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§ 27-20-5.2 Repealed.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 director.
§ 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.
§ 27-20-24 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 [Repealed on effective date of § 27-20-64.].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 [Repealed on effective date of § 27-20-64.].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 [Repealed on effective date of § 27-20-64.].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 [Repealed on effective date of § 27-20-64.].
§ 27-20-28 Repealed.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.
§ 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.
§ 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. [Effective January 1, 2013.].