Effective – 28 Aug 2007, 2 histories 376.1500. Definitions. — As used in sections 376.1500 to 376.1532, the following words or phrases mean: (1) “Director”, the director of the department of commerce and insurance; (2) “Discount card”, a card or any other purchasing mechanism or device, which is not insurance, that purports to offer discounts […]
Effective – 28 Aug 2007 376.1502. Requirements for transaction of business. — 1. It is unlawful to transact business in this state as a discount medical plan organization, unless the organization is a corporation, limited liability corporation, partnership, limited liability partnership or other legal entity organized under the laws of this state or, if a […]
Effective – 28 Aug 2007 376.1504. Registration requirements — term of registration — renewal. — 1. To register as a discount medical plan organization, an applicant shall: (1) File with the director an application on a form approved and adopted by the director; and (2) Pay to the director an application fee of two hundred […]
Effective – 28 Aug 2007 376.1506. Violations, penalty. — 1. If the director has a reason to believe that the discount medical plan organization is not complying with the requirements of sections 376.1500 to 376.1532, the director may examine or investigate the business and affairs of any discount medical plan organization under the authority of […]
Effective – 28 Aug 2007 376.1508. Processing fee — cancellation of membership, effect of. — 1. A discount medical plan organization may charge a reasonable one-time processing fee and a periodic charge as long as the fee is disclosed to the applicant. 2. If the member cancels the membership within the first thirty days after […]
Effective – 28 Aug 2007 376.1510. Prohibited acts. — A discount medical plan organization shall not: (1) Use in its advertisements, marketing material, brochures, and discount cards the terms “health plan”, “coverage”, “co-pay”, “co-payments”, “preexisting conditions”, “guaranteed issue”, “premium”, “PPO”, “preferred provider organization”, or other terms in a manner that could reasonably mislead a person […]
Effective – 28 Aug 2007 376.1512. Required disclosures. — 1. The following disclosures, to be printed in bold and in not less than twelve-point type, shall be made in writing to any prospective member and shall appear on the first page or first content page of any advertisements, marketing materials or brochures relating to a […]
Effective – 28 Aug 2007 376.1514. Written agreement required, contents. — 1. All providers offering medical services to members under a discount medical plan shall provide such services pursuant to a written agreement. The agreement may be entered into directly by the health care provider or by a health care provider network to which the […]
There are multiple enactments of 376.1516 Effective – 01 Jan 2008, 2 histories *376.1516. Written membership materials, required contents — forms to be filed with director, fee. — 1. Each benefit under the discount medical plan and every disclosure required under sections 376.1500 to 376.1532, shall be included in the written membership materials between the […]
There are multiple enactments of 376.1516 Effective – 28 Aug 2007, 2 histories *376.1516. Written membership materials, required contents — forms to be submitted to director. — 1. Each benefit under the discount medical plan shall be included in the written membership materials between the discount medical plan organization and the member. The written membership […]
Effective – 28 Aug 2007 376.1518. Net worth to be maintained, amount. — 1. Each discount medical plan organization registered pursuant to sections* 376.1500 to 376.1532 shall at all times maintain a net worth of at least one hundred fifty thousand dollars. 2. The director may not allow a registration unless the discount medical plan […]
Effective – 28 Aug 2007 376.1520. Notice of changes. — Each discount medical plan organization required to be registered pursuant to this section shall provide the director at least thirty days’ advance notice of any change in the discount medical plan organization’s name, address, principal business address, or mailing address. ——– (L. 2007 H.B. 818 […]
Effective – 28 Aug 2007 376.1522. List of providers to be maintained on website. — Each discount medical plan organization shall maintain a current list of the names and addresses of the providers with which it has contracted on a website page, the address of which shall be prominently displayed on all its advertisements, marketing […]
Effective – 28 Aug 2007 376.1524. Advertising and marketing materials, approval in writing required. — 1. All advertisements, marketing materials, brochures and discount cards used by marketers shall be approved in writing for such use by the discount medical plan organization. 2. The discount medical plan organization shall have an executed written agreement with a […]
Effective – 28 Aug 2007 376.1528. Rulemaking authority. — The director under the provisions of section 374.045 may promulgate rules to administer and interpret the provisions of sections 376.1500 to 376.1532. ——– (L. 2007 H.B. 818 merged with S.B. 66) Effective 8-28-07 (S.B. 66); 1-01-08 (H.B. 818)
Effective – 28 Aug 2007 376.1530. Denial and refusal to issue registrations, when. — 1. The director may deny a registration to an applicant or refuse to renew, suspend, or revoke the registration of a registrant if the applicant or registrant, or an officer, director, or employee of the applicant or registrant: (1) Makes a […]
Effective – 28 Aug 2007 376.1532. Violations, penalties. — 1. If the director determines that a person has engaged, is engaging, or has taken a substantial step toward engaging in a violation of sections 376.1500 to 376.1532, or a rule adopted or order issued pursuant thereto, or that a person has materially aided or is […]
