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Section 58-18-1 - "Group health insurance" defined. - 58-18-1. Group health insurance defined. Group health insurance is that...
Section 58-18-2 - Employee group insurance authorized--"Employees" defined. - 58-18-2. Employee group insurance authorized--Employees defined. Group health insurance may...
Section 58-18-3 - Employer association group health insurance authorized--Employees defined. - 58-18-3. Employer association group health insurance authorized--Employees defined. Group health...
Section 58-18-4 - Industry fund group insurance authorized--"Employees" defined. - 58-18-4. Industry fund group insurance authorized--Employees defined. Group health insurance...
Section 58-18-4.1 - Restrictions on issuance of group health insurance policy to association. - 58-18-4.1. Restrictions on issuance of group health insurance policy to...
Section 58-18-4.2 - Required duration of participation by employer member in association plan. - 58-18-4.2. Required duration of participation by employer member in association...
Section 58-18-4.3 - Association plan covering state residents to comply with state law. - 58-18-4.3. Association plan covering state residents to comply with state...
Section 58-18-4.4 - Requirements for insurer offering fully insured health benefit plan through association. - 58-18-4.4. Requirements for insurer offering fully insured health benefit plan...
Section 58-18-5 - Issuance to person or organization to which group life insurance policy may be issued. - 58-18-5. Issuance to person or organization to which group life...
Section 58-18-6 - Issuance to cover similar group subject to discretion of director. - 58-18-6. Issuance to cover similar group subject to discretion of...
Section 58-18-6.1 - Coverage of proprietors, partners and executive corporate officer employees. - 58-18-6.1. Coverage of proprietors, partners and executive corporate officer employees....
Section 58-18-7 - Continuation without evidence of insurability--Application. - 58-18-7. Continuation without evidence of insurability--Application. Any group health policy...
Section 58-18-7.1 - Coverage for inpatient treatment of alcoholism to be offered in group policies--Treatment within state included. - 58-18-7.1. Coverage for inpatient treatment of alcoholism to be offered...
Section 58-18-7.2 - Benefits provided under alcoholism coverage--Maximum treatment periods permitted. - 58-18-7.2. Benefits provided under alcoholism coverage--Maximum treatment periods permitted. The...
Section 58-18-7.3 - Policies not within alcoholism coverage requirement. - 58-18-7.3. Policies not within alcoholism coverage requirement. Sections 58-18-7.1 and...
Section 58-18-7.4 - Coverage upon application by employee or beneficiary with right to convert following notice of termination. - 58-18-7.4. Coverage upon application by employee or beneficiary with right...
Section 58-18-7.5 - Continuation of coverage upon leaving employment or termination of coverage by insurer--Duration. - 58-18-7.5. Continuation of coverage upon leaving employment or termination of...
Section 58-18-7.11 - Continuation or conversion policy not required under certain circumstances. - 58-18-7.11. Continuation or conversion policy not required under certain circumstances....
Section 58-18-7.12 - Conditions for continuation. - 58-18-7.12. Conditions for continuation. Subject to the conditions set forth...
Section 58-18-7.13 - Premium for conversion policy and continuation policy. - 58-18-7.13. Premium for conversion policy and continuation policy. The premium...
Section 58-18-7.14 - Notification of continuation and conversion rights. - 58-18-7.14. Notification of continuation and conversion rights. A notification of...
Section 58-18-7.15 - Group insurance coverage in lieu of converted individual policies. - 58-18-7.15. Group insurance coverage in lieu of converted individual policies....
Section 58-18-7.17 - Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony. - 58-18-7.17. Exclusion of benefits for injury while under the influence...
Section 58-18-7.18 - Continuation coverage to be same as that available to similarly situated beneficiaries--Option to decrease benefits. - 58-18-7.18. Continuation coverage to be same as that available to...
Section 58-18-7.19 - Probationary period for continuation or conversion coverage prohibited. - 58-18-7.19. Probationary period for continuation or conversion coverage prohibited. No...
Section 58-18-7.20 - Construction with chapter 58-18C. - 58-18-7.20. Construction with chapter 58-18C. Nothing in §§58-18-7.4, 58-18-7.5, 58-18-7.11,...
Section 58-18-7.21 - Continued coverage--Insurer's use of experience for rating purposes not limited--Options unavailable in market not required. - 58-18-7.21. Continued coverage--Insurer's use of experience for rating purposes not...
