Section 376.2051 – Definitions.
Effective – 28 Aug 2016 376.2051. Definitions. — As used in sections 376.2050 to 376.2053, the following terms mean: (1) “Asymmetric conduct”, an insurer’s use of the death master file prior to January 1, 2018, in connection with searching for information regarding whether annuitants under the insurer’s contracts might be deceased, but not in connection […]
Section 376.2052 – Comparison of in-force policies to death master file — violation deemed an unfair trade practice.
Effective – 28 Aug 2016 376.2052. Comparison of in-force policies to death master file — violation deemed an unfair trade practice. — 1. An insurer shall perform a comparison of its in-force life insurance policies, contracts, and retained asset accounts against a death master file on at least a semiannual basis by using the full […]
Section 376.2053 – Exemption from requirements, when.
Effective – 28 Aug 2016 376.2053. Exemption from requirements, when. — An insurer that has not engaged in any asymmetric conduct prior to January 1, 2018, shall not be required to comply with the requirements of sections 376.2050 to 376.2053 with respect to any policies, contracts, or retained asset accounts that are issued and delivered […]
Section 376.2080 – Funding agreement defined — authority to issue — rulemaking authority.
Effective – 28 Aug 2021 376.2080. Funding agreement defined — authority to issue — rulemaking authority. — 1. As used in this chapter and chapter 375, the term “funding agreement” means an agreement for an insurer to accept and accumulate funds and to make one or more payments at future dates in amounts that are […]
Section 376.2020 – Contracts prohibiting disclosure of certain payments and costs are unenforceable.
Effective – 14 Oct 2016 *376.2020. Contracts prohibiting disclosure of certain payments and costs are unenforceable. — 1. For purposes of this section, the following terms shall mean: (1) “Contractual payment amount” or “payment amount”, shall mean the total amount a health care provider is to be paid for providing a given health care service […]
Section 376.2030 – Definitions.
Effective – 28 Aug 2016 376.2030. Definitions. — As used in sections 376.2030 to 376.2036, the following terms mean: (1) “Health benefit plan”, the same meaning as such term is defined in section 376.1350; (2) “Health care provider”, the same meaning as such term is defined in section 376.1350; (3) “Health carrier”, the same meaning […]
Section 376.2034 – Restriction on step therapy protocol, patient to have access to override exception determination — procedure.
Effective – 28 Aug 2021, 2 histories 376.2034. Restriction on step therapy protocol, patient to have access to override exception determination — procedure. — 1. If coverage of a prescription drug for the treatment of any medical condition is restricted for use by a health carrier, health benefit plan, or utilization review organization via a […]
Section 376.2036 – Enforcement — applicability to health insurance plans, when.
Effective – 28 Aug 2016 376.2036. Enforcement — applicability to health insurance plans, when. — Notwithstanding any law to the contrary, the department of commerce and insurance shall enforce sections 376.2030 to 376.2036. The provisions of sections 376.2030 to 376.2036 shall apply to health insurance and health benefit plans delivered, issued for delivery, or renewed […]
Section 376.2050 – Citation of act.
Effective – 28 Aug 2016 376.2050. Citation of act. — Sections 376.2050 to 376.2053 shall be known and may be cited as the “Unclaimed Life Insurance Benefits Act”. ——– (L. 2016 H.B. 2150)
Section 376.2008 – Consultation with licensed insurance producer, navigator to advise, when.
Effective – 12 Jul 2013 376.2008. Consultation with licensed insurance producer, navigator to advise, when. — Upon contact with a person who acknowledges having existing health insurance coverage obtained through an insurance producer, a navigator shall advise the person to consult with a licensed insurance producer regarding coverage in the private market. ——– (L. 2013 […]