CHAPTER 58-18
GROUP AND BLANKET HEALTH INSURANCE POLICIES
58-18-1
"Group health insurance" defined.
58-18-2
Employee group insurance authorized--"Employees" defined.
58-18-3
Association member and employee group insurance authorized--Inclusion
of retired employees.
58-18-4
Industry fund group insurance authorized--"Employees" defined.
58-18-5
Issuance to person or organization to which group life insurance policy
may be issued.
58-18-6
Issuance to cover similar group subject to discretion of director.
58-18-6.1
Coverage of proprietors, partners and executive corporate officer
employees.
58-18-7
Continuation without evidence of insurability--Application.
58-18-7.1
Coverage for inpatient treatment of alcoholism to be offered in group
policies--Treatment within state included.
58-18-7.2
Benefits provided under alcoholism coverage--Maximum treatment
periods permitted.
58-18-7.3
Policies not within alcoholism coverage requirement.
58-18-7.4
Coverage upon application by employee or beneficiary with right to
convert following notice of termination.
58-18-7.5
Continuation of coverage upon leaving employment or termination of
coverage by insurer--Duration.
58-18-7.6 to 58-18-7.10.
Repealed.
58-18-7.11
Continuation or conversion policy not required under certain
circumstances.
58-18-7.12
Conditions for continuation.
58-18-7.13
Premium for conversion policy and continuation policy.
58-18-7.14
Notification of continuation and conversion rights.
58-18-7.15
Group insurance coverage in lieu of converted individual policies.
58-18-7.16
Repealed.
58-18-7.17
Exclusion of benefits for injury while under the influence of alcohol or
drugs prohibited--Exception for sickness or injury caused in commission
of felony.
58-18-7.18
Continuation coverage to be same as that available to similarly situated
beneficiaries--Option to decrease benefits.
58-18-7.19
Probationary period for continuation or conversion coverage prohibited.
58-18-7.20
Construction with chapter 58-18C.
58-18-7.21
Continued coverage--Insurer's use of experience for rating purposes not
limited--Options unavailable in market not required.
58-18-8
Representations by applicant not warranties--Written statement required
to avoid insurance or reduce benefits.
58-18-9
Summary statement of coverage for delivery to member of insured group.
58-18-10
Additions to group originally insured.
58-18-11
Direct payment for hospital, medical, or surgical services--Option of
insurer.
58-18-11.1
Reduction of benefits because of increase in statutory disability benefits
prohibited.
58-18-11.2
Repealed.
58-18-12
"Blanket health insurance" defined.
58-18-13
Blanket health insurance for passengers on common carrier.
58-18-14
Blanket health insurance for employees, dependents, or guests with
reference to hazardous activities.
58-18-15
Blanket health insurance for institutions of learning, camps, or sponsors.
58-18-16
Blanket health insurance for religious, charitable, recreational,
educational, or civic organizations.
58-18-17
Blanket health insurance for sports team or sponsors.
58-18-18
Blanket health insurance for volunteer group or agency.
58-18-19
Blanket health insurance for other risks approved by director.
58-18-20
Authority to issue blanket health insurance--Filing of copy of form--Required provisions.
58-18-21
Policy and application constitute entire contract--Statements by
policyholder not warranties--Written statement required for use in
defense of claim.
58-18-22
Sickness or injury--Provision for notice to insurer.
58-18-23
Forms for filing proof of loss--Failure of insurer to furnish, submission
of written proof.
58-18-24
Claim for loss of time--Time for furnishing proof of loss--Notice of
continuance of disability.
58-18-25
Time for payment of benefits.
58-18-26
Physical examination of insured--Autopsy in death claims.
58-18-27
Time for commencement of action to recover under policy.
58-18-28
Individual application and certificate not required under blanket policy.
58-18-29
Persons to whom benefits payable under blanket health policy.
58-18-30
Chapter inapplicable to prior policies.
58-18-31
Continuation of coverage for physically handicapped or mentally retarded
child--Proof of dependency.
