§ 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.
§ 83-9-47. Third-party payors required to notify health care providers of payment for services made directly to patient
As used in this section, the following terms shall be defined as follows: “Third-party payor” means any insurer, nonprofit hospital service plan, health care service plan, health maintenance organization, self-insurer or any person or other entity which provides payment for medical and related services. “Health care provider” means a physician, optometrist, chiropractor, dentist, podiatrist, pharmacist, […]
§ 83-9-49. Limit on exclusion of preexisting condition from health and accident insurance coverage; definition of preexisting condition; exceptions
Any group hospital, health or medical expense insurance policy, hospital or medical service contract, health and accident insurance policy or any other insurance contract of this type which is delivered or issued for delivery in this state on or after January 1, 1994, shall not deny, exclude or limit benefits for a covered individual for […]
§ 83-9-51. Group policy defined; election to continue coverage after employment termination; continuation of coverage by dependent spouse or child; exclusions; payment; termination of coverage; notice
“Group policy” means a group accident and health insurance policy or group certificate delivered or issued for delivery in this state by an insurer; a nonprofit hospital, medical and surgical service corporation; a health maintenance organization; a fully insured multiple employer welfare arrangement; or any combination thereof. A group policy delivered or issued for delivery […]
§ 83-9-53. Authorization to establish rules and regulations
The Commissioner of Insurance may establish such rules and regulations as may be necessary or desirable to carry out Sections 83-9-47 through 83-9-53.
§ 83-9-101. Definitions
As used in Sections 83-9-101 through 83-9-113: “Applicant” means: In the case of an individual Medicare supplement policy, the person who seeks to contract for insurance benefits, and In the case of a group Medicare supplement policy, the proposed certificate holder. “Certificate” means any certificate delivered or issued for delivery in this state under a […]
§ 83-9-102. Applicability of provisions
Sections 83-9-101 through 83-9-115 shall apply to: All Medicare supplement policies delivered or issued for delivery in this state on or after April 20, 1992, and All certificates issued under group Medicare supplement policies, which certificates have been delivered or issued for delivery in this state. Sections 83-9-101 through 83-9-115 shall not apply to a […]