§ 4088b. Clinical trials for cancer patients
§ 4088b. Clinical trials for cancer patients (a) The Commissioner shall, after notice and hearing, adopt rules requiring that all health benefit plans issued in this State provide coverage for routine costs for patients who participate in cancer clinical trials. (1) Any rules adopted under this section shall be limited to the coverage of routine […]
§ 4081. Blanket health insurance
§ 4081. Blanket health insurance Blanket health insurance is hereby declared to be that form of health insurance which is supplemental to comprehensive health insurance, or which provides coverage other than the payment of all or a portion of the cost of health care services or products, and covering special groups of persons set forth […]
§ 4082. Blanket insurance; policy contents
§ 4082. Blanket insurance; policy contents (a) No such blanket health insurance policy shall contain any provision relative to notice of claim, proofs of loss, time of payment of claims, or time within which legal action must be brought upon the policy which, in the opinion of the Commissioner, is less favorable to the persons […]
§ 4076. Policies not affected
§ 4076. Policies not affected Nothing in sections 4063-4075 of this title shall apply to or affect: (1) any policy of workers’ compensation insurance or any policy of liability insurance with or without supplementary coverage therein; (2) any policy or contract of reinsurance; (3) any blanket or group policy of insurance enumerated in sections 4079-4082 […]
§ 4077. Termination; comprehensive major medical policies; grace period
§ 4077. Termination; comprehensive major medical policies; grace period (a) A comprehensive major medical insurance policy issued by a health insurance company, nonprofit hospital or medical service corporation, or health maintenance organization that insures employees, members, or subscribers for hospital and medical insurance on an expense-incurred, service, or prepaid basis shall: (1) provide notice to […]
§ 4079. Group insurance policies; definitions
§ 4079. Group insurance policies; definitions Group health insurance is hereby declared to be that form of health insurance covering one or more persons, with or without their dependents, and issued upon the following basis: (1)(A) Under a policy issued to an employer, who shall be deemed the policyholder, insuring at least one employee of […]
§ 4079a. Association health plans
§ 4079a. Association health plans (a) As used in this section, “association health plan” means a policy issued to an association; to a trust; or to one or more trustees of a fund established, created, or maintained for the benefit of the members of one or more associations or a contract or plan issued by […]
§ 4080. Required policy provisions
§ 4080. Required policy provisions (a) No group insurance policy shall contain any provision relative to notice of claim, proofs of loss, time of payment of claims, or time within which legal action must be brought upon the policy that, in the opinion of the Commissioner, is less favorable to the persons insured than would […]
§ 4080d. Coordination of insurance coverage with Medicaid
§ 4080d. Coordination of insurance coverage with Medicaid Any insurer as defined in section 4100b of this title is prohibited from considering the availability or eligibility for medical assistance in this or any other state under 42 U.S.C. § 1396a (Section 1902 of the Social Security Act), herein referred to as Medicaid, when considering eligibility […]
§ 4080e. Medicare supplemental health insurance policies; community rating; disability
§ 4080e. Medicare supplemental health insurance policies; community rating; disability (a) A health insurance company, hospital or medical service corporation, or health maintenance organization shall use a community rating method acceptable to the Commissioner for determining premiums for Medicare supplemental insurance policies. (b) The Commissioner shall adopt rules for standards and procedure for permitting health […]