Current through Register Vol. 54, No. 24, June 15, 2024
Section 89.601 - Applicability(a) This subchapter implements Article VI-A of the act (40 P. S. §§ 908-1-908-8) relating to mandatory benefits for the treatment of alcohol abuse and dependency.(b) This subchapter applies to group health or sickness or accident insurance policies providing hospital or medical/surgical coverage and group subscriber contracts for certificates issued by an entity subject to the act, 40 Pa.C.S. Chapters 61 and 63 (relating to hospital plan corporations; and professional health services plan corporations), the Health Maintenance Orgnization Act (40 P. S. §§ 1551-1567) or the Fraternal Benefit Society Code (40 P. S. §§ 1141.101-1141.905).(c) Every entity that issues the policies, contracts or certificates described in subsection (b) shall submit forms of the contracts in compliance with this subchapter to the Department by May 25, 1988. The obligation to provide alcohol abuse and dependency benefits applies to policies, contracts and certificates issued or renewed on or after December 8, 1986. A policy, contract or certificate is considered renewed on the date of its renewal or, if the contract had no fixed term as of December 8, 1986, on the first anniversary date on or after December 8, 1986.The provisions of this § 89.601 adopted March 25, 1988, effective 3/26/1988, 18 Pa.B. 1360.The provisions of this § 89.601 issued under sections 206, 506, 1501 and 1502 of The Administrative Code of 1929 (71 P. S. §§ 66, 186, 411 and 412); and The Insurance Company Law of 1921 (40 P. S. §§ 341-391).