CHAPTER 27-18
Accident and Sickness Insurance Policies
Index Of Sections
§ 27-18-1 "Policy of accident and sickness insurance" construed.
§ 27-18-1.1 Definitions.
§ 27-18-2 Form of policy.
§ 27-18-2.1 Uniform explanation of benefits and coverage.
§ 27-18-3 Required provisions.
§ 27-18-3.1 Alternative coverage by employer.
§ 27-18-3.2 Rules and regulations.
§ 27-18-3.3 Penalties.
§ 27-18-3.4 Judicial review.
§ 27-18-3.5 Non-applicability.
§ 27-18-4 Optional provisions.
§ 27-18-5 Inapplicable or inconsistent provisions.
§ 27-18-6 Sequence of provisions.
§ 27-18-7 Third party ownership.
§ 27-18-8 Filing of accident and sickness insurance policy forms.
§ 27-18-8.1 Waiting period – Effective date of filings.
§ 27-18-8.2 Notice of disapproval.
§ 27-18-8.3 Withdrawal of approval.
§ 27-18-8.4 Rules as to filing.
§ 27-18-9 Policies of foreign insurers.
§ 27-18-10 Compliance by domestic insurer with laws of other states.
§ 27-18-11 Application of provisions to policy issued to nonresident.
§ 27-18-12 Less favorable provisions prohibited.
§ 27-18-13 Effect of policies inconsistent with chapter.
§ 27-18-14 Copies of applications.
§ 27-18-15 Alteration of application.
§ 27-18-16 False statements in application.
§ 27-18-17 Acts not constituting waiver of insurer's defenses.
§ 27-18-18 Acceptance of premiums after effective period of policy.
§ 27-18-19 Insurance exempt from chapter.
§ 27-18-20 Penalties for violations.
§ 27-18-21 Appeals from commissioner.
§ 27-18-22 Effect on other law.
§ 27-18-23 Severability.
§ 27-18-24 Immunity of benefits from process.
§ 27-18-25 Unfair discrimination prohibited.
§ 27-18-26 Physical examinations by insurance company.
§ 27-18-27 Adoptive children.
§ 27-18-28 Health insurance contracts – Abortion.
§ 27-18-29 Changing coverage.
§ 27-18-30 Health insurance contracts – Infertility.
§ 27-18-31 Insurance coverage for services of licensed midwives.
§ 27-18-32 Discontinuance of coverage – Chronic disabilities.
§ 27-18-33 Drug coverage.
§ 27-18-33.1 Insurance coverage for post-partum hospital stays.
§ 27-18-34 Health insurance contracts – Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists.
§ 27-18-35 Certified counselors in mental health and therapists in marriage and family practice.
§ 27-18-36 New cancer therapies – Under investigation. [Repealed on effective date of § 27-18-80.].
§ 27-18-36.1 "Reliable evidence" defined. [Repealed on effective date of § 27-18-80.].
§ 27-18-36.2 Conditions of coverage. [Repealed on effective date of § 27-18-80.].
§ 27-18-36.3 Managed care. [Repealed on effective date of § 27-18-80.].
§ 27-18-37 Repealed.
§ 27-18-38 Diabetes treatment.
§ 27-18-39 Mastectomy treatment.
§ 27-18-40 Insurance coverage for mastectomy hospital stays.
§ 27-18-41 Mammograms and pap smears – Coverage mandated.
§ 27-18-42 Mammograms – Quality assurance standards.
§ 27-18-43 Pap smears – Quality assurance standards.
§ 27-18-44 Primary and preventive obstetric and gynecological care.
§ 27-18-45 Whistleblowers protection.
§ 27-18-46 Penalties and remedies.
§ 27-18-47 Additional relief and damages – Reinstatement.
§ 27-18-48 Third party reimbursement for services of certain health care workers.
§ 27-18-48.1 Third party reimbursement for services of registered nurse first assistants.
§ 27-18-49 Human leukocyte antigen testing.
§ 27-18-50 Drug coverage.
§ 27-18-51 Restricted annual rate payments prohibited.
§ 27-18-52 Genetic testing.
§ 27-18-52.1 Genetic information.
§ 27-18-53 Magnetic resonance imaging – Quality assurance standards.
§ 27-18-54 Health insurance rates.
§ 27-18-55 Acupuncture services.
§ 27-18-56 Prohibition against dentists being required to indemnify provider.
§ 27-18-57 F.D.A. approved prescription contraceptive drugs and devices.
§ 27-18-58 Prostate and colorectal examinations – Coverage mandated.
§ 27-18-59 Eligibility for children's benefits.
§ 27-18-60 Hearing aids.
§ 27-18-61 Prompt processing of claims.
§ 27-18-62 Mandatory coverage for certain lyme disease treatments.
§ 27-18-63 Dental insurance assignment of benefits.
§ 27-18-64 Coverage for early intervention services.
§ 27-18-65 Post-payment audits.
§ 27-18-66 Tobacco cessation programs.
§ 27-18-67 Reimbursement for orthotic and prosthetic services.
§ 27-18-68 Mandatory coverage for scalp hair prosthesis.
§ 27-18-69 Licensed ambulance service.
§ 27-18-70 Enteral nutrition products.
§ 27-18-71 Prohibition on preexisting condition exclusions.
§ 27-18-72 Prohibition on rescission of coverage.
§ 27-18-73 Prohibition on annual and lifetime limits.
§ 27-18-74 Coverage for individuals participating in approved clinical trials.
§ 27-18-75 Medical loss ratio reporting and rebates.
§ 27-18-76 Emergency services.
§ 27-18-77 Internal and external appeal of adverse benefit determinations.
§ 27-18-78 Primary care provider designation requirement. [Effective January 1, 2013.].