CHAPTER 27-19
Nonprofit Hospital Service Corporations
Index Of Sections
§ 27-19-1 Definitions.
§ 27-19-2 Organization as charitable corporation – Insurance laws inapplicable.
§ 27-19-2.1 Investments and holdings in certain corporations authorized.
§ 27-19-3 Repealed.
§ 27-19-4 Certificate of public convenience and advantage.
§ 27-19-5 Contracts with subscribers, hospitals, and other eligible entities.
§ 27-19-5.1 Cancellation of coverage by employers.
§ 27-19-5.2 Patient responsibility – Administrative requirements.
§ 27-19-5.3 Additional powers.
§ 27-19-6 Rates charged subscribers – Reserves.
§ 27-19-7 Rates charged by hospitals.
§ 27-19-7.1 Uniform explanation of benefits and coverage.
§ 27-19-7.2 Filing of policy forms.
§ 27-19-8 Annual and quarterly statements.
§ 27-19-9 Examination of affairs of corporations.
§ 27-19-10 Commission plans for solicitors or insurance producers.
§ 27-19-11 Investment standards.
§ 27-19-12 Corporations deemed public charitable institutions.
§ 27-19-13 Services rendered in certain institutions.
§ 27-19-14 Negotiation of hospital cost.
§ 27-19-15 Agreement on budgets.
§ 27-19-16 Severability.
§ 27-19-17 Additional benefits.
§ 27-19-18 Coverage for adoptive children.
§ 27-19-19 Changing coverage.
§ 27-19-20 Mammograms and pap smears – Coverage mandated.
§ 27-19-21 Mammograms – Quality assurance standards.
§ 27-19-22 Pap smears – Quality assurance standards.
§ 27-19-23 Coverage for infertility.
§ 27-19-23.1 Insurance coverage for post-partum hospital stays.
§ 27-19-24 Nonprofit hospital service corporations assessment.
§ 27-19-25 Discontinuance of coverage – Chronic disabilities.
§ 27-19-26 Drug coverage.
§ 27-19-27 Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists.
§ 27-19-28 Rehabilitation, liquidation, or conservation.
§ 27-19-29 Holding company systems.
§ 27-19-29.1 No derogation of attorney general.
§ 27-19-30 Regulations.
§ 27-19-30.1 Health insurance rates.
§ 27-19-31 Certified counselors in mental health and therapists in marriage and family practice.
§ 27-19-32 Repealed.
§ 27-19-32.1 Repealed.
§ 27-19-32.2 Repealed.
§ 27-19-32.3 Repealed.
§ 27-19-33 Repealed.
§ 27-19-34 Mastectomy treatment.
§ 27-19-34.1 Insurance coverage for mastectomy hospital stays.
§ 27-19-35 Diabetes treatment.
§ 27-19-36 Primary and preventive obstetric and gynecological care.
§ 27-19-37 Whistleblowers protection.
§ 27-19-38 Penalties and remedies.
§ 27-19-39 Additional relief and damages – Reinstatement.
§ 27-19-40 Third party reimbursement for services of certain health care workers.
§ 27-19-40.1 Third party reimbursement for services of registered nurse first assistants.
§ 27-19-41 Human leukocyte antigen testing.
§ 27-19-42 Drug coverage.
§ 27-19-43 Restricted annual rate payments prohibited.
§ 27-19-44 Genetic testing.
§ 27-19-44.1 Genetic information.
§ 27-19-45 Repealed.
§ 27-19-46 Magnetic resonance imaging – Quality assurance standards.
§ 27-19-47 Acupuncture services.
§ 27-19-48 F.D.A. approved prescription contraceptive drugs and devices.
§ 27-19-49 Prostate and colorectal examinations – Coverage mandated.
§ 27-19-50 Eligibility for children's benefits.
§ 27-19-51 Hearing aids.
§ 27-19-52 Prompt processing of claims.
§ 27-19-53 Mandatory coverage for certain lyme disease treatments.
§ 27-19-54 Dental insurance assignment of benefits.
§ 27-19-55 Coverage for early intervention services.
§ 27-19-56 Post-payment audits.
§ 27-19-57 Tobacco cessation programs.
§ 27-19-58 Reimbursement for orthotics and prosthetic services.
§ 27-19-59 Mandatory coverage for scalp hair prosthesis.
§ 27-19-60 Licensed ambulance service.
§ 27-19-61 Enteral nutrition products.
§ 27-19-62 Prohibition on rescission of coverage.
§ 27-19-63 Prohibition on annual and lifetime limits.
§ 27-19-64 Coverage for individuals participating in approved clinical trials.
§ 27-19-65 Medical loss ratio reporting and rebates.
§ 27-19-66 Emergency services.
§ 27-19-67 Internal and external appeal of adverse benefit determinations.
§ 27-19-68 Prohibition on preexisting condition exclusions.
§ 27-19-69 Primary care provider designation requirement. [Effective January 1, 2013.].