§ 354.010 Definitions
§ 354.015 Health services corporations, laws applicable to — exceptions
§ 354.020 Preexisting health services corporation to amend articles, effect of
§ 354.025 Corporate purposes and authority
§ 354.027 Discrimination in coverage or reimbursement for covered service by licensed ..
§ 354.030 For-profit corporations excluded from act
§ 354.035 Procedure for organization of corporation
§ 354.040 Articles of incorporation, required information and contents
§ 354.045 Issuance of certificate, effect of
§ 354.050 General powers of corporation
§ 354.055 Certificate of authority required — expiration of, extended how
§ 354.060 Director to issue certificate, when
§ 354.065 Articles of incorporation, how amended — copy to director, when
§ 354.070 Certificate of authority automatically extended, when
§ 354.075 Capital required to do business
§ 354.080 Reserves required, how computed
§ 354.085 Membership contract forms, approval by director, when — time for filing — ..
§ 354.090 Health services corporation contracts, purposes, parties to
§ 354.095 Limitation of membership and benefits — certain benefits to be provided, when
§ 354.105 Annual report required, contents of
§ 354.115 Member’s grievance, how and where filed — director may investigate, court ..
§ 354.120 Rules and regulations by director authorized — procedure, review
§ 354.125 Corporation not liable for injuries resulting from medical services ..
§ 354.130 Exemption from certain taxes, exceptions
§ 354.140 Dissolution, liquidation or rehabilitation of corporation, procedure for
§ 354.145 Appeal from director’s actions or decisions, how taken
§ 354.150 Fees — waiver, when
§ 354.152 Premiums, dues or fees subject to restrictions — violation, hearing — order ..
§ 354.155 Disclaimer as to nonhealth services corporations
§ 354.165 Certain organizations exempt
§ 354.175 Wage continuation plans by employer exempt
§ 354.180 Administrative order, director to issue, when
§ 354.190 Examinations, procedures
§ 354.195 Records of examination, duty to keep
§ 354.200 Examinations, false testimony, penalty
§ 354.205 Examinations — costs, how paid
§ 354.207 Second medical opinion to be allowed by health services corporations, ..
§ 354.210 Director may seek relief, when
§ 354.215 Examiner’s sick leave to apply to health services corporations
§ 354.220 Director may bring suit to recover fees or sums
§ 354.225 Enrollment representative, defined — annual report to furnish information — ..
§ 354.230 License required for enrollment representative
§ 354.235 Enrollment representative — license issued when, qualifications
§ 354.240 Nonresident may be licensed — examination waived, when
§ 354.265 Nonrenewable temporary license issued, when
§ 354.275 Violations by enrollment representatives, penalties
§ 354.280 Officers of corporation found to be of known bad character or incompetent — ..
§ 354.285 Management agreements to control corporation, notice to department, when — ..
§ 354.290 Examiner’s duties — examination contents — hearing on reports allowed — ..
§ 354.295 Certificate of authority not to be issued if controlling management ..
§ 354.300 Certificate of authority suspended or revoked, when
§ 354.305 Corporation advertising assets also to show liabilities — penalties
§ 354.315 Data processing system authorized, cost, amount allowed — amortization not ..
§ 354.320 Corporate funds and securities use for private gain by officers and ..
§ 354.325 Investigation by director of investments — records to be kept by division — ..
§ 354.330 Public official failing to perform duties as to investment violations, penalty
§ 354.335 Damages allowed if corporation without reasonable cause refuses to pay
§ 354.340 Unsatisfied judgments against corporation — suspension or revocation of ..
§ 354.345 Court decree of specific performance — membership contract, failure of ..
§ 354.350 Fraudulent or bad faith conduct — investigation by division — hearing, ..
§ 354.355 Injunctions, permanent or temporary, grounds, procedure — dissolution of ..
§ 354.357 Receivership, grounds, procedure
§ 354.362 Newborn child coverage required — notice of birth, when, effect
§ 354.380 Certain provisions of insurance law to be applicable
§ 354.400 Definitions
§ 354.405 Certificate of authority, who may make application — foreign corporation ..
