33-2-2203. Suspension or revocation
33-2-2203. Suspension or revocation. (1) The commissioner may suspend or revoke a private air ambulance service certificate of authority if the private air ambulance service: (a) no longer meets the requirements for the certificate of authority; (b) materially fails to comply with a membership agreement issued to residents of Montana; (c) is in unsound fiscal condition or is demonstrated […]
33-2-2402. Definitions
33-2-2402. Definitions. As used in this part, the following definitions apply: (1) ”Claims processing services” means the administrative services performed in connection with the processing and adjudicating of claims relating to pharmacist services that include either or both of the following: (a) receiving payments for pharmacist services; and (b) making payments to pharmacists or pharmacies. (2) ”Enrollee” means a member, […]
33-2-2204. and 33-2-2205 reserved
33-2-2204 and 33-2-2205 reserved.
33-2-2403. Licensing required
33-2-2403. Licensing required. (1) A person may not perform an act or do business in this state as a pharmacy benefit manager without a valid license issued under this part by the commissioner. (2) A license issued under this part is nontransferable. (3) A pharmacy benefit manager shall apply to the commissioner on a form prescribed by the […]
33-2-2206. Membership agreement — contents
33-2-2206. Membership agreement — contents. A membership agreement issued under this part must contain: (1) the effective dates of the membership agreement; (2) a grace period of 30 days for payment of a renewal membership fee; (3) a description of what constitutes acceptable insurance coverage if eligibility for the membership agreement is conditioned on the member’s current and continuing […]
33-2-2404. Pharmacy benefit manager prohibited practices
33-2-2404. Pharmacy benefit manager prohibited practices. (1) In any participation contracts between a pharmacy benefit manager and pharmacies or pharmacists providing prescription drug coverage, a pharmacy or pharmacist may not be prohibited, restricted, or penalized in any way from disclosing to any enrollee or injured worker any information the pharmacy or pharmacist considers appropriate regarding: (a) the […]
33-2-2207. Filings
33-2-2207. Filings. (1) Pursuant to Title 33, chapter 1, part 5, a private air ambulance service subject to this part shall file for approval any membership agreement, including any rider or endorsement. (2) A filing under subsection (1) must include all fee schedules associated with the membership agreement. History: En. Sec. 3, Ch. 210, L. 2017.
33-2-2208. Trade practices
33-2-2208. Trade practices. (1) A private air ambulance service subject to this part may not use health status as a reason to: (a) refuse to issue or renew a membership agreement; (b) assess a differing rate or charge for the membership agreement; or (c) exclude a specific individual for a membership agreement issued for a household or other group […]
33-2-2101. Short title
33-2-2101. Short title. This part may be cited as the “Corporate Governance Annual Disclosure Act”. History: En. Sec. 1, Ch. 9, L. 2017.
33-2-2102. Purpose — scope
33-2-2102. Purpose — scope. (1) The purpose of this part is to: (a) provide to the insurance commissioner a summary of an insurer or insurance group’s corporate governance structure, policies, and practices to permit the commissioner to gain and maintain an understanding of the insurer’s corporate governance framework; (b) outline the requirements for completing a corporate governance annual […]