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PART I
TITLE XXII
CHAPTER 176A
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PART I
ADMINISTRATION OF THE GOVERNMENT
(Chapters 1 through 182)
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TITLE XXII
CORPORATIONS
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CHAPTER 176A
NON-PROFIT HOSPITAL SERVICE CORPORATIONS
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Section 1
Corporations governed by chapter; services received in nonparticipating hospital; substitution of benefits in nursing homes
Section 1A
Right to become subscriber; open enrollment periods
Section 1B
Medicare supplemental group coverage; medical assistance recipients
Section 1C
Retroactive premium rate increase
Section 1D
Contracts of reinsurance
Section 2
Incorporators; directors; certificate of organization; commissioner’s examination report
Section 3
Certificate of compliance; examination by commissioner
Section 3A
Discrimination against abuse victims in terms of hospital service plans
Section 3B
Medical service plans; genetic tests; discrimination based on genetic information
Section 4
Accounting system; accountant, claim manager, underwriter and actuary
Section 5
Joint administration with certain corporations
Section 6
Approval of nongroup contracts
Section 7
Information gathering authority of commissioner
Section 8
Conditions to issuance or delivery of contract
Section 81/2
Sale of group non-profit hospital service contracts
Section 8A
Mental illness expenses; inclusion in contracts as benefits; biologically-based mental disorders; rape-related mental disorders; non-biologically-based mental disorders for children and adolescents under age 19
Section 8A1/2
Repealed, 2000, 80, Sec. 5
Section 8B
Dependent coverage for newborn infants or adoptive children; inclusion in contracts
Section 8C
Refusal to contract with blind or deaf persons; prohibition
Section 8D
Limited extension of benefits
Section 8E
Diethylstilbestrol exposure; discrimination
Section 8F
Divorced or separated spouses; continuation of eligibility for benefits
Section 8G
Cardiac rehabilitation expense benefits
Section 8H
Prenatal, childbirth and postpartum care benefits; minimum coverage for in-patient care
Section 8I
Home care benefits
Section 8J
Minimum requirements for cytologic screening and mammographic examination expense benefits
Section 8K
Infertility diagnosis and treatment benefits
Section 8L
Nonprescription enteral formulas for home use
Section 8M
Standardized claim form
Section 8N
Off-label drug use; cancer
Section 8O
Hospital service plan benefits for bone marrow transplants
Section 8P
Items medically necessary for diagnosis and treatment of diabetes
Section 8Q
HIV/AIDS treatment; off-label prescription drug coverage
Section 8R
Coverage of hospice services for terminally ill patients
Section 8S
Nurse anesthetist and nurse practitioner services
Section 8T
Scalp hair prostheses necessary due to cancer or leukemia treatment
Section 8U
Emergency services provided to insureds for emergency medical conditions
Section 8V
Coverage for human leukocyte or histocompatibility locus antigen testing
Section 8W
Outpatient services; hormone replacement therapy for peri and post menopausal women; contraceptive services; approved prescription contraceptive drugs and devices; exception
Section 8X
Coverage for patient care services under qualified clinical trials
Section 8Y
Diagnosis and treatment of speech, hearing and language disorders
Section 8Z
Repealed, 2008, 451, Sec. 136
Section 8AA
Coverage of prosthetic devices and repairs
Section 8BB
Coverage for persons under age 26 or for 2 years after end of calendar year in which persons last qualified as dependents
Section 8CC
Coverage for medically necessary hypodermic syringes or needles
Section 8DD
Coverage for diagnosis and treatment of autism spectrum disorder
Section 8EE
Coverage for children under age 18 for cleft lip and cleft palate
Section 9
Repealed, 1996, 297, Sec. 11
Section 10
Group hospital service plan; approval or disapproval of contracts and rates; filing
Section 10A
Preferred provider arrangements
Section 11
Officers; duties
Section 12
Publication of assets and liabilities
Section 13
Hospitalization and medical service for officers and employees of corporation
Section 14
Misrepresentation of terms of subscriber’s contract
Section 14A
[There is no 176A:14A.]
Section 14B
Disclosure of information; mental or nervous conditions; exceptions
Section 15
Costs of solicitation of subscribers and administration
Section 16
Acquisition of real estate; leases; tax exemption; limit; approval of investments, sales, loans and places of deposit
Section 17
Submission of disputes and controversies
Section 18
Annual statement of condition; verification, filing, form, violations
Section 18A
Financial statements; inclusion of electronic data processing equipment as asset
Section 19
Tax exemption
Section 20
Filing of amendment of by-laws
Section 21
Submission of advertising matter to commissioner
Section 22
Filing of riders, endorsements and applications with commissioner
Section 23
Grounds for enjoining transaction of business; rehabilitation proceedings; duties of receiver; distribution of assets
Section 24
Special contingent reserve fund
Section 25
Licensing of agents
Section 26
Salaries, compensation or emoluments paid by corporation
Section 27
Payroll deductions for governmental employees
Section 27A
Repealed, 1955, 628, Sec. 3
Section 28
Violations; penalties
Section 29
Application
Section 30
Savings clause
Section 31
Contracts for administrative or other services; loans and investments
Section 32
Payment of sums owed to subscriber’s estate
Section 33
Insolvency of health maintenance organization; replacement coverage
Section 34
Report of individuals provided with creditable coverage
Section 36
Attribution of members to a primary care provider
Section 37
Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers
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