§ 83-9-215. Selection of plan administrator; term, powers and duties, and compensation of administrator
The board shall select an insurer, through a competitive bidding process, to administer the plan. The board shall evaluate bids submitted under this subsection based on criteria established by the board, which criteria shall include: The insurer’s proven ability to handle large group accident and health insurance. The efficiency of the insurer’s claims-paying procedures. An […]
§ 83-9-217. Assessments against insurers
For the purpose of providing the funds necessary to carry out the powers and duties of the association, the board of directors shall assess the member insurers at such time and for such amounts as the board finds necessary. Assessments shall be due not less than thirty (30) days after prior written notice to the […]
§ 83-9-219. Insurance of plan coverage; issuance of policies
The coverage provided by the plan shall be directly insured by the association, and the policies shall be issued through the administering insurer. Subject to the approval of the commissioner, the association may close enrollment in, and/or cease to offer the coverage provided by, the plan at any time upon a determination by the board […]
§ 83-9-221. Coverage; rates; exclusion for preexisting conditions; certain individuals excepted from exclusion; other sources primary
Coverage offered. The plan shall offer the coverage specified in this section for each eligible person subject to the association’s discretion to close enrollment and/or cease offering coverage as authorized in Section 83-9-219. If an eligible person is also eligible for Medicare coverage, the plan shall not pay or reimburse any person for expenses paid […]
§ 83-9-201. Short title
Sections 83-9-201 through 83-9-222 shall be known and may be cited as the “Comprehensive Health Insurance Risk Pool Association Act.”
§ 83-9-203. Purpose
It is the purpose of the Legislature to establish a mechanism to allow the availability of a health insurance program and to allow the availability of health and accident insurance coverage to those citizens of this state who (a) because of health conditions cannot secure such coverage, or (b) desire to obtain or continue health […]
§ 83-9-205. Definitions
As used in Sections 83-9-201 through 83-9-222, the following words shall have the meaning ascribed herein unless the context clearly requires otherwise: “Association” means the Comprehensive Health Insurance Risk Pool Association. “Board” means the board of directors of the association. “Church plan” has the meaning given such term under Section 3(33) of the Employee Retirement […]
§ 83-9-108. Mammography; optional coverage; written acceptance or rejection; application of section
Every insurer shall offer in each group or individual policy, contract or certificate of health insurance issued or renewed for persons who are residents of this state, coverage for annual screenings by low-dose mammography for all women thirty-five (35) years of age or older for the presence of occult breast cancer within the provisions of […]
§ 83-9-109. Outline of coverage
In order to provide for full and fair disclosure in the sale of Medicare supplement policies, no Medicare supplement policy or certificate shall be delivered in this state unless an outline of coverage is delivered to the applicant at the time application is made. The commissioner shall prescribe the format and content of the outline […]
§ 83-9-110. Review and approval of advertising by commissioner
Every issuer of Medicare supplement insurance policies or certificates in this state shall provide a copy of any Medicare supplement advertisement intended for use in this state whether through written, radio or television medium to the commissioner for review and approval.