20-120. Payment bonds for third party intermediary entities; contract provisions; definitions A. A health care insurer shall not contract with a third party intermediary entity for the delivery or provision of health benefits or services by or through that entity to a group or panel of covered persons, unless the third party intermediary entity at […]
20-121. Health care exchange; abortion coverage; prohibition; exceptions A. Consistent with the provisions of the patient protection and affordable care act (P.L. 111-148), any qualified health insurance policy, contract or plan offered through any health care exchange operating in this state shall not provide coverage for abortions. B. Subsection A of this section does not […]
20-122. Health care sharing ministries; exemption from regulation; definition A. A health care sharing ministry’s practices do not constitute the transaction of insurance business in this state for the purposes of regulation under this title. B. For the purposes of this section, " health care sharing ministry" means a nonprofit organization that is exempt from […]
20-123. Guaranteed availability; preexisting condition exclusions prohibited; open enrollment periods; rules; definitions (Conditionally Eff.) A. Every health care insurer that offers an individual health plan in this state shall provide guaranteed availability of coverage to an eligible individual who desires to enroll in health insurance coverage and shall not: 1. Decline to offer that coverage […]
20-124. Adoption of rules (Eff. 7/1/20) The director may adopt rules for the administration of title 6, title 32, chapters 9 and 36, title 41, chapter 31 and title 44, chapter 2.1.
20-125. Sending notices and correspondence For the purposes of this title, if a notice or correspondence is sent by: 1. Mail, the sender must send the notice or correspondence to the recipient’s last known mailing address on file with the insurer. 2. Electronic means, the sender must send the notice or correspondence to the recipient’s […]
20-126. Annual medical loss ratio report; posting; definition A. On or before March 31 of each year, the department shall prepare an annual report on the medical loss ratio for each dental insurer doing business in this state. In calculating the medical loss ratio, the department shall use data submitted by dental insurers in existing […]
