As used in this subchapter: (1) “Craniofacial anomaly” means a congenital or acquired musculoskeletal disorder that primarily affects the cranial facial tissue; (2) (A) “Health benefit plan” means an individual, blanket, or any group plan, policy, or contract for healthcare services issued or delivered in this state by a healthcare insurer, health maintenance organization, hospital […]
(a) (1) A health benefit plan that is offered, issued, provided, or renewed in this state shall include coverage and benefits for reconstructive surgery and related medical care for a person of any age who is diagnosed as having a craniofacial anomaly if the surgery and treatment are medically necessary to improve a functional impairment […]
(a) The State Insurance Department shall develop and promulgate rules for the implementation and administration of this subchapter. (b) The State and Public School Life and Health Insurance Board may develop and promulgate rules for the administration of this subchapter for the plans providing health benefits to state and public school employees under § 21-5-401 […]
