Chapter 695A - Fraternal Benefit Societies
- 695A.001 - Definitions.
- 695A.003 - “Benefit contract” defined.
- 695A.004 - “Benefit member” defined.
- 695A.006 - “Certificate” defined.
- 695A.010 - “Fraternal benefit society” defined.
- 695A.014 - “Insurer” defined.
- 695A.016 - “Laws” defined.
- 695A.018 - “Lodge” defined.
- 695A.020 - “Lodge system” defined.
- 695A.023 - “Medicaid” defined.
- 695A.027 - “Order for medical coverage” defined.
- 695A.030 - “Premiums” defined.
- 695A.040 - “Representative form of government” defined.
- 695A.042 - “Rules” defined.
- 695A.044 - “Society” defined.
- 695A.050 - Organization: Preparation and contents of articles of incorporation.
- 695A.060 - Organization: Filing of documents and bond with Commissioner; preliminary certificate of authority.
- 695A.070 - Organization: Solicitation of members; collection of advance premiums; reports to Commissioner.
- 695A.080 - Certificate of authority: Issuance and renewal; effect; record; copies; fees.
- 695A.090 - General powers and duties of society.
- 695A.095 - Contracts between society and provider of health care: Prohibiting society from charging provider of health care fee for inclusion on list of providers given to insureds; form to obtain inf
- 695A.110 - Unincorporated or voluntary association prohibited.
- 695A.120 - Location of principal office; meetings of supreme governing body; minutes of certain proceedings; official publications; grievances by benefit members.
- 695A.130 - Consolidation; merger.
- 695A.140 - Conversion of fraternal benefit society into mutual life insurer.
- 695A.150 - Qualifications for and rights and privileges of membership.
- 695A.151 - Effect of eligibility for medical assistance under Medicaid on eligibility for coverage; assignment of rights to state agency.
- 695A.152 - Society required to comply with certain provisions concerning portability and availability of health insurance.
- 695A.153 - Society prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.
- 695A.155 - Certain accommodations to be made when child is covered under policy of noncustodial parent.
- 695A.157 - Society to authorize enrollment of child of parent who is required by order to provide medical coverage under certain circumstances; termination of coverage of child.
- 695A.159 - Society prohibited from restricting coverage of child based on preexisting condition when person who is eligible for group coverage adopts or assumes legal obligation for child.
- 695A.160 - Amendment of laws of society.
- 695A.180 - Scope of contractual benefits.
- 695A.184 - Coverage for prescription drug previously approved for medical condition of insured.
- 695A.188 - Approval or denial of claim; interest on unpaid claim; request for additional information; payment of claim; costs and attorney’s fees.
- 695A.195 - Society prohibited from denying coverage solely because person was victim of domestic violence.
- 695A.197 - Society prohibited from denying coverage solely because insured was intoxicated or under the influence of controlled substance; exceptions.
- 695A.200 - Nonforfeiture benefits, cash surrender values, certificate loans and other options.
- 695A.210 - Beneficiaries; funeral benefits.
- 695A.220 - Benefits not liable to attachment, garnishment or other process.
- 695A.230 - Terms and conditions of benefit contracts.
- 695A.235 - Offering policy of health insurance for purposes of establishing health savings account.
- 695A.240 - Approval and contents of certificates.
- 695A.255 - Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
- 695A.270 - Waiver of provisions of society’s laws.
- 695A.280 - Reinsurance.
- 695A.300 - Admission of foreign or alien society.
- 695A.310 - Injunction against, liquidation of or appointment of receiver for domestic society.
- 695A.320 - Suspension, revocation or refusal of license of foreign or alien society.
- 695A.330 - Licensing of insurance agents of society; persons exempt from licensing.
- 695A.400 - Service of process on society.
- 695A.410 - Injunctions against societies.
- 695A.420 - Judicial review of Commissioner’s findings and decisions.
- 695A.430 - Assets, funds and accounts of society.
- 695A.440 - Investments.
- 695A.450 - Annual statement of financial condition, transactions and affairs.
- 695A.460 - Penalties for failure to file statement properly.
- 695A.475 - Liability of directors, officers, employees, members and volunteers; indemnification and reimbursement of directors, officers, employees and agents.
- 695A.490 - Standards of valuation for certificates.
- 695A.500 - Examination of societies transacting business in State.
- 695A.530 - Applicability of statutory provisions relating to trade practices and frauds.
- 695A.550 - Exemption of societies from certain taxes.
- 695A.555 - Fees: Applicability of certain provisions.
- 695A.560 - Exemption of societies from other insurance laws.
- 695A.570 - Applicability.
- 695A.580 - Penalties.