Part VI - HEALTH INSURANCE POLICIES
- Section 627.601 - Scope of this part
- Section 627.6011 - Mandated coverages
- Section 627.602 - Scope, format of policy
- Section 627.603 - Death benefits
- Section 627.604 - Nonresident insured
- Section 627.6041 - Children with disabilities; continuation of coverage
- Section 627.6043 - Notification of cancellation, nonrenewal, or change in rates
- Section 627.6044 - Use of a specific methodology for payment of claims
- Section 627.6045 - Preexisting condition
- Section 627.6046 - Limit on preexisting conditions
- Section 627.605 - Required provisions; captions, omissions, substitutions
- Section 627.6056 - Coverage for ambulatory surgical center service
- Section 627.606 - Entire contract; changes
- Section 627.607 - Time limit on certain defenses
- Section 627.608 - Grace period
- Section 627.609 - Reinstatement
- Section 627.610 - Notice of claim
- Section 627.611 - Claim forms
- Section 627.612 - Proof of loss
- Section 627.613 - Time of payment of claims
- Section 627.6131 - [Effective Until 1/1/2025] Payment of claims
- Section 627.6131 - [Effective 1/1/2025] Payment of claims
- Section 627.614 - Payment of claims
- Section 627.6141 - Denial of claims
- Section 627.615 - Physical examination, autopsy
- Section 627.616 - Legal actions
- Section 627.617 - Change of beneficiary
- Section 627.618 - Optional policy provisions
- Section 627.619 - Change of occupation
- Section 627.620 - Misstatement of age or sex
- Section 627.621 - Other insurance with this insurer
- Section 627.622 - Insurance with other insurers
- Section 627.623 - Insurance with other insurers; other benefits
- Section 627.624 - Relation of earnings to insurance
- Section 627.625 - Unpaid premiums
- Section 627.6265 - Cancellation or nonrenewal prohibited
- Section 627.627 - Conformity with statutes
- Section 627.628 - Illegal occupation
- Section 627.629 - Intoxicants and narcotics
- Section 627.630 - Order of certain provisions
- Section 627.631 - Third-party ownership
- Section 627.632 - Requirements of other jurisdictions
- Section 627.633 - Other policy provisions
- Section 627.634 - Age limit
- Section 627.635 - Excess insurance
- Section 627.636 - Industrial health insurance
- Section 627.637 - Construction of noncomplying contracts
- Section 627.638 - Direct payment for hospital, medical services
- Section 627.6385 - Disclosures to policyholders; calculations of cost sharing
- Section 627.6387 - Shared savings incentive program
- Section 627.639 - Application signed by agent
- Section 627.640 - Filing of classifications and rates
- Section 627.6401 - Refunds for persons age 64
- Section 627.6402 - Insurance rebates for healthy lifestyles
- Section 627.64025 - Advanced practice registered nurse services
- Section 627.6403 - Payment of acupuncture benefits to certified acupuncturists
- Section 627.6405 - Decreasing inappropriate utilization of emergency care
- Section 627.6406 - Maternity care
- Section 627.6407 - Massage
- Section 627.6408 - Diabetes treatment services
- Section 627.6409 - Coverage for osteoporosis screening, diagnosis, treatment, and management
- Section 627.641 - Coverage for newborn children
- Section 627.6415 - Coverage for natural-born, adopted, and foster children; children in insured's custodial care
- Section 627.6416 - Coverage for child health supervision services
- Section 627.6417 - Coverage for surgical procedures and devices incident to mastectomy
- Section 627.64171 - Coverage for length of stay and outpatient postsurgical care
- Section 627.64172 - Requirements with respect to breast cancer and routine followup care
- Section 627.6418 - Coverage for mammograms
- Section 627.6419 - Requirements with respect to breast cancer
- Section 627.64193 - Required coverage for cleft lip and cleft palate
- Section 627.64194 - Coverage requirements for services provided by nonparticipating providers; payment collection limitations
- Section 627.64195 - Requirements for opioid coverage
- Section 627.64196 - Medication synchronization
- Section 627.64197 - Coverage for organ transplants
- Section 627.642 - Outline of coverage
- Section 627.6425 - Renewability of individual coverage
- Section 627.6426 - Short-term health insurance-
- Section 627.643 - Uniform minimum standards
- Section 627.644 - Discrimination against handicapped prohibited
- Section 627.645 - Denial of health insurance claims restricted
- Section 627.646 - Conversion on termination of eligibility
- Section 627.647 - Standard health claim form
- Section 627.6471 - Contracts for reduced rates of payment; limitations; coinsurance and deductibles
- Section 627.6472 - Exclusive provider organizations
- Section 627.64725 - Health maintenance organization or exclusive provider organization; disclosure of terms and conditions of plan
- Section 627.6473 - Combined preferred provider and exclusive provider policies
- Section 627.64731 - Leasing, renting, or granting access to a participating provider
- Section 627.6474 - Provider contracts
- Section 627.64741 - Pharmacy benefit manager contracts
- Section 627.6475 - Individual reinsurance pool
- Section 627.6487 - Guaranteed availability of individual health insurance coverage to eligible individuals
- Section 627.64995 - Restrictions on use of state and federal funds for state exchanges