Subarticle - CHAPTER 34. DISABILITY INSURANCE POLICIES

Section 500.3400 - Definitions; scope of chapter, exemptions, exceptions
Section 500.3401 - [Repealed]
Section 500.3401a - Group disability insurance; issuance; filing and approval of form
Section 500.3402 - Disability insurance policy; provisions required
Section 500.3402a - Group disability insurance policy; provisions required
Section 500.3402b - Group or nongroup disability insurance policy; coordination of benefits; provision; limitation; "other coverage" defined; payment by each insurer
Section 500.3402c - Family expense insurance policy
Section 500.3402d - Blanket disability insurance; coverage
Section 500.3402e - Blanket disability insurance policies; issuance
Section 500.3402f - Blanket disability insurance policy; provisions
Section 500.3402g - Blanket disability insurance policy; certificate; payment of benefits
Section 500.3402h - Legal liability of policyholder
Section 500.3403 - Health insurance policy offering dependent coverage; required provisions; denial prohibited; grounds
Section 500.3404 - Insurance policy issued for delivery to nonresident
Section 500.3405 - Prudent purchaser agreements with providers of hospital, nursing, medical, surgical, or sick-care services; rates; discrimination prohibited; optometry, chiropractic, and physical therapy service
Section 500.3405a - Use of most favored nation clause
Section 500.3406 - Disability insurance policy; provisions required, captions, omissions, substitutions
Section 500.3406a - Reconstructive surgery following mastectomy; prosthetic device
Section 500.3406b - Coverage for mental health services by mental health care provider
Section 500.3406c - Hospice care; definition; description of coverage
Section 500.3406d - Coverage for breast cancer diagnostic services, breast cancer outpatient treatment services, and breast cancer rehabilitative services; coverage for breast cancer screening mammography; definitions
Section 500.3406e - Coverage for drug used in antineoplastic therapy and cost of its administration; conditions
Section 500.3406f - [Repealed]
Section 500.3406g - [Repealed]
Section 500.3406h - Eligibility of parent for dependent coverage; health coverage of child through noncustodial parent; duties of insurer; court or administrative order and notice required
Section 500.3406i - Individual eligible under title XIX of social security act; assignment of rights of insured to department of social services
Section 500.3406j - Insured or applicant as victim of domestic violence; refusal to provide coverage prohibited; liability; "domestic violence" defined
Section 500.3406k - Emergency health services; medically necessary coverage; "stabilization" defined
Section 500.3406l - Medical transportation services; reimbursement; exception
Section 500.3406m - Access by insured to obstetrician-gynecologist
Section 500.3406n - Access to pediatric care services
Section 500.3406o - Insurer providing prescription drug coverage; formulary restrictions; expedited review of coverage for nonformulary alternative; determination; subject to 500.3406w
Section 500.3406p - Establishment of program to prevent onset of clinical diabetes required; survey; coverages; "diabetes" defined
Section 500.3406q - Off-label use of approved drug; coverage; conditions; compliance; use of copayment, deductible, sanction, or utilization control; limitation; definitions
Section 500.3406r - Coverage for obstetrical and gynecological services by physician or nurse midwife
Section 500.3406s - Diagnosis and treatment of autism spectrum disorders; coverage; prohibition; availability of other benefits; conditions; qualified health plan offered through American health benefit exchange pursuant to federal law; short-term or 1-time limited duration policy or certificate; prescription drug plan; coordinated benefits; definitions
Section 500.3406t - Synchronizing insured's or enrollee's multiple maintenance prescription drugs
Section 500.3406u - Coverage for prescription eyedrops; requirements; "prescriber" defined
Section 500.3406v - Coverage for emergency supply of insulin
Section 500.3406w - Temporary emergency and early refills for prescription drugs; inapplicable after March 31, 2021
Section 500.3406x - Nonopioid directive form; website
Section 500.3406y - Nonopioid directive form; enrollment
Section 500.3406z - Essential health benefit coverage; annual and lifetime dollar limits; prohibition; applicability to grandfathered health plan coverage
Section 500.3406z[1] - Disability insurance policies; discrimination against living donors; prohibition; definitions
Section 500.3406aa - Third party access; dental provider network; requirements; exceptions; definitions
Section 500.3406bb - Health insurance policy; minimum required coverage; use of in-network and out-of-network providers; use of reasonable medical management techniques; applicability to short-term or 1-time limited duration policies; effective date
Section 500.3406ee - Health insurance policies; individual or small group markets; mandatory levels of coverage; actuarial value; compliance; applicability
Section 500.3406ff - Financial parity for orally administered, intravenously administered and injected antineoplastic (anticancer) medications
Section 500.3406ii - Prohibition on the limitation or exclusion of benefits based on preexisting condition; exceptions
Section 500.3407 - Entire contract; changes
Section 500.3407a - Conduct on behalf of or information provided to insured by health care provider; prohibition or discouragement by disability insurer
Section 500.3407b - Undergoing genetic testing as condition of issuing, renewing, or continuing policy; disclosure of genetic testing or genetic information; definitions
Section 500.3408 - Time limit on certain defenses; incontestable policy
Section 500.3409 - Disability insurance policy; mandatory notices as to cancellation and refund of premium
Section 500.3410 - Grace period; provision required
Section 500.3411 - Reinstatement; provision required
Section 500.3412 - Notice of claim; provision required
Section 500.3413 - Claim forms; provision required
Section 500.3414 - Proofs of loss; provision required
Section 500.3416 - Time of payment of claims; provision required
Section 500.3418 - Payment of claims; provision required
Section 500.3420 - Physical examinations and autopsy; provision required
Section 500.3422 - Legal actions; provision required
Section 500.3424 - Change of beneficiary; provision required
Section 500.3425 - Health insurance policy; coverage for intermediate and outpatient care for substance use disorder required; charges, terms, and conditions; reduction of coverage; deductibles and copayment provisions; definitions
Section 500.3426 - Offer of wellness coverage by insurer
Section 500.3428 - Provider network
Section 500.3430 - Optional policy provisions; insurance commissioner's approval
Section 500.3432 - Change of occupation; optional provision
Section 500.3434 - Misstatement of age; optional provision
Section 500.3436 - Other insurance with same insurer; optional provision
Section 500.3438 - Insurance with other insurers; optional provision; expense incurred benefits
Section 500.3439 - [Repealed]
Section 500.3440 - Insurance with other insurers; other benefits
Section 500.3444 - Relation of earnings to insurance; optional provision
Section 500.3446 - Unpaid premium; optional provision
Section 500.3448 - Cancellation; optional provision
Section 500.3450 - Conformity with state statutes; optional provision
Section 500.3452 - Illegal occupation or criminal activity; optional provision; definitions
Section 500.3454 - [Repealed]
Section 500.3460 - Order of certain policy provisions
Section 500.3462 - Third party ownership of policy
Section 500.3464 - Foreign or alien insurers; provision required by other state law; domestic insurers; provision required by other state or country
Section 500.3466 - Filing procedure; insurance commissioner, regulatory powers
Section 500.3468 - Provisions violating code; construction of noncomplying policies and provisions
Section 500.3470 - Age of insured; provision regulations
Section 500.3471 - Provision and nondisclosure of large employer group claims utilization and cost information; civil liability immunity; definitions
Section 500.3472 - Open enrollment period; prohibitions; establishment of reasonable periods for health insurance policies; minimum standards for frequency and duration of open enrollment periods; denial of coverage
Section 500.3474 - Risk classification; rates; filing requirements
Section 500.3474a - Premium rate after January 1, 2014; basis; factors
Section 500.3475 - Reimbursement for services by licensed psychologist, podiatrist, or chiropractor; section inapplicable to policy involving prudent purchaser agreement
Section 500.3476 - Telemedicine services; provisions; definitions
Section 500.3477 - Use of financial incentive or payment to act as inducement to deny, reduce, limit, or delay services; prohibition; exception
Section 500.3480 - [Repealed]