Section 376.2014 – Applicability — severability — rulemaking authority.
Effective – 12 Jul 2013 376.2014. Applicability — severability — rulemaking authority. — 1. The requirements of sections 379.930 to 379.952 and chapters 375, 376, 407 and any related rules shall apply to navigators. The activities and duties of a navigator shall be deemed to constitute transacting the business of insurance. 2. If any provision […]
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 376.1750 – Health care sharing ministry, provisions not to apply to — ministry not engaging in the business of insurance, when — health care sharing ministry defined.
Effective – 28 Aug 2007 376.1750. Health care sharing ministry, provisions not to apply to — ministry not engaging in the business of insurance, when — health care sharing ministry defined. — 1. The provisions of this chapter relating to health insurance, health maintenance organizations, health benefit plans, group health services, and health carriers shall […]
Section 376.1753 – Services related to pregnancy, persons holding ministerial or tocological certification may provide.
Effective – 28 Aug 2007 376.1753. Services related to pregnancy, persons holding ministerial or tocological certification may provide. — Notwithstanding any law to the contrary, any person who holds current ministerial or tocological certification by an organization accredited by the National Organization for Competency Assurance (NOCA) may provide services as defined in 42 U.S.C. 1396r-6(b)(4)(E)(ii)(I). […]
Section 376.1800 – Definitions — medical retainer agreements not insurance — agreement requirements — use of health savings accounts for fees.
Effective – 28 Aug 2022, 2 histories 376.1800. Definitions — medical retainer agreements not insurance — agreement requirements — use of health savings accounts for fees. — 1. As used in this section, the following terms shall mean: (1) “Medical retainer agreement”, a contract between a provider and an individual patient or such individual patient’s […]
Section 376.1900 – Definitions — reimbursement for telehealth services, when.
Effective – 01 Jan 2014 376.1900. Definitions — reimbursement for telehealth services, when. — 1. As used in this section, the following terms shall mean: (1) “Electronic visit”, or “e-visit”, an online electronic medical evaluation and management service completed using a secured web-based or similar electronic-based communications network for a single patient encounter. An electronic […]
Section 376.2000 – Citation of law — definitions.
Effective – 12 Jul 2013 376.2000. Citation of law — definitions. — 1. Sections 376.2000 to 376.2014 shall be known and may be cited as the “Health Insurance Marketplace Innovation Act of 2013”. 2. As used in sections 376.2000 to 376.2014, the following terms mean: (1) “Department”, the department of commerce and insurance; (2) “Director”, […]
Section 376.2002 – Navigators, license required — permitted acts — prohibited acts — exemptions.
Effective – 12 Jul 2013 376.2002. Navigators, license required — permitted acts — prohibited acts — exemptions. — 1. No individual or entity shall perform, offer to perform, or advertise any service as a navigator in this state, or receive navigator funding from the state or an exchange unless licensed as a navigator by the […]