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- Sections 58-18-7.6 to 58-18-7.10 - Repealed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- Section 58-18-7.16 - Repealed.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