§ 23-86-112. Group accident and health insurance — Direct payment of hospital or medical services
(a) On request by the group policyholder, any group accident and health insurance policy may provide that all or any portion of any indemnities provided by any policy on account of hospital, nursing, medical, or surgical services may be paid, at the insurer’s option, directly to the hospital or person rendering such services, but the […]
§ 23-86-113. Minimum benefits for mental illness in group accident and health insurance policies or subscriber’s contracts — Definition
(a) Unless refused in writing, every group accident and health insurance policy or group contract of hospital and medical service corporations issued or renewed after July 1, 1983, providing hospitalization or medical benefits to Arkansas residents for conditions arising from mental illness shall provide the following minimum benefits on and after July 1, 1983: (1) […]
§ 23-86-114. Group accident and health insurance — Continuation of coverage beyond termination of employment, change in marital status, etc
(a) Every group accident and health insurance policy, contract, or certificate providing hospital, surgical, or major medical coverage, other than accident only or specified disease policies, shall contain a provision that any certificate holder, member, or spouse whose coverage under the policy would otherwise terminate due to termination of employment or membership or a change […]
§ 23-86-115. Group accident and health insurance — Entitlement to conversion policy upon termination of group policy
(a) (1) Every group policy, contract, or certificate of accident and health insurance delivered or issued for delivery in this state that provides hospital, surgical, or major medical coverage on an expense-incurred basis, other than coverage limited to expenses from accidents or specified diseases, shall provide that an employee, member, or covered dependent whose insurance […]
§ 23-86-116. Continuation of benefits upon termination of policy
(a) Every group accident and health insurance policy, contract, or certificate that provides coverage for hospital or medical services or expenses shall provide that the insurer shall continue its obligation for benefits under the policy or contract for any person insured under the policy or contract who is hospitalized on the date of termination, if […]
§ 23-86-117. Standard claim form required
(a) All accident and health insurers transacting business in this state shall use Form HCFA 1500 and Form UB-92/HCFA 1450 or in the claim format required by the Health Insurance Portability and Accountability Act of 1996 as the standard claim forms until and unless the Insurance Commissioner prescribes otherwise. (b) Pursuant to the applicable provisions […]
§ 23-86-101. Blanket accident and health insurance — Definition
Blanket accident and health insurance is declared to be that form of accident and health insurance covering groups of persons as enumerated in one (1) of the following subdivisions: (1) Under a policy or contract issued to any common carrier or to any operator, owner, or lessee of a means of transportation, who or which […]
§ 23-86-118. In vitro fertilization coverage required
(a) All accident and health insurance companies doing business in this state shall include, as a covered expense, in vitro fertilization. (b) Pursuant to the applicable provisions of the Arkansas Insurance Code, the Insurance Commissioner may suspend or revoke the certificate of authority of any insurance company failing to comply with the provisions of this […]
§ 23-86-102. Blanket accident and health insurance — Required provisions
(a) Any insurer authorized to write accident and health insurance in this state shall have the power to issue blanket accident and health insurance. (b) No blanket policy may be issued or delivered in this state unless a copy of the form shall have been filed in accordance with § 23-79-109. (c) Every blanket policy […]
§ 23-86-119. Disclosure to policyholders
(a) Upon request from a policyholder with more than twenty-five (25) insured employees under a comprehensive health insurance policy, any insurer issuing or delivering group accident and health insurance policies in this state shall provide to the policyholder the following information for the most recent twelve-month period or for the entire period of coverage, whichever […]