CHAPTER 27-20
Nonprofit Medical Service Corporations
Index Of Sections
§ 27-20-1. Definitions.
§ 27-20-1.1. Applicability.
§ 27-20-2. Organization as charitable corporation – Insurance laws inapplicable.
§ 27-20-3. Qualifications of directors.
§ 27-20-4. Approval of articles of association.
§ 27-20-5. Contracts with subscribers.
§ 27-20-5.1. Cancellation of coverage by employers.
§ 27-20-5.2. Repealed.
§ 27-20-5.3. Patient responsibility – Administrative requirements.
§ 27-20-6. Rates charged subscribers – Reserves – Hearing by commissioner.
§ 27-20-6.1. Uniform explanation of benefits and coverage.
§ 27-20-6.2. Filing of policy forms.
§ 27-20-7. Relationship of physician and patient – Actions against corporation.
§ 27-20-8. Annual and quarterly statements.
§ 27-20-9. Examination of affairs of corporation.
§ 27-20-10. Commission plans for solicitors or insurance producers.
§ 27-20-11. Investment standards.
§ 27-20-12. Corporation deemed public charitable institution.
§ 27-20-13. Adoption of chapter by hospital service corporation.
§ 27-20-14. Coverage for adoptive children.
§ 27-20-15. Itemized bills for services rendered.
§ 27-20-16. Changing coverage.
§ 27-20-17. Mammograms and pap smears – Coverage mandated.
§ 27-20-17.1. Insurance coverage for post-partum hospital stays.
§ 27-20-18. Mammograms – Quality assurance standards.
§ 27-20-19. Pap smears – Quality assurance standards.
§ 27-20-20. Coverage for infertility.
§ 27-20-21. Nonprofit medical service corporation assessment.
§ 27-20-22. Discontinuance of coverage – Chronic disabilities.
§ 27-20-23. Drug coverage.
§ 27-20-23.1. Medication synchronization.
§ 27-20-23.2. Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies.
§ 27-20-24. Rehabilitation, liquidation, or conservation.
§ 27-20-25. Holding company systems.
§ 27-20-25.1. No derogation of attorney general.
§ 27-20-25.2. Health insurance rates.
§ 27-20-26. Regulations.
§ 27-20-27. New cancer therapies – Under investigation. [Repealed on effective date of § 27-20-64.]
§ 27-20-27.1. "Reliable evidence" defined. [Repealed on effective date of § 27-20-64.]
§ 27-20-27.2. Conditions of coverage. [Repealed on effective date of § 27-20-64.]
§ 27-20-27.3. Managed care. [Repealed on effective date of § 27-20-64.]
§ 27-20-28. Repealed.
§ 27-20-29. Mastectomy treatment. [Effective until January 1, 2019.]
§ 27-20-29. Mastectomy treatment. [Effective January 1, 2019.]
§ 27-20-29.1. Insurance coverage for mastectomy hospital stays.
§ 27-20-30. Diabetes treatment.
§ 27-20-31. Primary and preventive obstetric and gynecological care.
§ 27-20-32. Whistleblowers protection.
§ 27-20-33. Penalties and remedies.
§ 27-20-34. Additional relief and damages – Reinstatement.
§ 27-20-35. Third party reimbursement for services of certain health-care workers.
§ 27-20-35.1. Third party reimbursement for services of registered nurse first assistants.
§ 27-20-36. Human leukocyte antigen testing.
§ 27-20-37. Drug coverage.
§ 27-20-38. Restricted annual rate payments prohibited.
§ 27-20-39. Genetic testing.
§ 27-20-39.1. Genetic information.
§ 27-20-40. Repealed.
§ 27-20-41. Magnetic resonance imaging – Quality assurance standards.
§ 27-20-42. Acupuncture services.
§ 27-20-43. F.D.A. approved prescription contraceptive drugs and devices. [Effective until April 1, 2019.]
§ 27-20-43. F.D.A. approved prescription contraceptive drugs and devices. [Effective April 1, 2019.]
§ 27-20-44. Prostate and colorectal examinations – Coverage mandated.
§ 27-20-45. Eligibility for children's benefits.
§ 27-20-46. Hearing aids.
§ 27-20-47. Prompt processing of claims.
§ 27-20-48. Mandatory coverage for certain lyme disease treatments.
§ 27-20-49. Dental insurance assignment of benefits.
§ 27-20-50. Coverage for early intervention services.
§ 27-20-51. Post-payment audits.
§ 27-20-52. Reimbursement for orthotics and prosthetic services.
§ 27-20-53. Tobacco cessation programs.
§ 27-20-54. Mandatory coverage for scalp hair prosthesis.
§ 27-20-55. Licensed ambulance service.
§ 27-20-56. Enteral nutrition products.
§ 27-20-57. Prohibition on preexisting condition exclusions.
§ 27-20-58. Prohibition on rescission of coverage.
§ 27-20-59. Annual and lifetime limits.
§ 27-20-60. Coverage for individuals participating in approved clinical trials.
§ 27-20-61. Medical loss ratio reporting and rebates.
§ 27-20-62. Emergency services.
§ 27-20-63. Internal and external appeal of adverse benefit determinations.
§ 27-20-64. Reserved.
§ 27-20-65. Primary care provider designation requirement.
§ 27-20-66. Discretionary clauses.
§ 27-20-67. Orally administered anticancer medication – Cost-sharing requirement.
§ 27-20-68. Consumer notification.
§ 27-20-69. Opioid antagonists.
§ 27-20-70. Health care provider credentialing.
§ 27-20-71. Unfair discrimination prohibited.
§ 27-20-72. Health insurance contracts – Full year coverage for contraception. [Effective April 1, 2019.]