Section 26-22-503 – Policies With Incentives or Limits on Reimbursement Authorized; Conditions.
26-22-503. Policies with incentives or limits on reimbursement authorized; conditions. (a) Notwithstanding any other provision of law to the contrary: (i) Any provider may enter into a written agreement with any group or insurer relating to health care services which may be rendered to insureds, including amounts to be charged the insured for services rendered; […]
Section 26-22-504 – Refusal to Contract or Compensate for Covered Services.
26-22-504. Refusal to contract or compensate for covered services. An insurer shall not refuse to contract with or compensate for covered services an otherwise eligible health care provider solely because that provider has in good faith communicated with one (1) or more of his current, former or prospective patients regarding the provisions, terms or requirements […]
Section 26-22-505 – Dental Insurance; Limitation on Fee Schedules for Noncovered Services; Definition; Applicability.
26-22-505. Dental insurance; limitation on fee schedules for noncovered services; definition; applicability. (a) No person or entity contracting with dentists to provide coverage or reimbursement for dental services shall require a dentist to provide services at a fee set by the contract, a policy or a certificate unless the services are covered services by the […]
Section 26-22-202 – Issuance of a Converted Policy; Conditions.
26-22-202. Issuance of a converted policy; conditions. (a) Issuance of a converted policy is subject to the following conditions: (i) Written application for the converted policy shall be made and the first premium paid to the insurer not later than thirty-one (31) days after termination of the insured’s coverage by the group policy and termination […]
Section 26-22-301 – Prepaid Hospital, Medical-Surgical or Other Health Service Plans Subject to Provisions of Code; Exceptions.
26-22-301. Prepaid hospital, medical-surgical or other health service plans subject to provisions of code; exceptions. (a) Any corporation which establishes, maintains or operates prepaid hospital, medical-surgical or other health service plans, or combination thereof, in which hospital, medical-surgical or other health service may be provided to its members or subscribers by hospitals or physicians with […]
Section 26-22-401 – Required Provision of Individual or Group Policy or Contract.
26-22-401. Required provision of individual or group policy or contract. (a) Any individual or group hospital or medical expense insurance policy or hospital service plan contract or medical service plan contract, delivered or issued for delivery in this state which provides that coverage of a dependent child of a policyholder or subscriber, or of an […]
Section 26-22-501 – Short Title.
26-22-501. Short title. This article is known and may be cited as the “Health Care Reimbursement Reform Act of 1985”.
Section 26-22-502 – Definitions.
26-22-502. Definitions. (a) As used in this article: (i) “Group” means any individual, partnership or corporation employing individuals in any occupation, or any labor union or other association representing such individuals if those individuals would qualify as an eligible group under W.S. 26-19-102(a)(i), (ii), (iii) or (viii) or any other number of individuals organized or […]
Section 26-22-103 – Applicability; Compliance by Use of Endorsements or Riders.
26-22-103. Applicability; compliance by use of endorsements or riders. W.S. 26-22-102 and this section apply to all accident and sickness policies issued and delivered in the state or issued for delivery in the state after January 1, 1976, but do not apply to any policies issued and delivered in the state or issued for delivery […]
Section 26-22-104 – Reimbursement for Health Care; Includes Health Care by Psychologists.
26-22-104. Reimbursement for health care; includes health care by psychologists. Notwithstanding any provisions in policies or contracts or certificates issued as evidence thereof which might be construed to the contrary, from and after July 1, 1985, all individual and group or blanket policies of accident and sickness insurance or individual or group service or indemnity […]