GROUP AND BLANKET HEALTH INSURANCE POLICIES
58-18-1 "Group health insurance" defined.
58-18-2 Employee group insurance authorized--"Employees" defined.
58-18-3 Association member and employee group insurance authorized--Inclusion of retired employees.
58-18-4 Industry fund group insurance authorized--"Employees" defined.
58-18-5 Issuance to person or organization to which group life insurance policy may be issued.
58-18-6 Issuance to cover similar group subject to discretion of director.
58-18-6.1 Coverage of proprietors, partners and executive corporate officer employees.
58-18-7 Continuation without evidence of insurability--Application.
58-18-7.1 Coverage for inpatient treatment of alcoholism to be offered in group policies--Treatment within state included.
58-18-7.2 Benefits provided under alcoholism coverage--Maximum treatment periods permitted.
58-18-7.3 Policies not within alcoholism coverage requirement.
58-18-7.4 Coverage upon application by employee or beneficiary with right to convert following notice of termination.
58-18-7.5 Continuation of coverage upon leaving employment or termination of coverage by insurer--Duration.
58-18-7.6 to 58-18-7.10. Repealed.
58-18-7.11 Continuation or conversion policy not required under certain circumstances.
58-18-7.12 Conditions for continuation.
58-18-7.13 Premium for conversion policy and continuation policy.
58-18-7.14 Notification of continuation and conversion rights.
58-18-7.15 Group insurance coverage in lieu of converted individual policies.
58-18-7.17 Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony.
58-18-7.18 Continuation coverage to be same as that available to similarly situated beneficiaries--Option to decrease benefits.
58-18-7.19 Probationary period for continuation or conversion coverage prohibited.
58-18-7.20 Construction with chapter 58-18C.
58-18-7.21 Continued coverage--Insurer's use of experience for rating purposes not limited--Options unavailable in market not required.
58-18-8 Representations by applicant not warranties--Written statement required to avoid insurance or reduce benefits.
58-18-9 Summary statement of coverage for delivery to member of insured group.
58-18-10 Additions to group originally insured.
58-18-11 Direct payment for hospital, medical, or surgical services--Option of insurer.
58-18-11.1 Reduction of benefits because of increase in statutory disability benefits prohibited.
58-18-12 "Blanket health insurance" defined.
Blanket health insurance for passengers on common carrier. 58-18-14
Blanket health insurance for employees, dependents, or guests with reference to hazardous activities. 58-18-15
Blanket health insurance for institutions of learning, camps, or sponsors. 58-18-16
Blanket health insurance for religious, charitable, recreational, educational, or civic organizations. 58-18-17
Blanket health insurance for sports team or sponsors. 58-18-18
Blanket health insurance for volunteer group or agency. 58-18-19
Blanket health insurance for other risks approved by director. 58-18-20
Authority to issue blanket health insurance--Filing of copy of form--Required provisions. 58-18-21
Policy and application constitute entire contract--Statements by policyholder not warranties--Written statement required for use in defense of claim. 58-18-22
Sickness or injury--Provision for notice to insurer. 58-18-23
Forms for filing proof of loss--Failure of insurer to furnish, submission of written proof. 58-18-24
Claim for loss of time--Time for furnishing proof of loss--Notice of continuance of disability. 58-18-25
Time for payment of benefits. 58-18-26
Physical examination of insured--Autopsy in death claims. 58-18-27
Time for commencement of action to recover under policy. 58-18-28
Individual application and certificate not required under blanket policy. 58-18-29
Persons to whom benefits payable under blanket health policy. 58-18-30
Chapter inapplicable to prior policies. 58-18-31
Continuation of coverage for child with intellectual or physical disability--Proof of dependency. 58-18-31.1
Dependent coverage termination--Age--Full-time student. 58-18-32
Family coverage to include newborn and newly adopted children. 58-18-33
Premature birth, congenital defects, and birth abnormalities covered--Applicability. 58-18-34
Notice of birth or adoption required for continued coverage. 58-18-35
Notice required for rate increase by group health insurance company. 58-18-36
Grandfathered plans required to cover low-dose mammography--Extent of coverage. 58-18-36.1
Policies required to cover occult breast cancer screening. 58-18-37
Freedom of choice for pharmacy services. 58-18-38
Annual period of enrollment for licensed pharmacies--Actual notice of enrollment period not required. 58-18-39
Provisions denying choice for pharmacy services as void. 58-18-40
Enforcement of provisions permitting choice for pharmacy services. 58-18-41
Coverage for phenylketonuria. 58-18-42
"Health benefit plan" defined. 58-18-43
"Late enrollee" defined. 58-18-44
"Creditable coverage" defined. 58-18-45
Preexisting conditions--Limitation of waiting periods. 58-18-45.1
Anesthesia and hospitalization for dental care to be provided certain covered persons. 58-18-46
Renewability of health benefit plans--Employer's election--Exceptions. 58-18-47
Nonrenewal of health benefit plans by an employer carrier.
Acceptance of new employees for coverage under employer's existing health benefit plan. 58-18-49
Carrier's offer of coverage to employer--Coverage of all eligible employees. 58-18-50
, 58-18-51. Repealed. 58-18-51.1
Application of §§ 58-18-42 to 58-18-49, inclusive. 58-18-52.1
Political subdivisions permitted to join with health insurance purchasing organizations. 58-18-52
Formation of voluntary health insurance purchasing organizations. 58-18-53
Membership of voluntary health insurance purchasing organizations. 58-18-54
Purchasing organization's responsibility for negotiating terms and conditions. 58-18-55
Purchasing organization's notice of premium charge. 58-18-56
Additional chapters applicable to purchasing organization. 58-18-57
Approval of purchasing organization by Division of Insurance. 58-18-58
Premiums held in trust by purchasing organization. 58-18-59
Rates for group health insurance issued to purchasing organizations. 58-18-60
Reasonable participation requirements for group members of purchasing organizations. 58-18-61
Purchasing organizations exempt from antitrust provisions. 58-18-62
Promulgation of rules for purchasing organizations. 58-18-63
Minimum loss ratio for employer health benefit plans--Application of section. 58-18-64
to 58-18-75. Repealed. 58-18-76
Minimum inpatient care coverage following delivery. 58-18-77
Shorter hospital stay permitted--Follow-up within forty-eight hours required. 58-18-78
Notice to employees or members--Disclosures. 58-18-79
Promulgation of rules to minimally meet federal standards--Additional rules--Scope. 58-18-80
Health insurance policies to provide coverage for biologically-based mental illnesses. 58-18-81
Carrier to provide annual report--Time frame--Information. 58-18-83
Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations. 58-18-84
Diabetes coverage not required of certain plans and policies. 58-18-85
Policies to provide coverage for prostate cancer screening. 58-18-86
Plans subject to § 58-18-45--Exceptions. 58-18-87
Director to promulgate rules governing use of genetic information. 58-18-88
Authorization of self-funded multiple employer trust--Conditions. 58-18-89
Promulgation of rules pertaining to multiple employer trusts. 58-18-90
Multiple employer trust not insurance company or association or subject to specified provisions--Exception. 58-18-91
Suspension or revocation of authorization of multiple employer trust--Action in lieu of suspension or revocation. 58-18-92
Payment of premium taxes. 58-18-93
Agent licensing requirements. 58-18-94
Exemption from application of §§ 58-18-88 to 58-18-94, inclusive, and § 58-18B-59--Trust authorized to include large and small employers.
Coverage for treatment of hearing impairment for persons under age nineteen.