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  • PART I ADMINISTRATION OF THE GOVERNMENT
  • TITLE XXII CORPORATIONS
  • CHAPTER 176A NON-PROFIT HOSPITAL SERVICE CORPORATIONS

Section 1 - Corporations governed by chapter; services received in nonparticipating hospital; substitution of benefits in nursing homes

Section 1A - Right to become subscriber; open enrollment periods

Section 1B - Medicare supplemental group coverage; medical assistance recipients

Section 1C - Retroactive premium rate increase

Section 1D - Contracts of reinsurance

Section 2 - Incorporators; directors; certificate of organization; commissioner’s examination report

Section 3 - Certificate of compliance; examination by commissioner

Section 3A - Discrimination against abuse victims in terms of hospital service plans

Section 3B - Medical service plans; genetic tests; discrimination based on genetic information

Section 4 - Accounting system; accountant, claim manager, underwriter and actuary

Section 5 - Joint administration with certain corporations

Section 6 - Approval of nongroup contracts

Section 7 - Information gathering authority of commissioner

Section 8 - Conditions to issuance or delivery of contract

Section 81/2 - Sale of group non-profit hospital service contracts

Section 8A - Mental illness expenses; inclusion in contracts as benefits; biologically-based mental disorders; rape-related mental disorders; non-biologically-based mental disorders for children and adolescents under age 19

Section 8A1/2 - Repealed, 2000, 80, Sec. 5

Section 8A1/2 - Repealed, 2000, 80, Sec. 5

Section 8B - Dependent coverage for newborn infants or adoptive children; inclusion in contracts

Section 8C - Refusal to contract with blind or deaf persons; prohibition

Section 8D - Limited extension of benefits

Section 8E - Diethylstilbestrol exposure; discrimination

Section 8F - Divorced or separated spouses; continuation of eligibility for benefits

Section 8G - Cardiac rehabilitation expense benefits

Section 8H - Prenatal, childbirth and postpartum care benefits; minimum coverage for in-patient care

Section 8I - Home care benefits

Section 8J - Minimum requirements for cytologic screening and mammographic examination expense benefits

Section 8K - Infertility diagnosis and treatment benefits

Section 8L - Nonprescription enteral formulas for home use

Section 8M - Standardized claim form

Section 8N - Off-label drug use; cancer

Section 8O - Hospital service plan benefits for bone marrow transplants

Section 8P - Items medically necessary for diagnosis and treatment of diabetes

Section 8Q - HIV/AIDS treatment; off-label prescription drug coverage

Section 8R - Coverage of hospice services for terminally ill patients

Section 8S - Nurse anesthetist and nurse practitioner services

Section 8T - Scalp hair prostheses necessary due to cancer or leukemia treatment

Section 8U - Emergency services provided to insureds for emergency medical conditions

Section 8V - Coverage for human leukocyte or histocompatibility locus antigen testing

Section 8W - Outpatient services; hormone replacement therapy for peri and post menopausal women; contraceptive services; approved prescription contraceptive drugs and devices; exception

Section 8X - Coverage for patient care services under qualified clinical trials

Section 8Y - Diagnosis and treatment of speech, hearing and language disorders

Section 8Z - Repealed, 2008, 451, Sec. 136

Section 8AA - Coverage of prosthetic devices and repairs

Section 8BB - Coverage for persons under age 26 or for 2 years after end of calendar year in which persons last qualified as dependents

Section 8CC - Coverage for medically necessary hypodermic syringes or needles

Section 8DD - Coverage for diagnosis and treatment of autism spectrum disorder

Section 8EE - Coverage for children under age 18 for cleft lip and cleft palate

Section 8FF - Coverage for orally administered anticancer medications

Section 9 - Repealed, 1996, 297, Sec. 11

Section 10 - Group hospital service plan; approval or disapproval of contracts and rates; filing

Section 10A - Preferred provider arrangements

Section 11 - Officers; duties

Section 12 - Publication of assets and liabilities

Section 13 - Hospitalization and medical service for officers and employees of corporation

Section 14 - Misrepresentation of terms of subscriber’s contract

Section 14A - [There is no 176A:14A.]

Section 14B - Disclosure of information; mental or nervous conditions; exceptions

Section 15 - Costs of solicitation of subscribers and administration

Section 16 - Acquisition of real estate; leases; tax exemption; limit; approval of investments, sales, loans and places of deposit

Section 17 - Submission of disputes and controversies

Section 18 - Annual statement of condition; verification, filing, form, violations

Section 18A - Financial statements; inclusion of electronic data processing equipment as asset

Section 19 - Tax exemption

Section 20 - Filing of amendment of by-laws

Section 21 - Submission of advertising matter to commissioner

Section 22 - Filing of riders, endorsements and applications with commissioner

Section 23 - Grounds for enjoining transaction of business; rehabilitation proceedings; duties of receiver; distribution of assets

Section 24 - Special contingent reserve fund

Section 25 - Licensing of agents

Section 26 - Salaries, compensation or emoluments paid by corporation

Section 27 - Payroll deductions for governmental employees

Section 27A - Repealed, 1955, 628, Sec. 3

Section 28 - Violations; penalties

Section 29 - Application

Section 30 - Savings clause

Section 31 - Contracts for administrative or other services; loans and investments

Section 32 - Payment of sums owed to subscriber’s estate

Section 33 - Insolvency of health maintenance organization; replacement coverage

Section 34 - Report of individuals provided with creditable coverage

Section 35 - [There is no 176A:35.]

Section 36 - Attribution of members to a primary care provider

Section 37 - Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers