Article 47 - NONPROFIT HEALTH CARE PLANS
- Section 59A-47-1 - Short title
- Section 59A-47-2 - Purpose; exemptions
- Section 59A-47-3 - Definitions
- Section 59A-47-4 - Organization; profit corporations prohibited; merger and consolidation of health care plans
- Section 59A-47-5 - Qualifications for health care plan authority
- Section 59A-47-6 - Preliminary permit for solicitations
- Section 59A-47-7 - Escrow of preliminary premiums
- Section 59A-47-8 - Certificate of authority required; application and conditions; exceptions
- Section 59A-47-9 - Issuance and denial of initial certificate of authority
- Section 59A-47-10 - Trust deposit
- Section 59A-47-11 - Expiration, continuance of certificate of authority
- Section 59A-47-12 - Suspension, revocation or refusal to continue certificate of authority
- Section 59A-47-13 - Service of process; superintendent as attorney
- Section 59A-47-14 - Annual statement
- Section 59A-47-15 - Assets
- Section 59A-47-16 - Reserves
- Section 59A-47-17 - Examination
- Section 59A-47-18 - Investments
- Section 59A-47-19 - Limitation upon acquisition and administration expenses
- Section 59A-47-20 - Conflicts of interest as to certain transactions
- Section 59A-47-21 - Joint coverage, reinsurance
- Section 59A-47-22 - Transfer of subscribership
- Section 59A-47-23 - Subscriber contracts; coverage period
- Section 59A-47-24 - Subscriber contracts; requirements and provisions
- Section 59A-47-25 - Subscriber contracts; filing, approval
- Section 59A-47-26 - Premium rates; filing and approval
- Section 59A-47-27 - Coverage for newly born children, maternity transport, home health care
- Section 59A-47-27.1 - Coverage of circumcision for newborn males
- Section 59A-47-28 - Coverage for service of chiropractor
- Section 59A-47-28.1 - Coverage for service of certified nurse-midwives and registered lay midwives
- Section 59A-47-28.2 - Doctor of oriental medicine discrimination prohibited
- Section 59A-47-28.3 - Provider discrimination prohibited
- Section 59A-47-28.4 - Coverage for collaborative practice; dental therapists; dental hygienists
- Section 59A-47-29 - Settlement of disputes; appeal
- Section 59A-47-30 - Licensed insurance producers required; qualifications, licensing procedures and conditions
- Section 59A-47-31 - Rehabilitation, liquidation or dissolution
- Section 59A-47-32 - Unauthorized contract or adjustment transactions; penalty
- Section 59A-47-33 - Other provisions applicable
- Section 59A-47-34 - Continuation of coverage and conversion rights; health care plans
- Section 59A-47-35 - Alcohol dependency coverage
- Section 59A-47-36 - Nonprofit health care plans; contract or certificate provisions relating to individuals who are eligible for medical benefits under the medicaid program
- Section 59A-47-37 - Coverage of children
- Section 59A-47-37.1 - Hearing aid coverage for children required
- Section 59A-47-38 - Coverage for medical diets for genetic inborn errors of metabolism
- Section 59A-47-39 - Employer utilization and loss experience availability
- Section 59A-47-40 - Maximum age of dependent
- Section 59A-47-41 - Coverage of alpha-fetoprotein IV screening test
- Section 59A-47-41.1 - Prior authorization for gynecological or obstetrical ultrasounds prohibited
- Section 59A-47-42 - Coverage of part-time employees
- Section 59A-47-43 - Coverage of colorectal cancer screening
- Section 59A-47-44 - General anesthesia and hospitalization for dental surgery
- Section 59A-47-45 - Coverage for autism spectrum disorder diagnosis and treatment
- Section 59A-47-45.1 - Coverage for orally administered anticancer medications; limits on patient costs
- Section 59A-47-45.2 - Coverage of prescription eye drop refills
- Section 59A-47-45.3 - Coverage for telemedicine services
- Section 59A-47-45.4 - Prescription drugs; prohibited formulary changes; notice requirements
- Section 59A-47-45.5 - Coverage for contraception
- Section 59A-47-45.6 - [Contingent repeal. See note] Coverage exclusion
- Section 59A-47-45.7 - Heart artery calcium scan coverage
- Section 59A-47-45.8 - Coverage for individuals with diabetes
- Section 59A-47-45.9 - Biomarker testing coverage
- Section 59A-47-45.10 - Calculating a subscriber's cost-sharing obligation for prescription drug coverage
- Section 59A-47-46 - [Repealed]
- Section 59A-47-47 - Prescription drug prior authorization protocols
- Section 59A-47-47.1 - Prescription drug coverage-step therapy protocols-clinical review criteria-exceptions
- Section 59A-47-47.2 - Pharmacist prescriptive authority services; reimbursement parity
- Section 59A-47-48 - Pharmacy benefit; prescription synchronization
- Section 59A-47-49 - Provider credentialing; requirements; deadline
- Section 59A-47-50 - Physical rehabilitation services; limits on cost sharing
- Section 59A-47-51 - Behavioral health services; elimination of cost sharing
- Section 59A-47-52 - Anatomical gift nondiscrimination
- Section 59A-47-53 - Diagnostic and supplemental breast examinations
- Section 59A-47-54 - Chiropractic physician services; limits on cost sharing and coinsurance
- Section 59A-47-55 - Sexually transmitted infection care; cost sharing eliminated
- Section 59A-47-56 - Definitions
- Section 59A-47-57 - Benefits required
- Section 59A-47-58 - Parity for coverage of mental health or substance use disorder services
- Section 59A-47-59 - Provider network adequacy
- Section 59A-47-60 - Utilization review of mental health or substance use disorder services
- Section 59A-47-61 - Prohibited exclusions of coverage for mental health or substance use disorder services
- Section 59A-47-62 - Level of care determinations for the provision of mental health or substance use disorder services
- Section 59A-47-63 - Coordination of care
- Section 59A-47-64 - Confidentiality provisions
- Section 59A-47-65 - Exceptions
- Section 59A-47-66 - Medical necessity and nondiscrimination standards for coverage of prosthetics and orthotics