Subchapter III - Market Conduct Standards for Defined Network Plans, Preferred Provider Plans and Limited Service Health Organizations

Section Ins 9.20 - Scope
Section Ins 9.21 - Limited exemptions
Section Ins 9.25 - Preferred provider plan same service provisions
Section Ins 9.26 - Preferred provider plan subject to defined network plan regulations
Section Ins 9.27 - Preferred provider plan requirements
Section Ins 9.30 - Group and blanket health insurers compliance
Section Ins 9.31 - Annual certification of access standards
Section Ins 9.32 - Defined network plan requirements
Section Ins 9.33 - Enrollee election of nonparticipating provider reimbursement
Section Ins 9.35 - Continuity of care
Section Ins 9.36 - Gag clauses
Section Ins 9.37 - Notice requirements
Section Ins 9.38 - Policy and certificate language requirements
Section Ins 9.39 - Disenrollment
Section Ins 9.40 - Required quality assurance and remedial action plans
Section Ins 9.41 - Right of the commissioner to request OCI complaints be handled as grievances
Section Ins 9.42 - Compliance program requirements