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Section 27-19-1. - Definitions. - § 27-19-1. Definitions. As used in this chapter: (1) “Contracting...
Section 27-19-2. - Organization as charitable corporation — Insurance laws inapplicable. - § 27-19-2. Organization as charitable corporation — Insurance laws inapplicable....
Section 27-19-2.1. - Investments and holdings in certain corporations authorized. - § 27-19-2.1. Investments and holdings in certain corporations authorized. (a)...
Section 27-19-3. - Repealed. - § 27-19-3. Repealed.
Section 27-19-4. - Certificate of public convenience and advantage. - § 27-19-4. Certificate of public convenience and advantage. No articles...
Section 27-19-5. - Contracts with subscribers, hospitals, and other eligible entities. - § 27-19-5. Contracts with subscribers, hospitals, and other eligible entities....
Section 27-19-5.1. - Cancellation of coverage by employers. - § 27-19-5.1. Cancellation of coverage by employers. No employer shall...
Section 27-19-5.2. - Patient responsibility — Administrative requirements. - § 27-19-5.2. Patient responsibility — Administrative requirements. For health benefit...
Section 27-19-5.3. - Additional powers. - § 27-19-5.3. Additional powers. Notwithstanding any other law or section...
Section 27-19-6. - Rates charged subscribers — Reserves. [Effective until January 1, 2023.] - § 27-19-6. Rates charged subscribers — Reserves. [Effective until January...
Section 27-19-7. - Rates charged by hospitals. - § 27-19-7. Rates charged by hospitals. (a) The rates charged...
Section 27-19-7.1. - Uniform explanation of benefits and coverage. - § 27-19-7.1. Uniform explanation of benefits and coverage. (a) A...
Section 27-19-7.2. - Filing of policy forms. - § 27-19-7.2. Filing of policy forms. (a) A nonprofit hospital...
Section 27-19-8. - Annual and quarterly statements. - § 27-19-8. Annual and quarterly statements. (a) Every nonprofit hospital...
Section 27-19-9. - Examination of affairs of corporations. - § 27-19-9. Examination of affairs of corporations. It is the...
Section 27-19-10. - Commission plans for solicitors or insurance producers. - § 27-19-10. Commission plans for solicitors or insurance producers. No...
Section 27-19-11. - Investment standards. - § 27-19-11. Investment standards. (a) All nonprofit hospital service corporations...
Section 27-19-12. - Corporations deemed public charitable institutions. - § 27-19-12. Corporations deemed public charitable institutions. Every nonprofit hospital...
Section 27-19-13. - Services rendered in certain institutions. - § 27-19-13. Services rendered in certain institutions. No nonprofit hospital...
Section 27-19-14. - Repealed. - § 27-19-14. Repealed. History of Section.P.L. 1971, ch. 208, §...
Section 27-19-15. - Repealed. - § 27-19-15. Repealed. History of Section.P.L. 1971, ch. 208, §...
Section 27-19-16. - Repealed. - § 27-19-16. Repealed. History of Section.P.L. 1971, ch. 208, §...
Section 27-19-17. - Additional benefits. - § 27-19-17. Additional benefits. Notwithstanding the provisions of this chapter,...
Section 27-19-18. - Coverage for adoptive children. - § 27-19-18. Coverage for adoptive children. Subscribers to any nonprofit...
Section 27-19-19. - Changing coverage. - § 27-19-19. Changing coverage. No group health insurer subject to...
Section 27-19-20. - Mammograms and pap smears — Coverage mandated. - § 27-19-20. Mammograms and pap smears — Coverage mandated. (a)...
Section 27-19-21. - Mammograms — Quality assurance standards. - § 27-19-21. Mammograms — Quality assurance standards. A mammogram eligible...
Section 27-19-22. - Pap smears — Quality assurance standards. - § 27-19-22. Pap smears — Quality assurance standards. A pap...
Section 27-19-23. - Coverage for infertility. - § 27-19-23. Coverage for infertility. (a) Any nonprofit hospital service...
Section 27-19-23.1. - Insurance coverage for post-partum hospital stays. - § 27-19-23.1. Insurance coverage for post-partum hospital stays. (a) Every...
Section 27-19-24. - Nonprofit hospital service corporations assessment. - § 27-19-24. Nonprofit hospital service corporations assessment. (a) Notwithstanding any...
Section 27-19-25. - Discontinuance of coverage — Chronic disabilities. - § 27-19-25. Discontinuance of coverage — Chronic disabilities. No nonprofit...
Section 27-19-26. - Drug coverage. - § 27-19-26. Drug coverage. No group health insurer subject to...