Section 58-18-8 - Representations by applicant not warranties--Written statement required to avoid insurance or reduce benefits. - 58-18-8. Representations by applicant not warranties--Written statement required to avoid...
Section 58-18-9 - Summary statement of coverage for delivery to member of insured group. - 58-18-9. Summary statement of coverage for delivery to member of...
Section 58-18-10 - Additions to group originally insured. - 58-18-10. Additions to group originally insured. Each such group health...
Section 58-18-11 - Direct payment for hospital, medical, or surgical services--Option of insurer. - 58-18-11. Direct payment for hospital, medical, or surgical services--Option of...
Section 58-18-11.1 - Reduction of benefits because of increase in statutory disability benefits prohibited. - 58-18-11.1. Reduction of benefits because of increase in statutory disability...
Section 58-18-12 - "Blanket health insurance" defined. - 58-18-12. Blanket health insurance defined. Blanket health insurance is hereby...
Section 58-18-13 - Blanket health insurance for passengers on common carrier. - 58-18-13. Blanket health insurance for passengers on common carrier. Blanket...
Section 58-18-14 - Blanket health insurance for employees, dependents, or guests with reference to hazardous activities. - 58-18-14. Blanket health insurance for employees, dependents, or guests with...
Section 58-18-15 - Blanket health insurance for institutions of learning, camps, or sponsors. - 58-18-15. Blanket health insurance for institutions of learning, camps, or...
Section 58-18-16 - Blanket health insurance for religious, charitable, recreational, educational, or civic organizations. - 58-18-16. Blanket health insurance for religious, charitable, recreational, educational, or...
Section 58-18-17 - Blanket health insurance for sports team or sponsors. - 58-18-17. Blanket health insurance for sports team or sponsors. Blanket...
Section 58-18-18 - Blanket health insurance for volunteer group or agency. - 58-18-18. Blanket health insurance for volunteer group or agency. Blanket...
Section 58-18-19 - Blanket health insurance for other risks approved by director. - 58-18-19. Blanket health insurance for other risks approved by director....
Section 58-18-20 - Authority to issue blanket health insurance--Filing of copy of form--Required provisions. - 58-18-20. Authority to issue blanket health insurance--Filing of copy of...
Section 58-18-21 - Policy and application constitute entire contract--Statements by policyholder not warranties--Written statement required for use in defense of claim. - 58-18-21. Policy and application constitute entire contract--Statements by policyholder not...
Section 58-18-22 - Sickness or injury--Provision for notice to insurer. - 58-18-22. Sickness or injury--Provision for notice to insurer. Subject to...
Section 58-18-23 - Forms for filing proof of loss--Failure of insurer to furnish, submission of written proof. - 58-18-23. Forms for filing proof of loss--Failure of insurer to...
Section 58-18-24 - Claim for loss of time--Time for furnishing proof of loss--Notice of continuance of disability. - 58-18-24. Claim for loss of time--Time for furnishing proof of...
Section 58-18-25 - Time for payment of benefits. - 58-18-25. Time for payment of benefits. Subject to §58-18-20, every...
Section 58-18-26 - Physical examination of insured--Autopsy in death claims. - 58-18-26. Physical examination of insured--Autopsy in death claims. Subject to...
Section 58-18-27 - Time for commencement of action to recover under policy. - 58-18-27. Time for commencement of action to recover under policy....
Section 58-18-28 - Individual application and certificate not required under blanket policy. - 58-18-28. Individual application and certificate not required under blanket policy....
Section 58-18-29 - Persons to whom benefits payable under blanket health policy. - 58-18-29. Persons to whom benefits payable under blanket health policy....
Section 58-18-30 - Chapter inapplicable to prior policies. - 58-18-30. Chapter inapplicable to prior policies. The provisions of this...
Section 58-18-31 - Continuation of coverage for child with intellectual or physical disability--Proof of dependency. - 58-18-31. Continuation of coverage for child with intellectual or physical...
Section 58-18-31.1 - Dependent coverage termination--Age--Full-time student. - 58-18-31.1. Dependent coverage termination--Age--Full-time student. No insurer or health carrier...
Section 58-18-32 - Family coverage to include newborn and newly adopted children. - 58-18-32. Family coverage to include newborn and newly adopted children....
