58-38 NONPROFIT MEDICAL AND SURGICAL PLANS
NONPROFIT MEDICAL AND SURGICAL PLANS
Incorporators, number required--Purpose of incorporation.
"Physicians and surgeons" defined.
Articles of incorporation and amendments--Approval by director--Filing
with secretary of state.
Members and directors.
Board of directors--Minimum number--Qualifications--Selection--Term
License to issue contracts required--Violation as misdemeanor.
Application for license--Form and contents--Documents accompanying.
Issuance of license--Matters considered by director.
Contracts with subscribers.
Rates charged for services--Approval by director.
Contracts with subscribers--Required provisions.
Coverage for inpatient treatment of alcoholism to be offered in contracts.
Benefits provided under alcoholism coverage--Maximum treatment
Plans not within alcoholism coverage requirement.
Individual accident or health policy required for covered spouse of
Conversion privileges of insured's spouse upon divorce.
Coordination, integration, or lessening of benefits restricted.
58-38-11.7 to 58-38-11.9.
Exclusion of benefits for injury while under the influence of alcohol or
drugs prohibited--Exception for sickness or injury caused in commission
Care provided by noncontracting physicians--Contracting physician
Practice of medicine not authorized by chapter.
Expenses of acquisition and administration--Control by director.
Foreign corporation--Transaction of business in state.
Annual statement of financial condition--Filing--Verification--Form and
Investigation and examination by director--Cost borne by corporation.
Exemption from other insurance laws--Exceptions.
Citation of chapter.
Notice required by medical and surgical plan corporation for rate
Grandfathered service and indemnity-type contracts required to cover
low-dose mammography--Extent of coverage.
Service and indemnity-type contracts required to cover occult breast
Coverage for phenylketonuria.
Hospital service plan authorized.
Formation of voluntary health insurance purchasing organizations.
Membership of voluntary health insurance purchasing organizations.
Purchasing organization's responsibility for negotiating terms and
Purchasing organization's notice of premium charge.
Additional chapters applicable to purchasing organization.
Approval of purchasing organization by Division of Insurance.
Premiums held in trust by purchasing organization.
Rates for group health insurance issued to purchasing organizations.
Reasonable participation requirements for group members of purchasing
Purchasing organizations exempt from antitrust provisions.
Promulgation of rules for purchasing organizations.
Minimum loss ratio for small employer health benefit plans.
Minimum inpatient care coverage following delivery.
Shorter hospital stay permitted--Follow-up visit within forty-eight hours
Notice to subscribers--Disclosures.
Health insurance policies to provide coverage for biologically-based
Policies to provide coverage for diabetes supplies, equipment and
education--Exceptions--Conditions and limitations.
Diabetes coverage not required of certain plans and policies.
Contracts to provide coverage for prostate cancer screening.