Section 27-19-26.1. - Medication synchronization. - § 27-19-26.1. Medication synchronization. (a) An individual or group health...
Section 27-19-26.2. - Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies. - § 27-19-26.2. Pharmacy benefit manager requirements with respect to multi-source...
Section 27-19-27. - Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists. - § 27-19-27. Certified registered nurse practitioners and psychiatric and mental...
Section 27-19-28. - Rehabilitation, liquidation, or conservation. - § 27-19-28. Rehabilitation, liquidation, or conservation. (a) Any rehabilitation, liquidation,...
Section 27-19-29. - Holding company systems. - § 27-19-29. Holding company systems. Except to the extent superseded...
Section 27-19-29.1. - No derogation of attorney general. - § 27-19-29.1. No derogation of attorney general. No provision of...
Section 27-19-30. - Regulations. - § 27-19-30. Regulations. The director of the department of business...
Section 27-19-30.1. - Health insurance rates. - § 27-19-30.1. Health insurance rates. No insurance company organized as...
Section 27-19-31. - Certified counselors in mental health and therapists in marriage and family practice. - § 27-19-31. Certified counselors in mental health and therapists in...
Section 27-19-32. - Repealed. - § 27-19-32. Repealed. History of Section.P.L. 1994, ch. 301, §...
Section 27-19-32.1. - Repealed. - § 27-19-32.1. Repealed. History of Section.P.L. 1994, ch. 301, §...
Section 27-19-32.2. - Repealed. - § 27-19-32.2. Repealed. History of Section.P.L. 1994, ch. 301, §...
Section 27-19-32.3. - Repealed. - § 27-19-32.3. Repealed. History of Section.P.L. 1994, ch. 301, §...
Section 27-19-33. - Repealed. - § 27-19-33. Repealed.
Section 27-19-34. - Mastectomy treatment. - § 27-19-34. Mastectomy treatment. (a) All individual or group health...
Section 27-19-34.1. - Insurance coverage for mastectomy hospital stays. - § 27-19-34.1. Insurance coverage for mastectomy hospital stays. (a) The...
Section 27-19-35. - Diabetes treatment. - § 27-19-35. Diabetes treatment. (a) Every individual or group health...
Section 27-19-36. - Primary and preventive obstetric and gynecological care. - § 27-19-36. Primary and preventive obstetric and gynecological care. Any...
Section 27-19-36.1. - Hysterectomy or myomectomy treatment. - § 27-19-36.1. Hysterectomy or myomectomy treatment. Commencing January 1, 2023,...
Section 27-19-37. - Whistleblowers protection. - § 27-19-37. Whistleblowers protection. No nonprofit hospital service corporation pursuant...
Section 27-19-38. - Penalties and remedies. - § 27-19-38. Penalties and remedies. (a) Any person, firm, corporation,...
Section 27-19-39. - Additional relief and damages — Reinstatement. - § 27-19-39. Additional relief and damages — Reinstatement. (a) A...
Section 27-19-40. - Third-party reimbursement for services of certain healthcare workers. - § 27-19-40. Third-party reimbursement for services of certain healthcare workers....
Section 27-19-40.1. - Third party reimbursement for services of registered nurse first assistants. - § 27-19-40.1. Third party reimbursement for services of registered nurse...
Section 27-19-41. - Human leukocyte antigen testing. - § 27-19-41. Human leukocyte antigen testing. Every individual or group...
Section 27-19-42. - Drug coverage. - § 27-19-42. Drug coverage. (a) Any nonprofit hospital-service corporation that...
Section 27-19-43. - Restricted annual rate payments prohibited. - § 27-19-43. Restricted annual rate payments prohibited. (a) No corporation...
Section 27-19-44. - Genetic testing. - § 27-19-44. Genetic testing. (a) Except as provided in chapter...
Section 27-19-44.1. - Genetic information. - § 27-19-44.1. Genetic information. (a) Except as provided in chapter...
Section 27-19-45. - Repealed. - § 27-19-45. Repealed.
Section 27-19-46. - Magnetic resonance imaging — Quality assurance standards. - § 27-19-46. Magnetic resonance imaging — Quality assurance standards. (a)...
Section 27-19-47. - Acupuncture services. - § 27-19-47. Acupuncture services. (a) Every group health insurance contract,...
Section 27-19-48. - F.D.A. approved prescription contraceptive drugs and devices. - § 27-19-48. F.D.A. approved prescription contraceptive drugs and devices. (a)...
Section 27-19-49. - Prostate and colorectal examinations — Coverage mandated — The Maryellen Goodwin Colorectal Cancer Screening Act. - § 27-19-49. Prostate and colorectal examinations — Coverage mandated —...
Section 27-19-50. - Eligibility for children’s benefits. - § 27-19-50. Eligibility for children’s benefits. (a)(1) Every health benefit...
Section 27-19-51. - Hearing aids. - § 27-19-51. Hearing aids. (a)(1) Every individual or group health...
Section 27-19-52. - Prompt processing of claims. - § 27-19-52. Prompt processing of claims. (a) A health care...
Section 27-19-53. - Mandatory coverage for certain lyme disease treatments. - § 27-19-53. Mandatory coverage for certain lyme disease treatments. Every...
Section 27-19-54. - Dental insurance assignment of benefits. - § 27-19-54. Dental insurance assignment of benefits. Every entity providing...
Section 27-19-55. - Coverage for early intervention services. - § 27-19-55. Coverage for early intervention services. (a) Every individual...
Section 27-19-56. - Post-payment audits. - § 27-19-56. Post-payment audits. (a) Except as otherwise provided herein,...
Section 27-19-57. - Tobacco cessation programs. - § 27-19-57. Tobacco cessation programs. (a) Every individual or group...
Section 27-19-58. - Reimbursement for orthotics and prosthetic services. - § 27-19-58. Reimbursement for orthotics and prosthetic services. (a) As...
Section 27-19-59. - Mandatory coverage for scalp hair prosthesis. - § 27-19-59. Mandatory coverage for scalp hair prosthesis. (a) Every...
Section 27-19-60. - Licensed ambulance service. - § 27-19-60. Licensed ambulance service. (a) No individual or group...
Section 27-19-61. - Enteral nutrition products. - § 27-19-61. Enteral nutrition products. (a) Every individual or group...
Section 27-19-62. - Prohibition on rescission of coverage. - § 27-19-62. Prohibition on rescission of coverage. (a)(1) Coverage under...
Section 27-19-63. - Prohibition on annual and lifetime limits. - § 27-19-63. Prohibition on annual and lifetime limits. (a) Annual...
Section 27-19-64. - Coverage for individuals participating in approved clinical trials. - § 27-19-64. Coverage for individuals participating in approved clinical trials....
Section 27-19-65. - Medical loss ratio reporting and rebates. - § 27-19-65. Medical loss ratio reporting and rebates. (a) A...
Section 27-19-66. - Emergency services. - § 27-19-66. Emergency services. (a) As used in this section:...
Section 27-19-67. - Internal and external appeal of adverse benefit determinations. - § 27-19-67. Internal and external appeal of adverse benefit determinations....
Section 27-19-68. - Prohibition on preexisting condition exclusions. - § 27-19-68. Prohibition on preexisting condition exclusions. (a) A health...
Section 27-19-69. - Primary care provider designation requirement. - § 27-19-69. Primary care provider designation requirement. Every individual or...
Section 27-19-70. - Discretionary clauses. - § 27-19-70. Discretionary clauses. (a) No new or existing policy...
Section 27-19-71. - Orally administered anticancer medication — Cost-sharing requirement. - § 27-19-71. Orally administered anticancer medication — Cost-sharing requirement. (a)...
Section 27-19-72. - Consumer notification. - § 27-19-72. Consumer notification. Every nonprofit hospital service corporation providing...
Section 27-19-73. - Opioid antagonists. - § 27-19-73. Opioid antagonists. (a) Every individual or group health...
Section 27-19-74. - Healthcare provider credentialing. - § 27-19-74. Healthcare provider credentialing. (a) For applications received on...
Section 27-19-75. - Unfair discrimination prohibited. - § 27-19-75. Unfair discrimination prohibited. Notwithstanding any provision of any...
Section 27-19-76. - Health insurance contracts — Full year coverage for contraception. - § 27-19-76. Health insurance contracts — Full year coverage for...
Section 27-19-77. - Prohibition on discrimination in organ transplants. - § 27-19-77. Prohibition on discrimination in organ transplants. Pursuant to...
Section 27-19-78. - Health insurance contracts — Copayments exemption for COVID-19 vaccinations. - § 27-19-78. Health insurance contracts — Copayments exemption for COVID-19...
Section 27-19-79. - Perinatal doulas. - § 27-19-79. Perinatal doulas. (a) As used in this section,...
Section 27-19-80. - Gender rating. [Effective January 1, 2023.] - § 27-19-80. Gender rating. [Effective January 1, 2023.] (a) No...
Section 27-19-81. - Coverage for biomarker testing. - § 27-19-81. Coverage for biomarker testing. (a) As used in...
Section 27-19-82. - Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. [Expires December 31, 2025.] - § 27-19-82. Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric...