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§33-16-1. Scope of Article - (a) Nothing in this article shall apply to or affect...
§33-16-1a. Definitions - As used in this article: (a) "Bona fide association" means...
§33-16-1b. Applicability - (a) The provisions of this article which generally require policies...
§33-16-2. Eligible Groups - Any insurer licensed to transact accident and sickness insurance in...
§33-16-3. Required Policy Provisions - Each such policy hereafter delivered or issued for delivery in...
§33-16-3a. Same-Mental Health - [Repealed.]
§33-16-3aa. Step Therapy - (a) As used in this article: (1) “Health benefit plan”...
§33-16-3b. Home Health Care Coverage - (a) Any insurer who, on or after January 1, 1981,...
§33-16-3bb. Coverage for Amino Acid-Based Formulas - (a) A policy, plan, or contract that is issued or...
§33-16-3c. Loss Ratio - If an insurer considers a loss ratio at the time...
§33-16-3cc. Substance Use Disorder - (a) As used in this section, the following words have...
§33-16-3d. Medicare Supplement Insurance - (a) Definitions. -- (1) "Applicant" means, in the case of...
§33-16-3dd. Prior Authorization - (a) As used in this section, the following words and...
§33-16-3e. Policies to Cover Nursing Services - (a) Any insurer who, on or after January 1, 1984,...
§33-16-3ee. Fairness in Cost-Sharing Calculation - (a) As used in this section: "Cost sharing" means any...
§33-16-3f. Required Policy Provisions -- Treatment of Temporomandibular Joint Disorder and Craniomandibular Disorder - (a) The Legislature hereby finds that there is a need...
§33-16-3ff. Mental Health Parity - (a) As used in this section, the following words and...
§33-16-3g. Third Party Reimbursement for Mammography, Pap Smear or Human Papilloma Virus Testing - Notwithstanding any provision of any policy, provision, contract, plan or...
§33-16-3gg. Incorporation of the Health Benefit Plan Network Access and Adequacy Act - The provisions of the Health Benefit Plan Network Access and...
§33-16-3h. Third Party Reimbursement for Rehabilitation Services - (a) Notwithstanding any provision of any policy, provision, contract, plan...
§33-16-3hh. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs - The provision requiring coverage for 12-month refill for contraceptive drugs...
§33-16-3i. Coverage of Emergency Services - (a) Notwithstanding any provision of any policy, provision, contract, plan...
§33-16-3j. Hospital Benefits for Mothers and Newborns - (a) Nothing in this section shall be construed to require...
§33-16-3k. Limitations on Preexisting Condition Exclusions for Health Benefit Plans - (a) (1) For plan years beginning after June 30, 1997,...
§33-16-3l. Renewability and Modification of Health Benefit Plans - (a) A health insurer may refuse to renew a health...
§33-16-3m. Creditable Coverage - (a)(1) A health insurer shall certify an enrollee's creditable coverage...
§33-16-3n. Eligibility for Enrollment - (a) Notwithstanding any provision of any policy, provision, contract, plan...
§33-16-3o. Third Party Reimbursement for Colorectal Cancer Examination and Laboratory Testing - (a) Notwithstanding any provision of any policy, provision, contract, plan...
§33-16-3p. Required Coverage for Reconstruction Surgery Following Mastectomies - (a) Any policy of insurance described in this article which...
§33-16-3q. Required Use of Mail-Order Pharmacy Prohibited - (a) An insurer issuing group accident and sickness policies in...
§33-16-3r. Coverage for Patient Cost of Clinical Trials - The provisions relating to clinical trials established in article twenty-five-f...
§33-16-3s. Third-Party Reimbursement for Kidney Disease Screening - (a) Notwithstanding any provision of any policy, provision, contract, plan...
§33-16-3t. Required Coverage for Dental Anesthesia Services - (a) Notwithstanding any provision of any policy, provision, contract, plan...
§33-16-3u. Special Enrollment Period Under the American Recovery and Reinvestment Act of 2009 - (a) The Legislature finds that recent attempts to assist unemployed...
§33-16-3v. Required Coverage for Treatment of Autism Spectrum Disorders - (a) Any insurer who, on or after January 1, 2012,...
§33-16-3w. Maternity Coverage - Notwithstanding any provision of any policy, provision, contract, plan or...
§33-16-3x. Deductibles, Copayments and Coinsurance for Anti-Cancer Medications - (a) Any group accident and sickness insurance policy issued by...
§33-16-3y. Eye Drop Prescription Refills - An insurance policy issued by an insurer pursuant to this...
§33-16-3z. Deductibles, Copayments and Coinsurance for Abuse-Deterrent Opioid Analgesic Drugs - (a) As used in this section: (1) “Abuse-deterrent opioid analgesic...
§33-16-3zz. Lyme Disease to Be Covered by All Health Insurance Policies - Any insurer who, on or after January 1, 2019, delivers...
§33-16-4. Size of Type - Every printed portion of every such policy shall be plainly...
§33-16-5. Contingencies for Which Benefits or Reimbursement of Expenses Permitted - Any such policy may provide, in addition to such other...
§33-16-6. Rider Changing Individual Policy to Group Policy Prohibited - No endorsement or rider shall hereafter be used in this...
§33-16-7. Hospital Indemnity Policies Not to Exclude Coverage for Confinement in Government Hospital - No policy providing hospital indemnity coverage may exclude coverage because...
§33-16-8. Continuum of Care Services - Any insurer which, on or after July 1, 1986, delivers...
§33-16-9. Policies Not to Terminate Coverage Because of Diagnosis or Treatment of Acquired Immune Deficiency Syndrome - No insurer may cancel or nonrenew the accident and sickness...
§33-16-10. Policies Discriminating Among Health Care Providers - Notwithstanding any other provisions of law, when any health insurance...
§33-16-11. Group Policies Not to Exclude Insured's Children From Coverage; Required Services; Coordination With Other Insurance - (a) An insurer issuing group accident and sickness policies in...
§33-16-12. Child Immunization Services Coverage - All policies issued pursuant to this article shall cover the...
§33-16-13. Equal Treatment of State Agency - An insurer may not impose requirements on a state agency,...
§33-16-14. Coordination of Benefits With Medicaid - Any health insurer, including a group health plan, as defined...
§33-16-15. Individual Medical Savings Accounts; Definitions; Ownership; Contributions; Trustees; Regulations - (a) Any insurer issuing group accident and sickness policies in...
§33-16-16. Insurance for Diabetics - [Repealed.]
§33-16-17. Commissioner to Propose Rules - Pursuant to chapter twenty-nine-a of this code, the commissioner shall...
§33-16-18. Assignment of Certain Benefits in Dental Care Insurance Coverage - (a) Any entity regulated under this article that provides dental...