§ 23-80-307. Compliance with other statutorily required language
(a) The requirements of any other laws which specify the language or content of any policy may be met by a policy complying with § 23-80-306(a). (b) However, the policy must provide protection which, considered as a whole, is not less favorable to the insured than is required by the other laws.
§ 23-80-308. Compliance by provision of outline of coverage
An insurer may comply with § 23-80-306(a) and § 23-80-306(b)(2) for not more than twelve (12) months following the implementation date established by the Insurance Commissioner by providing to the policyholder an outline of coverage or a brochure instead of a simplified policy. The outline or brochure shall comply with § 23-80-306(a).
§ 23-80-401. Purpose
It is the intent of the General Assembly to improve care to patients by minimizing confusion, eliminating unnecessary paperwork, decreasing administrative burdens, and streamlining dispensing of prescription products paid for by third-party payors. This subchapter shall be construed liberally to effectuate this purpose.
§ 23-80-402. Definitions
As used in this subchapter: (1) “Commissioner” means the Insurance Commissioner; (2) “Covered person” means a person on whose behalf a health benefit plan is obligated to pay benefits pursuant to the health benefit plan; and (3) “Health benefit plan” means any individual, blanket, or group plan, policy, certificate, or contract for healthcare services issued […]
§ 23-80-203. Definitions
As used in this subchapter: (1) “Commissioner” means the Insurance Commissioner; (2) “Company” or “insurer” means any life or accident and health insurance company, fraternal benefit society, nonprofit health service corporation, nonprofit hospital service corporation, nonprofit medical service corporation, prepaid health plan, dental care plan, vision care plan, pharmaceutical plan, health maintenance organization, and all […]
§ 23-80-403. Exemptions
This subchapter shall not apply to: (1) Accidental injury insurance plans; (2) Dental insurance plans; (3) Vision insurance plans; (4) Specified disease insurance plans; (5) Disability income plans; (6) Credit insurance plans; (7) Insurance coverage issued as a supplement to liability insurance; (8) Medical payments under automobile or homeowners insurance plans; (9) Health benefit plans […]
§ 23-80-204. Applicability
(a) This subchapter shall apply to all policies delivered or issued for delivery in this state by any company on or after the date the forms must be approved under this subchapter. (b) However, nothing in this subchapter shall apply to: (1) Any policy which is a security subject to federal jurisdiction; (2) (A) Any […]
§ 23-80-404. Uniform card requirement
(a) Every health benefit plan that provides coverage for prescription drugs or devices and issues a card or other technology for claims processing and every administrator of such plans, including third-party administrators for self-insured plans, pharmacy benefit managers, and administrators of state plans, shall issue to all covered persons a uniform card or other technology […]
§ 23-80-205. Construction
Nothing in this subchapter shall be construed to negate any law of this state permitting the issuance of any policy form after it has been on file for the time period specified.
§ 23-80-405. Enrollment
(a) Upon enrollment of a covered person, a health benefit plan shall issue a uniform prescription drug information card or other technology in accordance with the requirements of § 23-80-404. (b) Upon any change in a covered person’s coverage that impacts in content or format any information contained on a uniform prescription drug information card […]