VOLUNTARY PURCHASING GROUPS
- 689C.360 - Definitions.
- 689C.380 - “Contract” defined.
- 689C.390 - “Dependent” defined.
- 689C.420 - “Voluntary purchasing group” defined.
- 689C.425 - Applicability of other provisions.
- 689C.430 - Entities which are authorized to offer contracts to voluntary purchasing groups.
- 689C.435 - Contracts between carrier and providers of health care: Prohibiting carrier from charging provider of health care fee for inclusion on list of providers given to insureds; form to obtain in
- 689C.440 - Regulations regarding required disclosures by carrier.
- 689C.450 - Carrier to provide disclosure before issuing contract.
- 689C.455 - Coverage for prescription drugs: Provision of notice and information regarding use of formulary.
- 689C.460 - Carrier to offer same coverage to all eligible employees; denial of coverage to otherwise eligible employee.
- 689C.470 - Renewal of contract; discontinuing issuance and renewal of form of product of health benefit plan or health benefit plan.
- 689C.480 - Required notification when carrier ceases to renew all contracts; restrictions on carrier that ceases to renew all contracts.
- 689C.485 - Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements.
- 689C.490 - Formation of voluntary purchasing group by small employers; requirements when affiliate of group ceases to qualify as small employer.
- 689C.500 - Requirements for registration as voluntary purchasing group; application.
- 689C.510 - Fee for application; response to application.
- 689C.520 - Additional requirements for registration.
- 689C.530 - Filing reports; annual renewal fee.
- 689C.540 - Duties.
- 689C.550 - Collection of premiums; trust account for deposit of premiums.
- 689C.560 - Regulations governing security to be maintained by voluntary purchasing group.
- 689C.570 - Organizer prohibited from acquiring financial interest in group’s business.
- 689C.580 - Prohibited acts.
- 689C.590 - Disciplinary action for violation of provisions.