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 […]
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 […]
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 […]