58-18-31.1
Dependent coverage termination--Age--Full-time student.
58-18-32
Family coverage to include newborn and newly adopted children.
58-18-33
Premature birth, congenital defects, and birth abnormalities covered--Applicability.
58-18-34
Notice of birth or adoption required for continued coverage.
58-18-35
Notice required for rate increase by group health insurance company.
58-18-36
Grandfathered plans required to cover low-dose mammography--Extent
of coverage.
58-18-36.1
Policies required to cover occult breast cancer screening.
58-18-37
Freedom of choice for pharmacy services.
58-18-38
Annual period of enrollment for licensed pharmacies--Actual notice of
enrollment period not required.
58-18-39
Provisions denying choice for pharmacy services as void.
58-18-40
Enforcement of provisions permitting choice for pharmacy services.
58-18-41
Coverage for phenylketonuria.
58-18-42
"Health benefit plan" defined.
58-18-43
"Late enrollee" defined.
58-18-44
"Creditable coverage" defined.
58-18-45
Preexisting conditions--Limitation of waiting periods.
58-18-45.1
Anesthesia and hospitalization for dental care to be provided certain
covered persons.
58-18-46
Renewability of health benefit plans--Employer's election--Exceptions.
58-18-47
Nonrenewal of health benefit plans by an employer carrier.
58-18-48
Acceptance of new employees for coverage under employer's existing
health benefit plan.
58-18-49
Carrier's offer of coverage to employer--Coverage of all eligible
employees.
58-18-50, 58-18-51.
Repealed.
58-18-51.1
Application of §§ 58-18-42 to 58-18-49, inclusive.
58-18-52.1
Political subdivisions permitted to join with health insurance purchasing
organizations.
58-18-52
Formation of voluntary health insurance purchasing organizations.
58-18-53
Membership of voluntary health insurance purchasing organizations.
58-18-54
Purchasing organization's responsibility for negotiating terms and
conditions.
58-18-55
Purchasing organization's notice of premium charge.
58-18-56
Additional chapters applicable to purchasing organization.
58-18-57
Approval of purchasing organization by Division of Insurance.
58-18-58
Premiums held in trust by purchasing organization.
58-18-59
Rates for group health insurance issued to purchasing organizations.
58-18-60
Reasonable participation requirements for group members of purchasing
organizations.
58-18-61
Purchasing organizations exempt from antitrust provisions.
58-18-62
Promulgation of rules for purchasing organizations.
58-18-63
Minimum loss ratio for employer health benefit plans--Application of
section.
58-18-64 to 58-18-75.
Repealed.
58-18-76
Minimum inpatient care coverage following delivery.
58-18-77
Shorter hospital stay permitted--Follow-up within forty-eight hours
required.
58-18-78
Notice to employees or members--Disclosures.
58-18-79
Promulgation of rules to minimally meet federal standards--Additional
rules--Scope.
58-18-80
Health insurance policies to provide coverage for biologically-based
mental illnesses.
58-18-81
Application--Exemptions.
58-18-82
Carrier to provide annual report--Time frame--Information.
58-18-83
Policies to provide coverage for diabetes supplies, equipment and
education--Exceptions--Conditions and limitations.
58-18-84
Diabetes coverage not required of certain plans and policies.
58-18-85
Policies to provide coverage for prostate cancer screening.
58-18-86
Plans subject to § 58-18-45--Exceptions.
58-18-87
Director to promulgate rules governing use of genetic information.
58-18-88
Authorization of self-funded multiple employer trust--Conditions.
58-18-89
Promulgation of rules pertaining to multiple employer trusts.
58-18-90
Multiple employer trust not insurance company or association or subject
to specified provisions--Exception.
58-18-91
Suspension or revocation of authorization of multiple employer trust--Action in lieu of suspension or revocation.
58-18-92
Payment of premium taxes.
58-18-93
Agent licensing requirements.
58-18-94
Exemption from application of §§ 58-18-88 to 58-18-94, inclusive, and
§ 58-18B-59--Trust authorized to include large and small employers.