Section 58-18-33 - Premature birth, congenital defects, and birth abnormalities covered--Applicability. - 58-18-33. Premature birth, congenital defects, and birth abnormalities covered--Applicability. The...
Section 58-18-34 - Notice of birth or adoption required for continued coverage. - 58-18-34. Notice of birth or adoption required for continued coverage....
Section 58-18-35 - Notice required for rate increase by group health insurance company. - 58-18-35. Notice required for rate increase by group health insurance...
Section 58-18-36 - Grandfathered plans required to cover low-dose mammography--Extent of coverage. - 58-18-36. Grandfathered plans required to cover low-dose mammography--Extent of coverage....
Section 58-18-36.1 - Policies required to cover occult breast cancer screening. - 58-18-36.1.Policies required to cover occult breast cancer screening. Each group...
Section 58-18-37 - Freedom of choice for pharmacy services. - 58-18-37. Freedom of choice for pharmacy services. No policy of...
Section 58-18-38 - Annual period of enrollment for licensed pharmacies--Actual notice of enrollment period not required. - 58-18-38. Annual period of enrollment for licensed pharmacies--Actual notice of...
Section 58-18-39 - Provisions denying choice for pharmacy services as void. - 58-18-39. Provisions denying choice for pharmacy services as void. Any...
Section 58-18-40 - Enforcement of provisions permitting choice for pharmacy services. - 58-18-40. Enforcement of provisions permitting choice for pharmacy services. The...
Section 58-18-41 - Coverage for phenylketonuria. - 58-18-41. Coverage for phenylketonuria. Every group health insurance policy that...
Section 58-18-42 - "Health benefit plan" defined. - 58-18-42. Health benefit plan defined. For the purposes of this...
Section 58-18-43 - "Late enrollee" defined. - 58-18-43. Late enrollee determined. For the purposes of this chapter,...
Section 58-18-44 - "Creditable coverage" defined. - 58-18-44. Creditable coverage determined. For the purposes of this chapter,...
Section 58-18-45 - Preexisting conditions--Limitation of waiting periods. - 58-18-45. Preexisting conditions--Limitation of waiting periods. Any health carrier providing...
Section 58-18-45.1 - (Text of section effective until the first plan year, policy year, or renewal date on or after January 1, 2019) Anesthesia and hospitalization for dental care to be provided certain covered persons. - 58-18-45.1.(Text of section effective until the first plan year, policy...
Section 58-18-46 - Renewability of health benefit plans--Employer's election--Exceptions. - 58-18-46. Renewability of health benefit plans--Employer's election--Exceptions. Except as provided...
Section 58-18-47 - Nonrenewal of health benefit plans by an employer carrier. - 58-18-47. Nonrenewal of health benefit plans by an employer carrier....
Section 58-18-48 - Acceptance of new employees for coverage under employer's existing health benefit plan. - 58-18-48. Acceptance of new employees for coverage under employer's existing...
Section 58-18-49 - Carrier's offer of coverage to employer--Coverage of all eligible employees. - 58-18-49. Carrier's offer of coverage to employer--Coverage of all eligible...
Section 58-18-51.1 - Application of §§ 58-18-42 to 58-18-49, inclusive. - 58-18-51.1. Application of §§58-18-42 to 58-18-49, inclusive. The provisions of...
Section 58-18-52 - Formation of voluntary health insurance purchasing organizations. - 58-18-52. Formation of voluntary health insurance purchasing organizations. Notwithstanding the...
Section 58-18-52.1 - Political subdivisions permitted to join with health insurance purchasing organizations. - 58-18-52.1. Political subdivisions permitted to join with health insurance purchasing...
Section 58-18-53 - Membership of voluntary health insurance purchasing organizations. - 58-18-53. Membership of voluntary health insurance purchasing organizations. Any organization...
Section 58-18-54 - Purchasing organization's responsibility for negotiating terms and conditions. - 58-18-54. Purchasing organization's responsibility for negotiating terms and conditions. The...
Section 58-18-55 - Purchasing organization's notice of premium charge. - 58-18-55. Purchasing organization's notice of premium charge. The organization may...
Section 58-18-56 - Additional chapters applicable to purchasing organization. - 58-18-56. Additional chapters applicable to purchasing organization. Any organization is...
