24-A §2847-Q. Coverage for services provided by independent practice dental hygienist
§2847-Q. Coverage for services provided by independent practice dental hygienist 1. Services provided by independent practice dental hygienist. An insurer that issues group dental insurance or health insurance that includes coverage for dental services shall provide coverage for dental services performed by an independent practice dental hygienist licensed under Title 32, chapter 143 when those […]
24-A §2847-R. Enrollment of dependent children in dental coverage
§2847-R. Enrollment of dependent children in dental coverage 1. Offer of dependent coverage; enrollment period. All group dental insurance policies, contracts and certificates that offer dependent coverage must offer the opportunity to enroll a dependent child in the dental insurance coverage at appropriate rates during the following periods: A. From birth to 30 days […]
24-A §2847-S. Coverage for children’s early intervention services (REALLOCATED FROM TITLE 24-A, SECTION 2847-R)
§2847-S. Coverage for children’s early intervention services (REALLOCATED FROM TITLE 24-A, SECTION 2847-R) 1. Definition. For purposes of this section, “children’s early intervention services” means services provided by licensed occupational therapists, physical therapists, speech-language pathologists or clinical social workers working with children from birth to 36 months of age with an identified developmental disability or […]
24-A §2847-T. Coverage for the diagnosis and treatment of autism spectrum disorders (REALLOCATED FROM TITLE 24-A, SECTION 2847-R)
§2847-T. Coverage for the diagnosis and treatment of autism spectrum disorders (REALLOCATED FROM TITLE 24-A, SECTION 2847-R) 1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings. A. “Applied behavior analysis” means the design, implementation and evaluation of environmental modifications using behavioral stimuli and consequences […]
24-A §2847-U. Coverage for services provided by dental therapist
§2847-U. Coverage for services provided by dental therapist 1. Services provided by dental therapist. An insurer that issues group dental insurance or health insurance that includes coverage for dental services shall provide coverage for dental services performed by a dental therapist licensed under Title 32, chapter 143 when those services are covered services under the […]
24-A §2847-V. Absolute discretion clauses
§2847-V. Absolute discretion clauses A group health insurance policy, contract or certificate, including, but not limited to, a group disability income insurance policy, contract or certificate, may not contain a provision purporting to reserve sole or absolute discretion to the insurer to interpret the terms of the contract, to provide standards of interpretation or review, […]
24-A §2847-W. Dental benefit waiting period
§2847-W. Dental benefit waiting period 1. Enrollee defined. For the purposes of this section, unless the context otherwise indicates, “enrollee” means a person who is covered under a group policy or contract provided by an insurer. [PL 2019, c. 605, §6 (NEW).] 2. No waiting period for enrollee under 19 years of age. An […]
24-A §2847-H. Coverage for services of certified nurse practitioners; certified midwives; certified nurse midwives (REALLOCATED FROM TITLE 24-A, SECTION 2847-G)
§2847-H. Coverage for services of certified nurse practitioners; certified midwives; certified nurse midwives (REALLOCATED FROM TITLE 24-A, SECTION 2847-G) 1. Required coverage for services upon referral of primary care provider. An insurer that issues group health insurance policies and contracts shall provide coverage under those contracts for services performed by a certified nurse practitioner, certified […]
24-A §2847-I. Coverage for services provided by registered nurse first assistants (REALLOCATED FROM TITLE 24-A, SECTION 2847-G)
§2847-I. Coverage for services provided by registered nurse first assistants (REALLOCATED FROM TITLE 24-A, SECTION 2847-G) 1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings. A. “Perioperative nursing” means a practice of nursing in which the nurse provides preoperative, intraoperative and postoperative nursing care […]
24-A §2847-J. Coverage for hospice care services
§2847-J. Coverage for hospice care services 1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings. A. “Hospice care services” means services provided on a 24-hours-a-day, 7-days-a-week basis to a person who is terminally ill and that person’s family. “Hospice care services” includes, but is […]