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This entry was published on 2020-01-03
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ARTICLE 43
Non-profit Medical and Dental Indemnity, or Health and Hospital Service Corporations
Insurance (ISC) CHAPTER 28
ARTICLE 43

NON-PROFIT MEDICAL AND DENTAL INDEMNITY, OR HEALTH AND

HOSPITAL SERVICE CORPORATIONS
Section 4301. Organization of corporation; purposes; board of

directors.

4302. Permit and license to do business.

4303. Benefits.

4303-a. Prescription synchronization.

4304. Individual contracts.

4305. Group contracts.

4306. Required contract provisions.

4306-a. Health insurance coverage for full-time students on

medical leaves of absence.

4306-b. Primary and preventive obstetric and gynecologic care.

4306-c. Grievance procedure and access to specialty care.

4306-d. Choice of health care provider.

4306-e. Prohibition on lifetime and annual limits.

4306-f. Maternal depression screenings.

4306-g. Telehealth delivery of services.

4306-h. Essential health benefits package and limit on

cost-sharing.

4307. Providers of services.

4308. Supervision of superintendent.

4309. Limitation on expenses.

4310. Investments; financial conditions; reserves.

4312. Employment of solicitors; pension plans.

4313. Applicability of other provisions of this chapter.

4314. Not to affect provisions of workers' compensation law.

4315. Arbitration; judicial review.

4316. Individual contracts; premium refund at death of

insured.

4317. Rating of individual and small group health insurance

contracts.

4318. Pre-existing condition provisions.

4318-a. Certification of creditable coverage by corporations

organized under this article.

4320. Limitations on administrative services and stop-loss

coverage.

4321. Standardization of individual enrollee direct payment

contracts offered by health maintenance organizations.

4321-a. Fund for standardized individual enrollee direct payment

contracts.

4322. Standardization of individual enrollee direct payment

contracts offered by health maintenance organizations

which provide out-of-plan benefits.

4322-a. Fund for standardized individual enrollee direct payment

contracts which provide out-of-plan benefits.

4323. Marketing materials.

4324. Disclosure of information.

4325. Prohibitions.

4326. Standardized health insurance contracts for qualifying

small employers and individuals.

4327. Stop loss funds for standardized health insurance

contracts issued to qualifying small employers and

qualifying individuals.

4328. Individual enrollee direct payment contracts offered by

health maintenance organization on and after October

first, two thousand thirteen.

4329. Prescription drug coverage.

4330. Discrimination because of sex or marital status in

hospital, surgical or medical expense insurance.