§33-60-1. Definitions
For the purposes of this article, unless the context otherwise indicates: “Applicant” means a person or entity that has filed an application under 33-60-2 of this code. “Beta test” means the phase of testing of an insurance innovation in the regulatory sandbox through the use, sale, license, or availability of the insurance innovation by or […]
§33-58-1. Coverage and Dispensing Birth Control
(a) Notwithstanding a prohibition or limitation contained within the provisions of 33-1-1 et seq. and 5-16-1 of this code an insurer subject to 5-16-1 et seq., 33-15-1 et seq., 33-16-1 et seq., 33-24-1 et seq., 33-25-1 et seq., and 33-25A-1 of this code which amends, renews, or delivers a health policy on or after January […]
§33-55-10. Penalties
A violation of this article shall be penalized in accordance with 33-4-11 of this code.
§33-56-1. Services Provided by Pharmacists
(a) For health plans, policies, contracts, or agreements issued, amended, adjusted, or renewed on or after January 1, 2021: (1) Benefits may not be denied for any health care service performed by a pharmacist licensed under 30-5-1 et seq. of this code if:
§33-57-1. Coverage of Telehealth Services
(a) The following terms are defined: (1) “Distant site” means the telehealth site where the health care practitioner is seeing the patient at a distance or consulting with a patient’s health care practitioner.
§33-55-4. Provider Directories
(a)(1)(A) A health carrier shall post electronically a current and accurate provider directory for each of its network plans with the information and search functions, as described in subsection (b) of this section. (B) In making the directory available electronically, the carrier shall ensure that the general public is able to view all of the […]
§33-55-5. Intermediaries
A contract between a health carrier and an intermediary shall satisfy all the requirements contained in this section. (a) A health carriers statutory responsibility to monitor the offering of covered benefits to covered persons may not be delegated or assigned to the intermediary. (b) A health carrier has the right to approve or disapprove participation […]
§33-55-6. Filing Requirements and State Administration
(a) At the time a health carrier files its access plan, the health carrier shall file for approval with the commissioner sample contract forms proposed for use with its participating providers and intermediaries. (b) A health carrier shall submit material changes to a contract that would affect a provision required under this article or implementing […]
§33-55-7. Contracting
(a) The execution of a contract by a health carrier does not relieve the health carrier of its liability to any person with whom it has contracted for the provision of services, nor of its responsibility for compliance with the law or applicable regulations. (b) All contracts shall be in writing and subject to review. […]
§33-55-8. Enforcement
(a) If the commissioner determines that a health carrier has not contracted with a sufficient number of participating providers to assure that covered persons have accessible health care services in a geographic area, or that a health carriers network access plan does not assure reasonable access to covered benefits, or that a health carrier has […]