§ 20-125 – Sending notices and correspondence
20-125. Sending notices and correspondence For the purposes of this title, if a notice or correspondence is sent by: 1. Mail, the sender must send the notice or correspondence to the recipient’s last known mailing address on file with the insurer. 2. Electronic means, the sender must send the notice or correspondence to the recipient’s […]
§ 20-126 – Annual medical loss ratio report; posting; definition
20-126. Annual medical loss ratio report; posting; definition A. On or before March 31 of each year, the department shall prepare an annual report on the medical loss ratio for each dental insurer doing business in this state. In calculating the medical loss ratio, the department shall use data submitted by dental insurers in existing […]
§ 20-114 – Violations; classification
20-114. Violations; classification In addition to any other penalty applicable thereto, either under this title or otherwise, violation of any provision of this title is a class 2 misdemeanor and shall be punishable as such where no other penalty is provided therefor.
§ 20-115 – Department jurisdiction over certain health care providers; exception; examination; disclosure
20-115. Department jurisdiction over certain health care providers; exception; examination; disclosure A. Any person or other entity, including a provider sponsored organization that operates under the Medicare-plus-choice program established under the balanced budget act of 1997 (42 United States Code sections 1395w-21 through 1395w-28 and title XVIII, part C of the social security act, sections […]
§ 20-116 – Surety bonds; cash deposit as alternative
20-116. Surety bonds; cash deposit as alternative Any provision in this title that requires a person to post a surety bond to guarantee the performance of a legal obligation is subject to the provisions of section 35-155 pertaining to accepting a cash deposit as an alternative to a surety bond.
§ 20-117 – Definitions
20-117. Definitions In this title, unless the context otherwise requires: 1. " Deliver" means to cause to be provided, sent or handed over to the intended recipient. 2. " Health care services organization" has the same meaning prescribed in section 20-1051. 3. " Private passenger motor vehicle" means any vehicle that is rated or insured […]
§ 20-118 – Prohibition; definitions
20-118. Prohibition; definitions A. A person subject to this title shall not restrict or prohibit, by means of a policy or contract, whether written or otherwise, a licensed health care professional’s good faith communication with the health care professional’s patient concerning the patient’s health care or medical needs, treatment options, health care risks or benefits. […]
§ 20-119 – Charitable gift annuities; audited financial statements; disclosure statement; commissions prohibited; definitions
20-119. Charitable gift annuities; audited financial statements; disclosure statement; commissions prohibited; definitions A. On the day a charitable organization enters into an agreement for a charitable gift annuity, the charitable organization shall have: 1. A minimum of three hundred thousand dollars in unrestricted cash, cash equivalents or publicly traded securities, exclusive of assets funding the […]
§ 20-120 – Payment bonds for third party intermediary entities; contract provisions; definitions
20-120. Payment bonds for third party intermediary entities; contract provisions; definitions A. A health care insurer shall not contract with a third party intermediary entity for the delivery or provision of health benefits or services by or through that entity to a group or panel of covered persons, unless the third party intermediary entity at […]
§ 20-121 – Health care exchange; abortion coverage; prohibition; exceptions
20-121. Health care exchange; abortion coverage; prohibition; exceptions A. Consistent with the provisions of the patient protection and affordable care act (P.L. 111-148), any qualified health insurance policy, contract or plan offered through any health care exchange operating in this state shall not provide coverage for abortions. B. Subsection A of this section does not […]