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CHAPTER 58-38

NONPROFIT MEDICAL AND SURGICAL PLANS

58-38-1      Incorporators, number required--Purpose of incorporation.
58-38-2      "Physicians and surgeons" defined.
58-38-3      Articles of incorporation and amendments--Approval by director--Filing with secretary of state.
58-38-4      Members and directors.
58-38-5      Board of directors--Minimum number--Qualifications--Selection--Term of office.
58-38-6      License to issue contracts required--Violation as misdemeanor.
58-38-7      Application for license--Form and contents--Documents accompanying.
58-38-8      Issuance of license--Matters considered by director.
58-38-9      Contracts with subscribers.
58-38-10      Rates charged for services--Approval by director.
58-38-11      Contracts with subscribers--Required provisions.
58-38-11.1      Coverage for inpatient treatment of alcoholism to be offered in contracts.
58-38-11.2      Benefits provided under alcoholism coverage--Maximum treatment periods permitted.
58-38-11.3      Plans not within alcoholism coverage requirement.
58-38-11.4      Individual accident or health policy required for covered spouse of insured--Eligibility--Coverage--Waiting periods.
58-38-11.5      Conversion privileges of insured's spouse upon divorce.
58-38-11.6      Coordination, integration, or lessening of benefits restricted.
58-38-11.7 to 58-38-11.9.      Repealed.
58-38-11.10      Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony.
58-38-12      Care provided by noncontracting physicians--Contracting physician unavailable.
58-38-13      Practice of medicine not authorized by chapter.
58-38-14      Expenses of acquisition and administration--Control by director.
58-38-15      Permitted investments.
58-38-16      Foreign corporation--Transaction of business in state.
58-38-17      Annual statement of financial condition--Filing--Verification--Form and contents.
58-38-18      Investigation and examination by director--Cost borne by corporation.
58-38-19      Exemption from other insurance laws--Exceptions.
58-38-20      Citation of chapter.
58-38-21      Notice required by medical and surgical plan corporation for rate increase.
58-38-22      Grandfathered service and indemnity-type contracts required to cover low-dose mammography--Extent of coverage.
58-38-22.1      Service and indemnity-type contracts required to cover occult breast cancer screening.
58-38-23      Coverage for phenylketonuria.
58-38-24      Hospital service plan authorized.
58-38-25      Formation of voluntary health insurance purchasing organizations.
58-38-26      Membership of voluntary health insurance purchasing organizations.
58-38-27      Purchasing organization's responsibility for negotiating terms and conditions.
58-38-28      Purchasing organization's notice of premium charge.
58-38-29      Additional chapters applicable to purchasing organization.
58-38-30      Approval of purchasing organization by Division of Insurance.
58-38-31      Premiums held in trust by purchasing organization.
58-38-32      Rates for group health insurance issued to purchasing organizations.
58-38-33      Reasonable participation requirements for group members of purchasing organizations.
58-38-34      Purchasing organizations exempt from antitrust provisions.
58-38-35      Promulgation of rules for purchasing organizations.
58-38-36      Minimum loss ratio for small employer health benefit plans.
58-38-37      Minimum inpatient care coverage following delivery.
58-38-38      Shorter hospital stay permitted--Follow-up visit within forty-eight hours required.
58-38-39      Notice to subscribers--Disclosures.
58-38-40      Health insurance policies to provide coverage for biologically-based mental illnesses.
58-38-41      Application--Exemptions.
58-38-42      Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.
58-38-43      Diabetes coverage not required of certain plans and policies.
58-38-44      Contracts to provide coverage for prostate cancer screening.


Back to Title 58