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Section 1579.101. Plans of Group Coverages - Sec. 1579.101. PLANS OF GROUP COVERAGES. (a) The trustee by...
Section 1579.102. Catastrophic Care Coverage Plan - Sec. 1579.102. CATASTROPHIC CARE COVERAGE PLAN. The coverage provided under...
Section 1579.104. Optional Coverages - Sec. 1579.104. OPTIONAL COVERAGES. The trustee may not offer optional...
Section 1579.1045. Alternative Group Health Coverage Prohibited - Sec. 1579.1045. ALTERNATIVE GROUP HEALTH COVERAGE PROHIBITED. Notwithstanding any other...
Section 1579.105. Preexisting Condition Limitation - Sec. 1579.105. PREEXISTING CONDITION LIMITATION. During the initial period of...
Section 1579.106. Prior Authorization for Certain Drugs - Sec. 1579.106. PRIOR AUTHORIZATION FOR CERTAIN DRUGS. (a) In this...
Section 1579.1061. Exemption From Preauthorization Requirements for Physicians and Health Care Providers Providing Certain Health Care Services - Sec. 1579.1061. EXEMPTION FROM PREAUTHORIZATION REQUIREMENTS FOR PHYSICIANS AND HEALTH...
Section 1579.107. Disease Management Services - Sec. 1579.107. DISEASE MANAGEMENT SERVICES. (a) In this section, "disease...
Section 1579.108. Limitations - Sec. 1579.108. LIMITATIONS. The trustee may not contract for or...
Section 1579.109. Emergency Care Payments - Sec. 1579.109. EMERGENCY CARE PAYMENTS. (a) In this section, "emergency...
Section 1579.110. Out-of-Network Facility-Based Provider Payments - Sec. 1579.110. OUT-OF-NETWORK FACILITY-BASED PROVIDER PAYMENTS. (a) In this section,...
Section 1579.111. Out-of-Network Diagnostic Imaging Provider or Laboratory Service Provider Payments - Sec. 1579.111. OUT-OF-NETWORK DIAGNOSTIC IMAGING PROVIDER OR LABORATORY SERVICE PROVIDER...