§ 354.407 PACE projects not deemed health maintenance organizations, when
§ 354.410 Certificate issued, when — annual deposit, requirements — capital account, ..
§ 354.415 Powers of organization
§ 354.420 Advisory panels to afford enrollees participation in policy decisions
§ 354.425 Bonding of officers who disburse or invest funds — bond requirements
§ 354.430 Evidence of coverage, requirements — rights of enrollee — toll-free ..
§ 354.435 Annual reports filed with director, when — content — forms
§ 354.440 Information to be available to enrollees
§ 354.441 Disclosures to subscribers shall not be prohibited or restricted
§ 354.442 Disclosure information to enrollees required, when
§ 354.443 Financial disclosures to the department required by health maintenance ..
§ 354.444 Administrative orders for violations — voluntary forfeitures, civil actions
§ 354.445 Complaints by enrollees, organization to establish system
§ 354.450 Investments authorized
§ 354.455 Deposit required, how made
§ 354.460 Advertising not to be untrue or misleading — deceptive solicitation — ..
§ 354.462 Enrollee, grounds for disenrollment
§ 354.464 Names not authorized for use, exceptions
§ 354.465 Examinations by division, when — costs, how paid
§ 354.470 Suspension or revocation, when — effect
§ 354.475 Insurance companies or health service company may organize and operate a ..
§ 354.480 Rehabilitation, liquidation, or conservation, grounds, procedure — ..
§ 354.485 Rules and regulations authorized
§ 354.490 Certificate of authority, denial, suspension or revocation, grounds — procedure
§ 354.495 Fees to be paid to director
§ 354.500 Conferences called by director as to suspected or potential violations
§ 354.505 Laws regulating insurance or health service corporations not to apply, ..
§ 354.510 Public documents, all filings and required reports
§ 354.515 Confidential information, diagnosis, treatment, health of enrollees or ..
§ 354.520 Mergers, consolidations, control of organization, requirements
§ 354.525 Health provision collective bargaining agreements or contracts — charge for ..
§ 354.530 Severability clause
§ 354.535 Pharmacist, emergency situation, may take an assignment of enrollee’s right ..
§ 354.536 Continuation of dependent child coverage, when — dependent child defined
§ 354.540 Health maintenance organization of bordering states may be admitted to do ..
§ 354.545 Exempt plans and companies
§ 354.546 Second medical opinion to be allowed by health maintenance organizations, ..
§ 354.550 Laws not applicable to community health companies
§ 354.551 Health maintenance organizations may offer point of service (POS) riders, when
§ 354.552 Community-based health maintenance organizations, requirements
§ 354.554 Standing referrals for certain members of community-based health ..
§ 354.556 Trustees, vacancies, elections
§ 354.558 Materials provided to prospective purchasers
§ 354.559 Disclosure to members, restrictions and prohibitions
§ 354.560 Payment arrangements, department to adopt rules — disclosure of financial ..
§ 354.562 Grievance procedures, rulemaking authority
§ 354.563 Medicare rules to apply to community-based health maintenance ..
§ 354.565 Community-based health maintenance organization designation given, when — ..
§ 354.567 Community-based health maintenance organizations subject to other laws ..
§ 354.570 Rulemaking — procedure
§ 354.600 Definitions
§ 354.603 Sufficiency of health carrier network, requirements, criteria — access plan ..
§ 354.606 Providers notified of specific covered services, when — hold harmless ..
§ 354.609 Termination of a contract, procedure
§ 354.612 Continuation of care after provider termination, when
§ 354.615 Referrals to appropriate providers, when
§ 354.618 Open referral health plans offered, when — definitions — obstetrician/ ..
§ 354.621 Intermediary and participating provider requirements
§ 354.624 Proposed provider contract forms filed with the director — contracts ..
