§ 23-99-1001. Title

This subchapter shall be known and may be cited as the “Vision Care Plan Act of 2015”.

§ 23-99-1002. Definitions

As used in this subchapter: (1) “Covered materials” means materials for which reimbursement from the insurer, vision care plan, or vision care discount plan is provided to a vision care provider by an individual’s vision benefit plan or contract and that are reimbursable subject to a deductible, copayment, coinsurance, or other contractual limitations; (2) “Covered […]

§ 23-99-1003. Prohibited practices — Agreements

(a) A participating provider agreement between an insurer, vision care plan, or vision care discount plan and a vision care provider shall not establish a fee that a vision care provider shall charge for services or materials that are not covered by a vision benefit plan or contract. (b) A vision care provider shall not […]

§ 23-99-1004. Private civil action

(a) A vision care provider adversely affected by any violation of this subchapter by an insurer, vision care plan, or a vision care discount plan may bring a civil action in a court of competent jurisdiction against the insurer, vision care plan, or a vision care discount plan for injunctive relief. (b) If a person […]

§ 23-99-1005. Rules — Enforcement — Effective date

(a) The State Insurance Department shall develop and promulgate rules for the implementation and administration of this subchapter. (b) The Insurance Commissioner shall enforce this subchapter and may seek injunctive relief for violations of this subchapter. (c) This subchapter is applicable to a vision benefit plan or contract issued, renewed, or recredentialed in this state […]