Section 58-18-57 - Approval of purchasing organization by Division of Insurance. - 58-18-57. Approval of purchasing organization by Division of Insurance. Any...
Section 58-18-58 - Premiums held in trust by purchasing organization. - 58-18-58. Premiums held in trust by purchasing organization. The organization...
Section 58-18-59 - Rates for group health insurance issued to purchasing organizations. - 58-18-59. Rates for group health insurance issued to purchasing organizations....
Section 58-18-60 - Reasonable participation requirements for group members of purchasing organizations. - 58-18-60. Reasonable participation requirements for group members of purchasing organizations....
Section 58-18-61 - Purchasing organizations exempt from antitrust provisions. - 58-18-61. Purchasing organizations exempt from antitrust provisions. Any organization formed...
Section 58-18-62 - Promulgation of rules for purchasing organizations. - 58-18-62. Promulgation of rules for purchasing organizations. The director may...
Section 58-18-63 - Minimum loss ratio for employer health benefit plans--Application of section. - 58-18-63. Minimum loss ratio for employer health benefit plans--Application of...
Section 58-18-76 - Minimum inpatient care coverage following delivery. - 58-18-76. Minimum inpatient care coverage following delivery. If a group...
Section 58-18-77 - Shorter hospital stay permitted--Follow-up within forty-eight hours required. - 58-18-77. Shorter hospital stay permitted--Follow-up within forty-eight hours required. If...
Section 58-18-78 - Notice to employees or members--Disclosures. - 58-18-78. Notice to employees or members--Disclosures. The group health insurer...
Section 58-18-79 - Promulgation of rules to minimally meet federal standards--Additional rules--Scope. - 58-18-79. Promulgation of rules to minimally meet federal standards--Additional rules--Scope....
Section 58-18-80 - Health insurance policies to provide coverage for biologically-based mental illnesses. - 58-18-80. Health insurance policies to provide coverage for biologically-based mental...
Section 58-18-81 - Application--Exemptions. - 58-18-81. Application--Exemptions. The provisions of §58-18-80 do not apply to...
Section 58-18-82 - Carrier to provide annual report--Time frame--Information. - 58-18-82. Carrier to provide annual report--Time frame--Information. Any carrier who...
Section 58-18-83 - Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations. - 58-18-83. Policies to provide coverage for diabetes supplies, equipment and...
Section 58-18-84 - Diabetes coverage not required of certain plans and policies. - 58-18-84. Diabetes coverage not required of certain plans and policies....
Section 58-18-85 - Policies to provide coverage for prostate cancer screening. - 58-18-85. Policies to provide coverage for prostate cancer screening. Every...
Section 58-18-86 - Plans subject to § 58-18-45--Exceptions. - 58-18-86. Plans subject to §58-18-45--Exceptions. Any accident and sickness plan...
Section 58-18-87 - Director to promulgate rules governing use of genetic information. - 58-18-87. Director to promulgate rules governing use of genetic information....
Section 58-18-88 - Authorization of self-funded multiple employer trust sponsored by association--Conditions. - 58-18-88. Authorization of self-funded multiple employer trust sponsored by association--Conditions....
Section 58-18-88.1 - Request for waiver by association formed in another state. - 58-18-88.1. Request for waiver by association formed in another state....
Section 58-18-89 - Promulgation of rules pertaining to multiple employer trusts. - 58-18-89. Promulgation of rules pertaining to multiple employer trusts. The...
Section 58-18-90 - Multiple employer trust not insurance company or association or subject to specified provisions--Exception. - 58-18-90. Multiple employer trust not insurance company or association or...
Section 58-18-91 - Suspension or revocation of authorization of multiple employer trust--Action in lieu of suspension or revocation. - 58-18-91. Suspension or revocation of authorization of multiple employer trust--Action...
Section 58-18-92 - Payment of premium taxes. - 58-18-92. Payment of premium taxes. If not otherwise provided, a...
Section 58-18-93 - Agent licensing requirements. - 58-18-93. Agent licensing requirements. No agent may sell, solicit, or...
Section 58-18-94 - Application of provisions regarding multiple employer trusts--Inclusion of large and small employers. - 58-18-94. Application of provisions regarding multiple employer trusts--Inclusion of large...
Section 58-18-95 - Coverage for treatment of hearing impairment for persons under age nineteen. - 58-18-95. Coverage for treatment of hearing impairment for persons under...