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 to believe that the discount medical plan is health insurance;

Terms Used In Missouri Laws 376.1510

  • Director: the director of the department of commerce and insurance. See Missouri Laws 376.005
  • person: may extend and be applied to bodies politic and corporate, and to partnerships and other unincorporated associations. See Missouri Laws 1.020

(2) Except for hospital services, have restrictions on free access to plan providers including waiting periods and notification periods;

(3) Pay providers any fees for medical services;

(4) Collect or accept money from a member for payment to a provider for specific medical services furnished or to be furnished to the member, unless the organization is licensed by the director to act as an administrator; or

(5) Except as otherwise provided in sections 376.1500 to 376.1532, as a disclaimer of any relationship between discount medical plan benefits and insurance, or as a description of an insurance product connected with a discount medical plan, use in its advertisements, marketing material, brochures, and discount cards the term “insurance”.