58. Prostate and colorectal examinations — Coverage mandated —...
Section 27-18-59. - Eligibility for children’s benefits. - § 27-18-59. Eligibility for children’s benefits. (a)(1) Every health benefit...
Section 27-18-60. - Hearing aids. - § 27-18-60. Hearing aids. (a)(1) Every individual or group health...
Section 27-18-61. - Prompt processing of claims. - § 27-18-61. Prompt processing of claims. (a) A health care...
Section 27-18-62. - Mandatory coverage for certain lyme disease treatments. - § 27-18-62. Mandatory coverage for certain lyme disease treatments. Every...
Section 27-18-63. - Dental insurance assignment of benefits. - § 27-18-63. Dental insurance assignment of benefits. Every entity providing...
Section 27-18-64. - Coverage for early intervention services. - § 27-18-64. Coverage for early intervention services. (a) Every individual...
Section 27-18-65. - Post-payment audits. - § 27-18-65. Post-payment audits. (a) Except as otherwise provided herein,...
Section 27-18-66. - Tobacco cessation programs. - § 27-18-66. Tobacco cessation programs. (a) Every individual or group...
Section 27-18-67. - Reimbursement for orthotic and prosthetic services. - § 27-18-67. Reimbursement for orthotic and prosthetic services. (a) As...
Section 27-18-68. - Mandatory coverage for scalp hair prosthesis. - § 27-18-68. Mandatory coverage for scalp hair prosthesis. (a) Every...
Section 27-18-69. - Licensed ambulance service. - § 27-18-69. Licensed ambulance service. (a) No individual or group...
Section 27-18-70. - Enteral nutrition products. - § 27-18-70. Enteral nutrition products. (a) Every individual or group...
Section 27-18-71. - Prohibition on preexisting condition exclusions. - § 27-18-71. Prohibition on preexisting condition exclusions. (a) A health...
Section 27-18-72. - Prohibition on rescission of coverage. - § 27-18-72. Prohibition on rescission of coverage. (a)(1) Coverage under...
Section 27-18-73. - Prohibition on annual and lifetime limits. - § 27-18-73. Prohibition on annual and lifetime limits. (a) Annual...
Section 27-18-74. - Coverage for individuals participating in approved clinical trials. - § 27-18-74. Coverage for individuals participating in approved clinical trials....
Section 27-18-75. - Medical loss ratio reporting and rebates. - § 27-18-75. Medical loss ratio reporting and rebates. (a) A...
Section 27-18-76. - Emergency services. - § 27-18-76. Emergency services. (a) As used in this section:...
Section 27-18-77. - Internal and external appeal of adverse benefit determinations. - § 27-18-77. Internal and external appeal of adverse benefit determinations....
Section 27-18-78. - Primary care provider designation requirement. - § 27-18-78. Primary care provider designation requirement. (a) Every individual...
Section 27-18-79. - Discretionary clauses. - § 27-18-79. Discretionary clauses. (a) No new or existing policy...
Section 27-18-80. - Orally administered anticancer medication — Cost-sharing requirement. - § 27-18-80. Orally administered anticancer medication — Cost-sharing requirement. (a)...
Section 27-18-81. - Consumer notification. - § 27-18-81. Consumer notification. Every health insurer or health plan...
Section 27-18-82. - Opioid antagonists. - § 27-18-82. Opioid antagonists. (a) Every individual or group health...
Section 27-18-83. - Healthcare provider credentialing. - § 27-18-83. Healthcare provider credentialing. (a) For applications received on...
Section 27-18-84. - Health insurance contracts — Full year coverage for contraception. - § 27-18-84. Health insurance contracts — Full year coverage for...
Section 27-18-85. - Prohibition on discrimination in organ transplants. - § 27-18-85. Prohibition on discrimination in organ transplants. Pursuant to...
Section 27-18-86. - Health insurance contracts — Copayments exemption for COVID-19 vaccinations. - § 27-18-86. Health insurance contracts — Copayments exemption for COVID-19...
Section 27-18-87. - Perinatal doulas. - § 27-18-87. Perinatal doulas. (a) As used in this section,...
Section 27-18-88. - Gender rating. [Effective January 1, 2023.] - § 27-18-88. Gender rating. [Effective January 1, 2023.] (a) No...
Section 27-18-89. - Coverage for biomarker testing. - § 27-18-89. Coverage for biomarker testing. (a) As used in...
Section 27-18-90. - Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. [Expires December 31, 2025.] - § 27-18-90. Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric...