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Section 27-20-1. - Definitions. - § 27-20-1. Definitions. As used in this chapter: (1) “Adverse...
Section 27-20-1.1. - Applicability. - § 27-20-1.1. Applicability. This chapter shall apply to any nonprofit...
Section 27-20-2. - Organization as charitable corporation — Insurance laws inapplicable. - § 27-20-2. Organization as charitable corporation — Insurance laws inapplicable....
Section 27-20-3. - Qualifications of directors. - § 27-20-3. Qualifications of directors. A majority of the directors...
Section 27-20-4. - Approval of articles of association. - § 27-20-4. Approval of articles of association. No articles of...
Section 27-20-5. - Contracts with subscribers. - § 27-20-5. Contracts with subscribers. Each nonprofit medical service corporation...
Section 27-20-5.1. - Cancellation of coverage by employers. - § 27-20-5.1. Cancellation of coverage by employers. No employer shall...
Section 27-20-5.2. - Repealed. - § 27-20-5.2. Repealed.
Section 27-20-5.3. - Patient responsibility — Administrative requirements. - § 27-20-5.3. Patient responsibility — Administrative requirements. For health benefit...
Section 27-20-6. - Rates charged subscribers — Reserves — Hearing by commissioner. [Effective until January 1, 2023.] - § 27-20-6. Rates charged subscribers — Reserves — Hearing by...
Section 27-20-6.1. - Uniform explanation of benefits and coverage. - § 27-20-6.1. Uniform explanation of benefits and coverage. (a) A...
Section 27-20-6.2. - Filing of policy forms. - § 27-20-6.2. Filing of policy forms. (a) A nonprofit medical...
Section 27-20-7. - Relationship of physician and patient — Actions against corporation. - § 27-20-7. Relationship of physician and patient — Actions against...
Section 27-20-8. - Annual and quarterly statements. - § 27-20-8. Annual and quarterly statements. (a) Every nonprofit medical...
Section 27-20-9. - Examination of affairs of corporation. - § 27-20-9. Examination of affairs of corporation. It shall be...
Section 27-20-10. - Commission plans for solicitors or insurance producers. - § 27-20-10. Commission plans for solicitors or insurance producers. No...
Section 27-20-11. - Investment standards. - § 27-20-11. Investment standards. (a) All nonprofit medical service corporations...
Section 27-20-12. - Corporation deemed public charitable institution. - § 27-20-12. Corporation deemed public charitable institution. Every nonprofit medical...
Section 27-20-13. - Adoption of chapter by hospital service corporation. - § 27-20-13. Adoption of chapter by hospital service corporation. Any...
Section 27-20-14. - Coverage for adoptive children. - § 27-20-14. Coverage for adoptive children. Subscribers to any nonprofit...
Section 27-20-15. - Itemized bills for services rendered. - § 27-20-15. Itemized bills for services rendered. Upon completion of...
Section 27-20-16. - Changing coverage. - § 27-20-16. Changing coverage. No group health insurer subject to...
Section 27-20-17. - Mammograms and pap smears — Coverage mandated. - § 27-20-17. Mammograms and pap smears — Coverage mandated. (a)...
Section 27-20-17.1. - Insurance coverage for post-partum hospital stays. - § 27-20-17.1. Insurance coverage for post-partum hospital stays. (a) Every...
Section 27-20-18. - Mammograms — Quality assurance standards. - § 27-20-18. Mammograms — Quality assurance standards. A mammogram eligible...
Section 27-20-19. - Pap smears — Quality assurance standards. - § 27-20-19. Pap smears — Quality assurance standards. A pap...
Section 27-20-20. - Coverage for infertility. - § 27-20-20. Coverage for infertility. (a) Any nonprofit medical service...
Section 27-20-21. - Nonprofit medical service corporation assessment. - § 27-20-21. Nonprofit medical service corporation assessment. (a) Notwithstanding any...
Section 27-20-22. - Discontinuance of coverage — Chronic disabilities. - § 27-20-22. Discontinuance of coverage — Chronic disabilities. No nonprofit...
Section 27-20-23. - Drug coverage. - § 27-20-23. Drug coverage. No group health insurer subject to...
Section 27-20-23.1. - Medication synchronization. - § 27-20-23.1. Medication synchronization. (a) An individual or group health...
Section 27-20-23.2. - Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies. - § 27-20-23.2. Pharmacy benefit manager requirements with respect to multi-source...
Section 27-20-24. - Rehabilitation, liquidation, or conservation. - § 27-20-24. Rehabilitation, liquidation, or conservation. (a) Any rehabilitation, liquidation,...
Section 27-20-25. - Holding company systems. - § 27-20-25. Holding company systems. Except to the extent superseded...
Section 27-20-25.1. - No derogation of attorney general. - § 27-20-25.1. No derogation of attorney general. No provision of...
Section 27-20-25.2. - Health insurance rates. - § 27-20-25.2. Health insurance rates. No insurance company organized as...
Section 27-20-26. - Regulations. - § 27-20-26. Regulations. The director of the department of business...
Section 27-20-27. - New cancer therapies — Under investigation. [Repealed on effective date of § 27-20-64.] - § 27-20-27. New cancer therapies — Under investigation. [Repealed on...
Section 27-20-27.1. - “Reliable evidence” defined. [Repealed on effective date of § 27-20-64.] - § 27-20-27.1. “Reliable evidence” defined. [Repealed on effective date of...
Section 27-20-27.2. - Conditions of coverage. [Repealed on effective date of § 27-20-64.] - § 27-20-27.2. Conditions of coverage. [Repealed on effective date of...
Section 27-20-27.3. - Managed care. [Repealed on effective date of § 27-20-64.] - § 27-20-27.3. Managed care. [Repealed on effective date of §...
Section 27-20-28. - Repealed. - § 27-20-28. Repealed.
Section 27-20-29. - Mastectomy treatment. - § 27-20-29. Mastectomy treatment. (a) All individual or group health...
Section 27-20-29.1. - Insurance coverage for mastectomy hospital stays. - § 27-20-29.1. Insurance coverage for mastectomy hospital stays. (a) The...
Section 27-20-30. - Diabetes treatment. - § 27-20-30. Diabetes treatment. (a) Every individual or group health...
Section 27-20-31. - Primary and preventive obstetric and gynecological care. - § 27-20-31. Primary and preventive obstetric and gynecological care. Any...
Section 27-20-31.1. - Hysterectomy or myomectomy treatment. - § 27-20-31.1. Hysterectomy or myomectomy treatment. Commencing January 1, 2023,...
Section 27-20-32. - Whistleblowers protection. - § 27-20-32. Whistleblowers protection. No nonprofit medical service corporation pursuant...
Section 27-20-33. - Penalties and remedies. - § 27-20-33. Penalties and remedies. (a) Any person, firm, corporation,...
Section 27-20-34. - Additional relief and damages — Reinstatement. - § 27-20-34. Additional relief and damages — Reinstatement. (a) A...
Section 27-20-35. - Third-party reimbursement for services of certain healthcare workers. - § 27-20-35. Third-party reimbursement for services of certain healthcare workers....
Section 27-20-35.1. - Third party reimbursement for services of registered nurse first assistants. - § 27-20-35.1. Third party reimbursement for services of registered nurse...
Section 27-20-36. - Human leukocyte antigen testing. - § 27-20-36. Human leukocyte antigen testing. Every individual or group...
Section 27-20-37. - Drug coverage. - § 27-20-37. Drug coverage. (a) Any nonprofit medical-service corporation that...
Section 27-20-38. - Restricted annual rate payments prohibited. - § 27-20-38. Restricted annual rate payments prohibited. (a) No corporation...
Section 27-20-39. - Genetic testing. - § 27-20-39. Genetic testing. (a) Except as provided in chapter...
Section 27-20-39.1. - Genetic information. - § 27-20-39.1. Genetic information. (a) Except as provided in chapter...
Section 27-20-40. - Repealed. - § 27-20-40. Repealed.
Section 27-20-41. - Magnetic resonance imaging — Quality assurance standards. - § 27-20-41. Magnetic resonance imaging — Quality assurance standards. (a)...
Section 27-20-42. - Acupuncture services. - § 27-20-42. Acupuncture services. (a) Every group health insurance contract,...
Section 27-20-43. - F.D.A. approved prescription contraceptive drugs and devices. - § 27-20-43. F.D.A. approved prescription contraceptive drugs and devices. (a)...
Section 27-20-44. - Prostate and colorectal examinations — Coverage mandated — The Maryellen Goodwin Colorectal Cancer Screening Act. - § 27-20-44. Prostate and colorectal examinations — Coverage mandated —...
Section 27-20-45. - Eligibility for children’s benefits. - § 27-20-45. Eligibility for children’s benefits. (a)(1) Every health benefit...
Section 27-20-46. - Hearing aids. - § 27-20-46. Hearing aids. (a)(1) Every individual or group health...
Section 27-20-47. - Prompt processing of claims. - § 27-20-47. Prompt processing of claims. (a) A health care...
Section 27-20-48. - Mandatory coverage for certain lyme disease treatments. - § 27-20-48. Mandatory coverage for certain lyme disease treatments. Every...
Section 27-20-49. - Dental insurance assignment of benefits. - § 27-20-49. Dental insurance assignment of benefits. Every entity providing...
Section 27-20-50. - Coverage for early intervention services. - § 27-20-50. Coverage for early intervention services. (a) Every individual...
Section 27-20-51. - Post-payment audits. - § 27-20-51. Post-payment audits. (a) Except as otherwise provided herein,...
Section 27-20-52. - Reimbursement for orthotics and prosthetic services. - § 27-20-52. Reimbursement for orthotics and prosthetic services. (a) As...
Section 27-20-53. - Tobacco cessation programs. - § 27-20-53. Tobacco cessation programs. (a) Every individual or group...
Section 27-20-54. - Mandatory coverage for scalp hair prosthesis. - § 27-20-54. Mandatory coverage for scalp hair prosthesis. (a) Every...
Section 27-20-55. - Licensed ambulance service. - § 27-20-55. Licensed ambulance service. (a) No individual or group...
Section 27-20-56. - Enteral nutrition products. - § 27-20-56. Enteral nutrition products. (a) Every individual or group...
Section 27-20-57. - Prohibition on preexisting condition exclusions. - § 27-20-57. Prohibition on preexisting condition exclusions. (a) A health...
Section 27-20-58. - Prohibition on rescission of coverage. - § 27-20-58. Prohibition on rescission of coverage. (a)(1) Coverage under...
Section 27-20-59. - Annual and lifetime limits. - § 27-20-59. Annual and lifetime limits. (a) Annual limits. (1)...
Section 27-20-60. - Coverage for individuals participating in approved clinical trials. - § 27-20-60. Coverage for individuals participating in approved clinical trials....
Section 27-20-61. - Medical loss ratio reporting and rebates. - § 27-20-61. Medical loss ratio reporting and rebates. (a) A...
Section 27-20-62. - Emergency services. - § 27-20-62. Emergency services. (a) As used in this section:...
Section 27-20-63. - Internal and external appeal of adverse benefit determinations. - § 27-20-63. Internal and external appeal of adverse benefit determinations....
Section 27-20-64. - Reserved. - § 27-20-64. Reserved.
Section 27-20-65. - Primary care provider designation requirement. - § 27-20-65. Primary care provider designation requirement. Every individual or...
Section 27-20-66. - Discretionary clauses. - § 27-20-66. Discretionary clauses. (a) No new or existing policy...
Section 27-20-67. - Orally administered anticancer medication — Cost-sharing requirement. - § 27-20-67. Orally administered anticancer medication — Cost-sharing requirement. (a)...
Section 27-20-68. - Consumer notification. - § 27-20-68. Consumer notification. Every nonprofit medical service corporation providing...
Section 27-20-69. - Opioid antagonists. - § 27-20-69. Opioid antagonists. (a) Every individual or group health...
Section 27-20-70. - Healthcare provider credentialing. - § 27-20-70. Healthcare provider credentialing. (a) For applications received on...
Section 27-20-71. - Unfair discrimination prohibited. - § 27-20-71. Unfair discrimination prohibited. Notwithstanding any provision of any...
Section 27-20-72. - Health insurance contracts — Full year coverage for contraception. - § 27-20-72. Health insurance contracts — Full year coverage for...
Section 27-20-73. - Prohibition on discrimination in organ transplants. - § 27-20-73. Prohibition on discrimination in organ transplants. Pursuant to...
Section 27-20-74. - Health insurance contracts — Copayments exemption for COVID-19 vaccinations. - § 27-20-74. Health insurance contracts — Copayments exemption for COVID-19...
Section 27-20-75. - Perinatal doulas. - § 27-20-75. Perinatal doulas. (a) As used in this section,...
Section 27-20-76. - Gender rating. [Effective January 1, 2023.] - § 27-20-76. Gender rating. [Effective January 1, 2023.] (a) No...
Section 27-20-77. - Coverage for biomarker testing. - § 27-20-77. Coverage for biomarker testing. (a) As used in...
Section 27-20-78. - Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. [Expires December 31, 2025.] - § 27-20-78. Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric...