Skip to Content

General Laws

Click to PrintPrint Page

Section 1Definitions
Section 2Incorporators; formation; articles of organization; certification
Section 3By-laws; joint service contracts; preferred provider arrangements
Section 3AContracts of reinsurance
Section 3BGroup medical service agreements; contribution percentages
Section 4Contracts for medical, chiropractic, visual, surgical, and other health services; approval, subscription certificates; classification of risks
Section 4AMental illness expenses; inclusion as benefits; biologically-based mental disorders; rape-related mental disorders; non-biologically-based mental disorders of children and adolescents under age 19
Section 4A1/2Repealed, 2008, 256, Sec. 12
Section 4BRepealed, 2000, 80, Sec. 7
Section 4CDependent coverage for newborn infants or adoptive children; inclusion of medical expenses as benefits
Section 4DRefusal to contract with blind or deaf persons; prohibition
Section 4EDiethylstilbestrol exposure; discrimination
Section 4FCardiac rehabilitation expense benefits
Section 4GCertified nurse midwife services benefits
Section 4HPrenatal, childbirth and postpartum care benefits; minimum coverage for in-patient care
Section 4ICytologic screening and mammographic examination benefits
Section 4JInfertility diagnosis and treatment benefits
Section 4KNonprescription enteral formulas for home use
Section 4LChiropractic services benefits
Section 4MStandardized claim form
Section 4NOff-label drug use; cancer
Section 4OMedical service agreement coverage for bone marrow transplants
Section 4POff-label use of prescription drugs for HIV/AIDS treatment
Section 4QCoverage for licensed hospice services
Section 4RScalp hair prostheses necessary due to cancer or leukemia treatment
Section 4SItems medically necessary for diagnosis and treatment of diabetes
Section 4TSubscription certificate benefits for services rendered by a nurse anesthetist or nurse practitioner
Section 4UEmergency services provided to insureds for emergency medical conditions
Section 4VCoverage for human leukocyte or histocompatibility locus antigen testing
Section 4WOutpatient services; hormone replacement therapy for peri and post menopausal women; contraceptive services; approved prescription contraceptive drugs or devises; exception
Section 4XCoverage for patient care services provided under qualified clinical trials
Section 4ZRepealed, 2008, 451, Sec. 138
Section 4AACoverage for prosthetic devices and repairs
Section 4BBCoverage for persons under age 26 or for 2 years after end of calendar year in which persons last qualified as dependents
Section 4CCCoverage for medically necessary hypodermic syringes or needles
Section 4DDCoverage for diagnosis and treatment of autism spectrum disorder
Section 4EECoverage for children 21 years of age or younger for hearing aids and related services
Section 5Subscribers; qualifications, misrepresentation; open enrollment periods
Section 5ADiscrimination against abuse victims in terms of medical service plans
Section 5BMedical service plans; genetic tests; discrimination based on genetic information
Section 6Subscription certificate; issuance; content
Section 6ALimited extension of benefits
Section 6BDivorced or separated spouses; continuation of eligibility for benefits
Section 7Contracts between corporation and care providers
Section 7AMedicare supplemental group coverage; eligibility due to age or disability
Section 7BMedicare supplemental group coverage; medical assistance recipients
Section 7CRetroactive premium rate increase
Section 8Annual statement; verification, form, violations
Section 8AFinancial statements; inclusion of electronic data processing equipment as asset
Section 9Inspection and examination of affairs of corporation; inability to pay providers; pro rata payments; termination of contract
Section 10Investments, sales, loans and places of deposit; approval; acquisition of real estate; leases; tax exemption; limit; special contingent surplus
Section 11Salaries, compensation or emoluments
Section 12Submission of disputes or controversies to board; privacy of patient information
Section 13Grounds for enjoining transaction of business; receivers
Section 14Liability of corporation; exemption from insurance laws; tax exemption
Section 15Repealed, 1951, 797
Section 16Operators of medical service plan
Section 16APayroll deductions of governmental employees
Section 17Enforcement
Section 18Contracts for administrative or other services; loans and investments
Section 19Payment of sums owed subscriber’s estate
Section 20Disclosure of information; mental or nervous condition
Section 21Insolvency of health maintenance organization; replacement coverage
Section 22Statement provided to individuals provided with creditable coverage; report
Section 23Attribution of members to a primary care provider
Section 24Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers