Chapter 18 - GROUP AND BLANKET HEALTH INSURANCE POLICIES
- Section 58-18-1 - "Group health insurance" defined
- Section 58-18-2 - Employee group insurance authorized-"Employees" defined
- Section 58-18-3 - Employer association group health insurance authorized-Employees defined
- Section 58-18-4 - Industry fund group insurance authorized-"Employees" defined
- Section 58-18-4.1 - Restrictions on issuance of group health insurance policy to association
- Section 58-18-4.2 - Required duration of participation by employer member in association plan
- Section 58-18-4.3 - Association plan covering state residents to comply with state law
- Section 58-18-4.4 - Requirements for insurer offering fully insured health benefit plan through association
- Section 58-18-5 - Issuance to person or organization to which group life insurance policy may be issued
- Section 58-18-6 - Issuance to cover similar group subject to discretion of director
- Section 58-18-6.1 - Coverage of proprietors, partners and executive corporate officer employees
- Section 58-18-7 - Continuation without evidence of insurability-Application
- Section 58-18-7.1 - Coverage for inpatient treatment of alcoholism to be offered in group policies-Treatment within state included
- Section 58-18-7.2 - Benefits provided under alcoholism coverage-Maximum treatment periods permitted
- Section 58-18-7.3 - Policies not within alcoholism coverage requirement
- Section 58-18-7.4 - Coverage upon application by employee or beneficiary with right to convert following notice of termination
- Section 58-18-7.5 - Continuation of coverage upon leaving employment or termination of coverage by insurer-Duration
- Section 58-18-7.6 to 58-18-7.10 - [Repealed]
- Section 58-18-7.11 - Continuation or conversion policy not required under certain circumstances
- Section 58-18-7.12 - Conditions for continuation
- Section 58-18-7.13 - Premium for conversion policy and continuation policy
- Section 58-18-7.14 - Notification of continuation and conversion rights
- Section 58-18-7.15 - Group insurance coverage in lieu of converted individual policies
- Section 58-18-7.16 - [Repealed]
- Section 58-18-7.17 - Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited-Exception for sickness or injury caused in commission of felony
- Section 58-18-7.18 - Continuation coverage to be same as that available to similarly situated beneficiaries-Option to decrease benefits
- Section 58-18-7.19 - Probationary period for continuation or conversion coverage prohibited
- Section 58-18-7.20 - Construction with chapter 58-18C
- Section 58-18-7.21 - Continued coverage-Insurer's use of experience for rating purposes not limited-Options unavailable in market not required
- Section 58-18-8 - Representations by applicant not warranties-Written statement required to avoid insurance or reduce benefits
- Section 58-18-9 - Summary statement of coverage for delivery to member of insured group
- Section 58-18-10 - Additions to group originally insured
- Section 58-18-11 - Direct payment for hospital, medical, or surgical services-Option of insurer
- Section 58-18-11.1 - Reduction of benefits because of increase in statutory disability benefits prohibited
- Section 58-18-11.2 - [Repealed]
- Section 58-18-12 - "Blanket health insurance" defined
- Section 58-18-13 - Blanket health insurance for passengers on common carrier
- Section 58-18-14 - Blanket health insurance for employees, dependents, or guests with reference to hazardous activities
- Section 58-18-15 - Blanket health insurance for institutions of learning, camps, or sponsors
- Section 58-18-16 - Blanket health insurance for religious, charitable, recreational, educational, or civic organizations
- Section 58-18-17 - Blanket health insurance for sports team or sponsors
- Section 58-18-18 - Blanket health insurance for volunteer group or agency
- Section 58-18-19 - Blanket health insurance for other risks approved by director
- Section 58-18-20 - Authority to issue blanket health insurance-Filing of copy of form-Required provisions
- Section 58-18-21 - Policy and application constitute entire contract-Statements by policyholder not warranties-Written statement required for use in defense of claim
- Section 58-18-22 - Sickness or injury-Provision for notice to insurer
- Section 58-18-23 - Forms for filing proof of loss-Failure of insurer to furnish, submission of written proof
- Section 58-18-24 - Claim for loss of time-Time for furnishing proof of loss-Notice of continuance of disability
- Section 58-18-25 - Time for payment of benefits
- Section 58-18-26 - Physical examination of insured-Autopsy in death claims
- Section 58-18-27 - Time for commencement of action to recover under policy
- Section 58-18-28 - Individual application and certificate not required under blanket policy
- Section 58-18-29 - Persons to whom benefits payable under blanket health policy
- Section 58-18-30 - Chapter inapplicable to prior policies
- Section 58-18-31 - Continuation of coverage for child with intellectual or physical disability-Proof of dependency
- Section 58-18-31.1 - Dependent coverage termination-Age-Full-time student
- Section 58-18-32 - Family coverage to include newborn and newly adopted children
- Section 58-18-33 - Premature birth, congenital defects, and birth abnormalities covered-Applicability
- Section 58-18-34 - Notice of birth or adoption required for continued coverage
- Section 58-18-35 - Notice required for rate increase by group health insurance company
- Section 58-18-36 - Grandfathered plans required to cover low-dose mammography-Extent of coverage
- Section 58-18-36.1 - Policies required to cover occult breast cancer screening
- Section 58-18-37 - Freedom of choice for pharmacy services
- Section 58-18-38 - Annual period of enrollment for licensed pharmacies-Actual notice of enrollment period not required
- Section 58-18-39 - Provisions denying choice for pharmacy services as void
- Section 58-18-40 - Enforcement of provisions permitting choice for pharmacy services
- Section 58-18-41 - Coverage for phenylketonuria
- Section 58-18-42 - "Health benefit plan" defined
- Section 58-18-43 - "Late enrollee" defined
- Section 58-18-44 - "Creditable coverage" defined
- Section 58-18-45 - Preexisting conditions-Limitation of waiting periods
- Section 58-18-45.1 - Anesthesia and hospital or ambulatory surgery center charges for dental care to be covered for certain persons
- Section 58-18-46 - Renewability of health benefit plans-Employer's election-Exceptions
- Section 58-18-47 - Nonrenewal of health benefit plans by an employer carrier
- Section 58-18-48 - Acceptance of new employees for coverage under employer's existing health benefit plan
- Section 58-18-49 - Carrier's offer of coverage to employer-Coverage of all eligible employees
- Section 58-18-50, 58-18-51 - [Repealed]
- Section 58-18-51.1 - Application of sections 58-18-42 to 58-18-49, inclusive
- Section 58-18-52 - Formation of voluntary health insurance purchasing organizations
- Section 58-18-52.1 - Political subdivisions permitted to join with health insurance purchasing organizations
- Section 58-18-53 - Membership of voluntary health insurance purchasing organizations
- Section 58-18-54 - Purchasing organization's responsibility for negotiating terms and conditions
- Section 58-18-55 - Purchasing organization's notice of premium charge
- Section 58-18-56 - Additional chapters applicable to purchasing organization
- Section 58-18-57 - Approval of purchasing organization by Division of Insurance
- Section 58-18-58 - Premiums held in trust by purchasing organization
- Section 58-18-59 - Rates for group health insurance issued to purchasing organizations
- Section 58-18-60 - Reasonable participation requirements for group members of purchasing organizations
- Section 58-18-61 - Purchasing organizations exempt from antitrust provisions
- Section 58-18-62 - Promulgation of rules for purchasing organizations
- Section 58-18-63 - Minimum loss ratio for employer health benefit plans-Application of section
- Section 58-18-64 to 58-18-75 - [Repealed]
- Section 58-18-76 - Minimum inpatient care coverage following delivery
- Section 58-18-77 - Shorter hospital stay permitted-Follow-up within forty-eight hours required
- Section 58-18-78 - Notice to employees or members-Disclosures
- Section 58-18-79 - Promulgation of rules to minimally meet federal standards-Additional rules-Scope
- Section 58-18-80 - Health insurance policies to provide coverage for biologically-based mental illnesses
- Section 58-18-81 - Application-Exemptions
- Section 58-18-82 - Carrier to provide annual report-Time frame-Information
- Section 58-18-83 - Policies to provide coverage for diabetes supplies, equipment and education-Exceptions-Conditions and limitations
- Section 58-18-84 - Diabetes coverage not required of certain plans and policies
- Section 58-18-85 - Policies to provide coverage for prostate cancer screening
- Section 58-18-86 - Plans subject to section 58-18-45-Exceptions
- Section 58-18-87 - Director to promulgate rules governing use of genetic information
- Section 58-18-88 - Authorization of self-funded multiple employer trust sponsored by association-Conditions
- Section 58-18-88.1 - Request for waiver by association formed in another state
- Section 58-18-89 - Promulgation of rules pertaining to multiple employer trusts
- Section 58-18-90 - Multiple employer trust not insurance company or association or subject to specified provisions-Exception
- Section 58-18-91 - Suspension or revocation of authorization of multiple employer trust-Action in lieu of suspension or revocation
- Section 58-18-92 - Payment of premium taxes
- Section 58-18-93 - Agent licensing requirements
- Section 58-18-94 - Application of provisions regarding multiple employer trusts-Inclusion of large and small employers
- Section 58-18-95 - Coverage for treatment of hearing impairment for persons under age nineteen