§ 354.627 Liability of a health carrier, when
§ 354.636 Contract requirements after January 1, 1998
§ 354.650 Definitions
§ 354.652 Designation as essential community provider, procedure, qualifications
§ 354.654 Department of health and senior services, duties — rulemaking authority
§ 354.656 Inclusion of essential community providers in health care network, exceptions
§ 354.658 Designation nontransferable, site specific — annual affidavit required — ..
§ 354.700 Definitions
§ 354.702 Prepaid dental plans, who may offer — certificate of authority required — ..
§ 354.703 Director may order violators to cease and desist, hearing — noncompliance, ..
§ 354.704 Application for certificate of authority, content
§ 354.705 Certificate of authority granted, when
§ 354.707 Capital, surplus, security required — cash, securities, bond to be ..
§ 354.710 Reserve requirements — reserve not required for prepaid dental plans funded ..
§ 354.712 Contract or contract certificate to be issued to enrollees, content, copy ..
§ 354.715 Providers of dental care, written contract with prepaid dental plan ..
§ 354.717 Director, powers — financial examinations, when, by whom made and paid
§ 354.720 Annual report, required, content
§ 354.721 Agents, registration required — rules and regulations authorized
§ 354.722 Revocation or suspension of certificate of authority, when — notice, civil ..
§ 354.723 Rulemaking authorized
§ 354.725 Exclusion, labor organization’s health plans

Terms Used In Missouri Laws > Chapter 354 - Health Services Corporations -- Health Maintenance Organizations -- Prepaid Dental Plans

  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Answer: The formal written statement by a defendant responding to a civil complaint and setting forth the grounds for defense.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Dependent: A person dependent for support upon another.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fiduciary: A trustee, executor, or administrator.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • following: when used by way of reference to any section of the statutes, mean the section next preceding or next following that in which the reference is made, unless some other section is expressly designated in the reference. See Missouri Laws 1.020
  • Fraud: Intentional deception resulting in injury to another.
  • Handicap: means a mental or physical impairment that substantially limits one or more major life activities, whether the impairment is congenital or acquired by accident, injury, or disease, and where the impairment is verified by medical findings. See Missouri Laws 1.020
  • hereafter: means the time after the statute containing it takes effect. See Missouri Laws 1.020
  • Heretofore: means any time previous to the day when the statute containing it takes effect. See Missouri Laws 1.020
  • Incompetent: if used in a section in a context relating to actual occupational ability without reference to a court adjudication of incompetency, means the actual ability of a person to perform in that occupation. See Missouri Laws 1.020
  • Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • Indictment: The formal charge issued by a grand jury stating that there is enough evidence that the defendant committed the crime to justify having a trial; it is used primarily for felonies.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Litigation: A case, controversy, or lawsuit. Participants (plaintiffs and defendants) in lawsuits are called litigants.
  • Oath: A promise to tell the truth.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • person: may extend and be applied to bodies politic and corporate, and to partnerships and other unincorporated associations. See Missouri Laws 1.020
  • Plaintiff: The person who files the complaint in a civil lawsuit.
  • Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
  • Precedent: A court decision in an earlier case with facts and law similar to a dispute currently before a court. Precedent will ordinarily govern the decision of a later similar case, unless a party can show that it was wrongly decided or that it differed in some significant way.
  • Property: includes real and personal property. See Missouri Laws 1.020
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Recourse: An arrangement in which a bank retains, in form or in substance, any credit risk directly or indirectly associated with an asset it has sold (in accordance with generally accepted accounting principles) that exceeds a pro rata share of the bank's claim on the asset. If a bank has no claim on an asset it has sold, then the retention of any credit risk is recourse. Source: FDIC
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • State: when applied to any of the United States, includes the District of Columbia and the territories, and the words "United States" includes such district and territories. See Missouri Laws 1.020
  • Statute: A law passed by a legislature.
  • Testify: Answer questions in court.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • Trustee: A person or institution holding and administering property in trust.
  • United States: includes such district and territories. See Missouri Laws 1.020
  • Verdict: The decision of a petit jury or a judge.