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Section 58-18B-1 - Definition of terms. - 58-18B-1. Definition of terms. Terms used in this chapter mean:...
Section 58-18B-2 - Chapter applicable to small employer benefit plans. - 58-18B-2. Chapter applicable to small employer benefit plans. This chapter...
Section 58-18B-3 - Regulations on premium rates. - 58-18B-3. Regulations on premium rates. Premium rates for health benefit...
Section 58-18B-3.1 - Base rate increase to be filed with director--Approval or disapproval. - 58-18B-3.1. Base rate increase to be filed with director--Approval or...
Section 58-18B-6 - Disclosure in solicitation and sales materials. - 58-18B-6. Disclosure in solicitation and sales materials. Each small employer...
Section 58-18B-7 - Information and documentation required--Disclosure. - 58-18B-7. Information and documentation required--Disclosure. Each small employer carrier shall...
Section 58-18B-8 - Suspension of rate requirements. - 58-18B-8. Suspension of rate requirements. The director may suspend all...
Section 58-18B-9 - Application of chapter. - 58-18B-9. Application of chapter. The provisions of this chapter apply...
Section 58-18B-11 - Health maintenance organization considered separate carrier. - 58-18B-11. Health maintenance organization considered separate carrier. An affiliated carrier...
Section 58-18B-12 - Ceding arrangements resulting in less than fifty percent of obligation or risk retained by carrier prohibited. - 58-18B-12. Ceding arrangements resulting in less than fifty percent of...
Section 58-18B-13 - Transition period when acquiring additional class of business. - 58-18B-13. Transition period when acquiring additional class of business. The...
Section 58-18B-14 - Rate changes only for small employer business. - 58-18B-14. Rate changes only for small employer business. Unless otherwise...
Section 58-18B-15 - Provisions for premium rates. - 58-18B-15. Provisions for premium rates. Premium rates for health benefit...
Section 58-18B-17 - Limit on premium rates. - 58-18B-17. Limit on premium rates. The premium rates for an...
Section 58-18B-18 - Promulgation of rules for rating practices. - 58-18B-18. Promulgation of rules for rating practices. The director may...
Section 58-18B-20 - Small employer carrier to issue plan to any small employer--Criteria--Exceptions--Two percent earned premium threshold. - 58-18B-20. Small employer carrier to issue plan to any small...
Section 58-18B-23 - Uniform application of requirements used to determine eligibility of employers. - 58-18B-23. Uniform application of requirements used to determine eligibility of...
Section 58-18B-24 - Application of minimum participation and minimum employer contribution requirements. - 58-18B-24. Application of minimum participation and minimum employer contribution requirements....
Section 58-18B-25 - Considerations in applying minimum participation requirements--Premium discounts. - 58-18B-25. Considerations in applying minimum participation requirements--Premium discounts. In applying...
Section 58-18B-26 - Increase in minimum requirements for employee participation or employer contribution prohibited after acceptance for coverage. - 58-18B-26. Increase in minimum requirements for employee participation or employer...
Section 58-18B-27 - Modification to exclude certain diseases prohibited. - 58-18B-27. Modification to exclude certain diseases prohibited. No small employer...
Section 58-18B-27.1 - Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony. - 58-18B-27.1. Exclusion of benefits for injury while under the influence...
Section 58-18B-28 - Requirements lifted from small employer carrier in financially impaired condition. - 58-18B-28. Requirements lifted from small employer carrier in financially impaired...
Section 58-18B-35 - Director to promulgate rules regulating sale of multiple employer trusts and welfare arrangements--Scope of rules. - 58-18B-35. Director to promulgate rules regulating sale of multiple employer...
Section 58-18B-36 - Rules governing implementation and administration of this chapter. - 58-18B-36. Rules governing implementation and administration of this chapter. The...
Section 58-18B-37 - Marketing health benefit plans--Denial of coverage to employer. - 58-18B-37. Marketing health benefit plans--Denial of coverage to employer. Each...
Section 58-18B-38 - Prohibited activities of small employer carriers or insurance producers. - 58-18B-38. Prohibited activities of small employer carriers or insurance producers....
Section 58-18B-39 - Information regarding restricted network provision of carrier. - 58-18B-39. Information regarding restricted network provision of carrier. The provisions...
Section 58-18B-40 - Agent compensation based on characteristics of small employer prohibited--Commission on sale of health insurance plan through exchange. - 58-18B-40. Agent compensation based on characteristics of small employer prohibited--Commission...
Section 58-18B-41 - Compensation of insurance producer based on percentage of premium. - 58-18B-41. Compensation of insurance producer based on percentage of premium....
Section 58-18B-43 - Status of insurance producer's employment may not be affected by health status, claims experience, occupation, or location of small employer placed with carrier. - 58-18B-43. Status of insurance producer's employment may not be affected...
Section 58-18B-44 - Carrier or agent not to induce or encourage employer to exclude employee from coverage. - 58-18B-44. Carrier or agent not to induce or encourage employer...
Section 58-18B-45 - Reasons for denial of coverage to be in writing. - 58-18B-45. Reasons for denial of coverage to be in writing....
Section 58-18B-46 - Rules for additional standards for fair marketing and broad availability of benefit plans to small employers--Penalties. - 58-18B-46. Rules for additional standards for fair marketing and broad...
Section 58-18B-47 - Third-party administrator treated as small employer carrier. - 58-18B-47. Third-party administrator treated as small employer carrier. If a...
Section 58-18B-48 - Chapter not applicable to certain group health insurance plans. - 58-18B-48. Chapter not applicable to certain group health insurance plans....
Section 58-18B-49 - Establishing risk adjusters. - 58-18B-49. Establishing risk adjusters. The director may establish a payment...
Section 58-18B-50 - Minimum inpatient care coverage following delivery. - 58-18B-50. Minimum inpatient care coverage following delivery. If a health...
Section 58-18B-51 - Shorter hospital stay permitted--Follow-up visit within forty-eight hours required. - 58-18B-51. Shorter hospital stay permitted--Follow-up visit within forty-eight hours required....
Section 58-18B-52 - Notice to employees--Disclosures. - 58-18B-52. Notice to employees--Disclosures. The small employer carrier shall provide...
Section 58-18B-53 - Health insurance policies to provide coverage for biologically-based mental illnesses. - 58-18B-53. Health insurance policies to provide coverage for biologically-based mental...
Section 58-18B-54 - Application--Exemptions. - 58-18B-54. Application--Exemptions. The provisions of ยง58-18B-53 do not apply to...
Section 58-18B-55 - Supplemental or short term individual health benefit plans exempt from provisions of chapter--Conditions. - 58-18B-55. Supplemental or short term individual health benefit plans exempt...
Section 58-18B-56 - Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations. - 58-18B-56. Policies to provide coverage for diabetes supplies, equipment and...
Section 58-18B-57 - Diabetes coverage not required of certain plans. - 58-18B-57. Diabetes coverage not required of certain plans. The provisions...
Section 58-18B-58 - Health benefit plans to provide coverage for prostate cancer screening. - 58-18B-58. Health benefit plans to provide coverage for prostate cancer...
Section 58-18B-60 - Coverage for treatment of hearing impairment for persons under age nineteen. - 58-18B-60. Coverage for treatment of hearing impairment for persons under...