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; confidentiality and privilege
- Section 8 Conditions to issuance or delivery of contract
- 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 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 Abortion, abortion-related care, 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 8A1/2 Repealed, 2000, 80, Sec. 5
- Section 8A3/4 Retroactive claims denials for behavioral health services
- Section 8AA Coverage of prosthetic devices and repairs
- Section 8BB Coverage for eligible dependents under 26 years of age or dependents mentally or physically incapable of earning their own living due to disability
- 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 8GG Coverage for abuse deterrent opioid drug products
- Section 8HH Preauthorization for substance abuse treatment not to be required
- Section 8II Coverage for medically necessary acute treatment or clinical stabilization services
- Section 8JJ Repealed, 2016, 133, Sec. 112
- Section 8KK Coverage for medical or drug treatments to correct or repair disturbances of body composition caused by HIV associated lipodystrophy syndrome
- Section 8LL Filling of remaining portion of prescription for covered drug that is a narcotic substance earlier filled in lesser quantity
- Section 8MM Pain management access plan; non-medication and nonsurgical treatment; review; educational materials
- Section 8NN Coverage for tobacco use cessation counseling and tobacco cessation products
- Section 8OO Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome
- Section 8PP Repealed, 2021, 29, Sec. 23
- Section 8QQ Coverage for prescription eye drops
- Section 8RR Coverage for mental health or substance use disorder services delivered through psychiatric collaborative care model
- Section 8SS Coverage for medically necessary mental health acute treatment, community-based acute treatment and intensive community-based acute treatment
- Section 8TT Benefits for medically necessary emergency services programs
- Section 8UU Coverage for annual mental health wellness examination
- Section 8VV Coverage for federally-defined preventive services
- Section 8WW Coverage for standard fertility preservation services
- Section 8XX Coverage for postpartum depression and major depressive disorder screenings
- Section 8YY Coverage for the provision of medically necessary pasteurized donor human milk and donor human milk-derived products
- Section 8ZZ Coverage for universal postpartum home visiting services
- Section 8AAA Coverage for diagnostic examinations for breast cancer; digital breast tomosynthesis screening, MRIs and ultrasounds
- Section 8BBB Coverage for prescribed, ordered or dispensed opioid antagonists
- Section 8CCC Coverage for the provision of services by a recovery coach
- Section 8DD1/2 Coverage for treatment of Down syndrome through speech therapy, occupational therapy, physical therapy and applied behavior analysis services
- Section 8DDD Coverage for identified generic and brand name drug used to treat diabetes, asthma, and certain heart conditions
- 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; applicability of chapters 176V and 176W
- 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
- Section 38 Coverage for health care services delivered via telehealth by a contracted health care provider
- Section 81/2 Sale of group non-profit hospital service contracts