Chapter 27-18 - ACCIDENT AND SICKNESS INSURANCE POLICIES
- Section 27-18-1 - "Policy of accident and sickness insurance" construed
- Section 27-18-1.1 - Definitions
- Section 27-18-2 - Form of policy
- Section 27-18-2.1 - Uniform explanation of benefits and coverage
- Section 27-18-3 - Required provisions
- Section 27-18-3.1 - Alternative coverage by employer
- Section 27-18-3.2 - Rules and regulations
- Section 27-18-3.3 - Penalties
- Section 27-18-3.4 - Judicial review
- Section 27-18-3.5 - Non-applicability
- Section 27-18-4 - Optional provisions
- Section 27-18-5 - Inapplicable or inconsistent provisions
- Section 27-18-6 - Sequence of provisions
- Section 27-18-7 - Third party ownership
- Section 27-18-8 - Filing of accident and sickness insurance policy forms
- Section 27-18-8.1 - Waiting period - Effective date of filings
- Section 27-18-8.2 - Notice of disapproval
- Section 27-18-8.3 - Withdrawal of approval
- Section 27-18-8.4 - Rules as to filing
- Section 27-18-9 - Policies of foreign insurers
- Section 27-18-10 - Compliance by domestic insurer with laws of other states
- Section 27-18-11 - Application of provisions to policy issued to nonresident
- Section 27-18-12 - Less favorable provisions prohibited
- Section 27-18-13 - Effect of policies inconsistent with chapter
- Section 27-18-14 - Copies of applications
- Section 27-18-15 - Alteration of application
- Section 27-18-16 - False statements in application
- Section 27-18-17 - Acts not constituting waiver of insurer's defenses
- Section 27-18-18 - Acceptance of premiums after effective period of policy
- Section 27-18-19 - Insurance exempt from chapter
- Section 27-18-20 - Penalties for violations
- Section 27-18-21 - Appeals from commissioner
- Section 27-18-22 - Effect on other law
- Section 27-18-23 - Severability
- Section 27-18-24 - Immunity of benefits from process
- Section 27-18-25 - Unfair discrimination prohibited
- Section 27-18-26 - Physical examinations by insurance company
- Section 27-18-27 - Adoptive children
- Section 27-18-28 - [Repealed]
- Section 27-18-29 - Changing coverage
- Section 27-18-30 - Health insurance contracts - infertility
- Section 27-18-31 - Insurance coverage for services of licensed midwives
- Section 27-18-32 - Discontinuance of coverage - Chronic disabilities
- Section 27-18-33 - Drug coverage
- Section 27-18-33.1 - Insurance coverage for post-partum hospital stays
- Section 27-18-33.2 - Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies
- Section 27-18-34 - Health insurance contracts - Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists
- Section 27-18-35 - Certified counselors in mental health and therapists in marriage and family practice
- Section 27-18-36 - New cancer therapies - Under investigation. [Repealed on effective date of Section 27-18-80.]
- Section 27-18-36.1 - "Reliable evidence" defined. [Repealed on effective date of Section 27-18-80.]
- Section 27-18-36.2 - Conditions of coverage. [Repealed on effective date of Section 27-18-80.]
- Section 27-18-36.3 - Managed care. [Repealed on effective date of Section 27-18-80.]
- Section 27-18-37 - [Repealed]
- Section 27-18-38 - Diabetes treatment
- Section 27-18-39 - Mastectomy treatment
- Section 27-18-40 - Insurance coverage for mastectomy hospital stays
- Section 27-18-41 - Mammograms and pap smears - coverage mandated
- Section 27-18-42 - Mammograms - Quality assurance standards
- Section 27-18-43 - Pap smears - Quality assurance standards
- Section 27-18-44 - Primary and preventive obstetric and gynecological care
- Section 27-18-44.1 - Hysterectomy or myomectomy treatment
- Section 27-18-45 - Whistleblowers protection
- Section 27-18-46 - Penalties and remedies
- Section 27-18-47 - Additional relief and damages - Reinstatement
- Section 27-18-48 - Third party reimbursement for services of certain health care workers
- Section 27-18-48.1 - Third party reimbursement for services of registered nurse first assistants
- Section 27-18-49 - Human leukocyte antigen testing
- Section 27-18-50 - Drug coverage
- Section 27-18-50.1 - Medication synchronization
- Section 27-18-50.2 - [Effective 1/1/2025] Specialty drugs
- Section 27-18-51 - Restricted annual rate payments prohibited
- Section 27-18-52 - Genetic testing
- Section 27-18-52.1 - Genetic information
- Section 27-18-53 - Magnetic resonance imaging - Quality assurance standards
- Section 27-18-54 - Health insurance rates
- Section 27-18-55 - Acupuncture services
- Section 27-18-56 - Prohibition against dentists being required to indemnify provider
- Section 27-18-57 - Fda approved prescription contraceptive drugs and devices
- Section 27-18-58 - Prostate and colorectal examinations - coverage mandated - the maryellen goodwin colorectal cancer screening act
- Section 27-18-59 - Eligibility for children's benefits
- Section 27-18-60 - Hearing aids
- Section 27-18-61 - Prompt processing of claims
- Section 27-18-62 - Mandatory coverage for certain lyme disease treatments
- Section 27-18-63 - Dental insurance assignment of benefits
- Section 27-18-64 - Coverage for early intervention services
- Section 27-18-65 - Post-payment audits
- Section 27-18-66 - Tobacco cessation programs
- Section 27-18-67 - Reimbursement for orthotic and prosthetic services
- Section 27-18-68 - Mandatory coverage for scalp hair prosthesis
- Section 27-18-69 - Licensed ambulance service
- Section 27-18-70 - Enteral nutrition products
- Section 27-18-71 - Prohibition on preexisting condition exclusions
- Section 27-18-72 - Prohibition on rescission of coverage
- Section 27-18-73 - Prohibition on annual and lifetime limits
- Section 27-18-74 - Coverage for individuals participating in approved clinical trials
- Section 27-18-75 - Medical loss ratio reporting and rebates
- Section 27-18-76 - Emergency services
- Section 27-18-77 - Internal and external appeal of adverse benefit determinations
- Section 27-18-78 - Primary care provider designation requirement
- Section 27-18-79 - Discretionary clauses
- Section 27-18-80 - Orally administered anticancer medication - Cost-sharing requirement
- Section 27-18-81 - Consumer notification
- Section 27-18-82 - Opioid antagonists
- Section 27-18-83 - Health care provider credentialing
- Section 27-18-84 - Health insurance contracts - full year coverage for contraception
- Section 27-18-85 - Gender rating
- Section 27-18-86 - Prohibition on discrimination in organ transplants
- Section 27-18-87 - Health insurance contracts - copayments exemption for covid-19 vaccinations
- Section 27-18-88 - Perinatal doulas
- Section 27-18-89 - Coverage for biomarker testing
- Section 27-18-90 - Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome
- Section 27-18-91 - Epinephrine injectors
- Section 27-18-92 - Coverage for treatment of pre-exposure prophylaxis (PREP) for the prevention of HIV and post-exposure prophylaxis (PEP) to prevent HIV infection
- Section 27-18-93 - Expedited prior authorization
- Section 27-18-94 - Dispensing and administration of HIV PREP or PEP drugs