§33-16-3x. Deductibles, Copayments and Coinsurance for Anti-Cancer Medications
(a) Any group accident and sickness insurance policy issued by an insurer pursuant to this article that covers anti-cancer medications that are injected or intravenously administered by a health care provider and patient administered anti-cancer medications, including, but not limited to, those medications orally administered or self-injected, may not require a less favorable basis for […]
§33-16-3y. Eye Drop Prescription Refills
An insurance policy issued by an insurer pursuant to this article for prescription topical eye medication may not deny coverage for the refilling of a prescription for topical eye medication when: (1) The medication is to treat a chronic condition of the eye;
§33-16-3p. Required Coverage for Reconstruction Surgery Following Mastectomies
(a) Any policy of insurance described in this article which provides medical and surgical benefits with respect to a mastectomy shall provide, in a case of a participant or beneficiary who is receiving benefits in connection with a mastectomy and who elects breast reconstruction in connection with such mastectomy, coverage for: (1) All stages of […]
§33-16-3q. Required Use of Mail-Order Pharmacy Prohibited
(a) An insurer issuing group accident and sickness policies in this state pursuant to the provisions of this article may not require any person covered under a contract which provides coverage for prescription drugs to obtain the prescription drugs from a mail-order pharmacy in order to obtain benefits for the drugs. (b) An insurer may […]
§33-16-3r. Coverage for Patient Cost of Clinical Trials
The provisions relating to clinical trials established in article twenty-five-f of this chapter shall apply to the health benefit plans regulated by this article.
§33-16-3s. Third-Party Reimbursement for Kidney Disease Screening
(a) Notwithstanding any provision of any policy, provision, contract, plan or agreement applicable to this article, reimbursement or indemnification for annual kidney disease screening and laboratory testing as recommended by the National Kidney Foundation may not be denied for any person when reimbursement or indemnity for laboratory or X-ray services are covered under the policy […]
§33-16-3t. Required Coverage for Dental Anesthesia Services
(a) Notwithstanding any provision of any policy, provision, contract, plan or agreement to which this article applies, any entity regulated by this article shall, on or after July 1, 2009, provide as benefits to all subscribers and members coverage for dental anesthesia services as hereinafter set forth. (b) For purposes of this article and section, […]
§33-16-3k. Limitations on Preexisting Condition Exclusions for Health Benefit Plans
(a) (1) For plan years beginning after June 30, 1997, a health benefit plan issued in connection with a group health plan may not impose a preexisting condition exclusion with respect to an employee or a dependent of an employee for losses incurred by the employee or dependent more than twelve months (or eighteen months […]
§33-16-3l. Renewability and Modification of Health Benefit Plans
(a) A health insurer may refuse to renew a health benefit plan issued in connection with a group health plan after complying with all applicable provisions of this chapter and only for one of the following reasons: (1) The policyholder's failure to pay premiums or the carrier's failure to receive timely premium payments;
§33-16-3m. Creditable Coverage
(a)(1) A health insurer shall certify an enrollee's creditable coverage at the time an enrollee: (A) Ceases to be covered under a health benefit plan issued in connection with a group health plan, including coverage under a COBRA continuation provision. For purposes of this article, "COBRA continuation provision" means any of the following: