48.46 - Health maintenance organizations.
- 48.46.010 - Legislative declaration -- Purpose.
- 48.46.012 - Filings with secretary of state -- Copy for commissioner.
- 48.46.020 - Definitions.
- 48.46.023 - Insurance producer -- Definition -- License required -- Application, issuance, renewal, fees -- Penalties involving license.
- 48.46.027 - Registration, required -- Issuance of securities -- Penalty.
- 48.46.030 - Eligibility requirements for certificate of registration -- Application requirements, information.
- 48.46.033 - Unregistered activities -- Acts committed in this state -- Sanctions.
- 48.46.040 - Certificate of registration -- Issuance -- Grounds for refusal -- Name restrictions -- Inspection and review of facilities.
- 48.46.045 - Catastrophic health plans permitted.
- 48.46.060 - Prepayment agreements -- Standards for forms and documents -- Grounds for disapproval -- Cancellation or failure to renew -- Filing of agreement forms.
- 48.46.062 - Schedule of rates for individual agreements -- Loss ratio -- Remittance of premiums -- Definitions.
- 48.46.063 - Calculation of premiums -- Members of a purchasing pool--Adjusted community rating method -- Definitions.
- 48.46.064 - Calculation of premiums -- Adjusted community rate -- Definitions.
- 48.46.066 - Health plan benefits for small employers -- Coverage -- Exemption from statutory requirements -- Premium rates -- Requirements for providing coverage for small employers.
- 48.46.068 - Requirements for plans offered to small employers -- Definitions.
- 48.46.070 - Governing body.
- 48.46.080 - Annual statement -- Filings -- Contents -- Fee -- Penalty for failure to file -- Accuracy required.
- 48.46.090 - Standard of services provided.
- 48.46.100 - Grievance procedure.
- 48.46.110 - Name restrictions -- Discrimination -- Recovery of costs of health care services participant not entitled to.
- 48.46.120 - Examination of health maintenance organizations -- Duties of organizations, powers of commissioner -- Independent audit reports.
- 48.46.130 - Investigation of violations -- Hearing -- Findings -- Penalties -- Order requiring compliance, etc. -- Suspension or revocation of certificate, effect -- Application to courts.
- 48.46.135 - Fine in addition to or in lieu of suspension, revocation, or refusal.
- 48.46.140 - Fees.
- 48.46.170 - Effect of chapter as to other laws -- Construction.
- 48.46.180 - Duty of employer to inform and make available to employees option of enrolling in health maintenance organization.
- 48.46.190 - Payroll deductions for capitation payments to health maintenance organizations.
- 48.46.200 - Rules and regulations.
- 48.46.210 - Compliance with federal funding requirements -- Construction.
- 48.46.220 - Review of administrative action.
- 48.46.225 - Financial failure -- Supervision of commissioner -- Priority of distribution of assets.
- 48.46.235 - Minimum net worth -- Requirement to maintain -- Determination of amount.
- 48.46.237 - Minimum net worth -- Domestic or foreign health maintenance organization.
- 48.46.240 - Funded reserve requirements.
- 48.46.243 - Contract -- Participant liability -- Commissioner's review.
- 48.46.245 - Plan for handling insolvency -- Commissioner's review.
- 48.46.247 - Insolvency -- Commissioner's duties -- Participants' options -- Allocation of coverage.
- 48.46.250 - Coverage of dependent children -- Newborn infants, congenital anomalies -- Notification period.
- 48.46.260 - Individual health maintenance agreement -- Return within ten days of delivery -- Refunds -- Void from beginning.
- 48.46.270 - Financial interests of health maintenance organization authorities, restricted -- Exceptions, regulations.
- 48.46.272 - Diabetes coverage -- Definitions.
- 48.46.275 - Mammograms -- Insurance coverage.
- 48.46.277 - Prostate cancer screening.
- 48.46.280 - Reconstructive breast surgery.
- 48.46.285 - Mastectomy, lumpectomy.
- 48.46.291 - Mental health services -- Health plans -- Definition -- Coverage required, when.
- 48.46.292 - Mental health treatment -- Waiver of preauthorization for persons involuntarily committed.
- 48.46.300 - Future dividends or refunds, restricted -- Issuance or sale of securities regulated.
- 48.46.310 - Registration not endorsement.
- 48.46.320 - Dependent children, termination of coverage, conditions.
- 48.46.325 - Option to cover dependents under age twenty-five.
- 48.46.340 - Return of agreement within ten days.
- 48.46.350 - Chemical dependency treatment.
- 48.46.355 - "Chemical dependency" defined.
- 48.46.360 - Payment of cost of agreement directly to holder during labor dispute -- Changes restricted -- Notice to employee.
- 48.46.370 - Coverage not denied for handicap.
- 48.46.375 - Benefits for prenatal diagnosis of congenital disorders -- Agreements entered into or renewed on or after January 1, 1990.
- 48.46.380 - Notice of reason for cancellation, denial, or refusal to renew agreement.
- 48.46.390 - Providing information on cancellation or refusal -- No liability for insurance commissioner or health maintenance organization.
- 48.46.400 - False or misleading advertising prohibited.
- 48.46.410 - Misrepresentations to induce termination or retention of agreement prohibited.
- 48.46.420 - Penalty for violations.
- 48.46.430 - Enforcement authority of commissioner.
- 48.46.440 - Continuation option to be offered.
- 48.46.450 - Conversion agreement to be offered -- Exceptions, conditions.
- 48.46.460 - Conversion agreement -- Restrictions and requirements.
- 48.46.470 - Endorsement of modifications.
- 48.46.480 - Continuation of coverage of former family members.
- 48.46.490 - Coverage for adopted children.
- 48.46.500 - Cancellation of rider.
- 48.46.510 - Phenylketonuria.
- 48.46.520 - Neurodevelopmental therapies -- Employer-sponsored group contracts.
- 48.46.530 - Temporomandibular joint disorders -- Insurance coverage.
- 48.46.535 - Prescriptions -- Preapproval of individual claims -- Subsequent rejection prohibited -- Written record required.
- 48.46.540 - Nonresident pharmacies.
- 48.46.565 - Foot care services.
- 48.46.570 - Denturist services.
- 48.46.575 - Doctor of osteopathic medicine and surgery -- Discrimination based on board certification is prohibited.
- 48.46.580 - When injury caused by intoxication or use of narcotics.
- 48.46.600 - Disclosure of certain material transactions -- Report -- Information is confidential.
- 48.46.605 - Material acquisitions or dispositions.
- 48.46.610 - Asset acquisitions -- Asset dispositions.
- 48.46.615 - Report of a material acquisition or disposition of assets -- Information required.
- 48.46.620 - Material nonrenewals, cancellations, or revisions of ceded reinsurance agreements.
- 48.46.625 - Report of a material nonrenewal, cancellation, or revision of ceded reinsurance agreements -- Information required.
- 48.46.900 - Liberal construction.
- 48.46.910 - Severability -- 1975 1st ex.s. c 290.
- 48.46.920 - Short title.
- 48.46.930 - Construction -- Chapter applicable to state registered domestic partnerships -- 2009 c 521.