§ 38-71-10 Coverages which may be written by licensed accident and health insurers
§ 38-71-20 Insurers may act as administering agency for government-sponsored health, hospital, and medical service programs
§ 38-71-30 Whole contract, including application, must appear in policy; oral applications
§ 38-71-40 Effect of false statement in application
§ 38-71-46 Diabetes Mellitus coverage in health insurance policies; diabetes education
§ 38-71-50 Alteration of application
§ 38-71-60 Certain acts do not constitute a waiver by insurer
§ 38-71-70 Certain policies may conform to laws of other states
§ 38-71-80 Construction of policy issued in violation of chapter
§ 38-71-90 Penalty for violation of chapter
§ 38-71-100 Policies exempt from chapter
§ 38-71-110 Notice of failure of employer to remit deducted premium required before forfeiture
§ 38-71-125 Mastectomies; hospitalization requirements; early release provisions
§ 38-71-130 Breast reconstruction and prosthetic devices; coverage following mastectomy surgery
§ 38-71-135 Minimum postpartum hospitalization and attendant services for mothers and newborns
§ 38-71-140 Coverage of newborn children
§ 38-71-143 Health plans must provide same coverage for children placed for adoption
§ 38-71-144 Expedited external reviews of certain health benefit plan cancer diagnostic service denials
§ 38-71-145 Required coverage for mammograms, pap smears, and prostate cancer examinations; limitations
§ 38-71-146 Required coverage for contraceptives
§ 38-71-147 Freedom of selection and participation in individual or group accident and health or health insurance policy or health maintenance organization plan
§ 38-71-150 Required provision in policies as to examination and surrender of policy for return of premium
§ 38-71-160 When policy sold on direct response basis considered to be returned
§ 38-71-170 Required provision in policies for conversion privileges for former spouses
§ 38-71-190 Subrogation of insurer to insured’s rights against third party
§ 38-71-200 Discrimination forbidden; benefits for services of podiatrist, oral surgeon, or optometrist
§ 38-71-210 Health insurance policies to include chiropractic services
§ 38-71-215 Dermatology referrals
§ 38-71-220 Misrepresentations to induce termination or conversion of disability insurance policies
§ 38-71-230 Written notice of health insurance claim policies and procedures; adoption of standardized claim forms; addition of logo to form
§ 38-71-238 Abortion coverage prohibitions; exceptions
§ 38-71-240 Coverage required for cleft lip and palate; certain policies exempt
§ 38-71-241 Percentage copayment and deductible must be applied to negotiated rate or lesser charge of that provider
§ 38-71-242 Specified disease insurance policies; payment of claims and benefits
§ 38-71-243 Continuation of care; definitions; applicability; requirements
§ 38-71-245 Prohibited grounds for denial of enrollment to child of health plan participant
§ 38-71-246 Continuation of care; provider contract requirements
§ 38-71-247 Continuation of care; plain language description requirement
§ 38-71-250 Duties of insurer as to court-ordered health care coverage for child of eligible parent
§ 38-71-255 Health insurer may not impose different requirements on state agency
§ 38-71-260 Duties of health insurer of child to custodial parent
§ 38-71-265 Health insurer not to consider State medical assistance; subrogation of state to right to insurance payment for health care
§ 38-71-275 Insurance coverage for certain drugs not to be excluded from policy definitions
§ 38-71-280 Autism spectrum disorder; coverage; eligibility for benefits
§ 38-71-290 Mental health coverage; definitions; treatment requirements; exceptions

Terms Used In South Carolina Code > Title 38 > Chapter 71 > Article 1 - General Provisions

  • Accident and health insurance: means insurance of human beings against death or personal injury by accident, and each insurance of human beings against sickness, ailment, and any type of physical disability resulting from accident or disease, and prepaid dental service, but not including coverages required by the Workers' Compensation Law of this State. See South Carolina Code 38-1-20
  • Advanced Practice Supervision: means an interactional professional and educational relationship between an advanced practice supervisor and a social worker that provides evaluation and direction over the supervisee's practice of advanced practice social work and promotes continued development of the social worker's knowledge, skills, and abilities to engage in the practice of advanced practice social work in an ethical and competent manner. See South Carolina Code 40-63-20
  • Annuity: means each contract or agreement to make periodic payments, whether in fixed or variable dollar amounts, or both, at specified intervals. See South Carolina Code 38-1-20
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • 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.
  • Approved Advanced Practice Supervisor: means a licensed advanced practice social worker who has met the qualifications as determined by the board. See South Carolina Code 40-63-20
  • Approved Clinical Supervisor: means a licensed clinical social worker who has met the qualifications as determined by the board. See South Carolina Code 40-63-20
  • Baccalaureate Social Worker: means a person duly licensed to practice baccalaureate social work under this act. See South Carolina Code 40-63-20
  • Balanced budget: A budget in which receipts equal outlays.
  • 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
  • Board: means the South Carolina Board of Social Work Examiners. See South Carolina Code 40-63-20
  • Client: means the individual, couple, family, group, organization, or community that seeks or receives social work services. See South Carolina Code 40-63-20
  • Clinical Supervision: means an interactional professional and educational relationship between a clinical supervisor and a social worker that provides evaluation and direction over the supervisee's practice of clinical social work and promotes continued development of the social worker's knowledge, skills, and abilities to engage in the practice of clinical social work in an ethical and competent manner. See South Carolina Code 40-63-20
  • Coinsurance: means a stipulation or requirement that the insured undertakes to be his own insurer to the extent that he fails to maintain insurance of a given percentage of the value of the property against loss or damage. See South Carolina Code 38-1-20
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Continuing Education: means education and training, which are oriented to maintain, improve, or enhance social work practice. See South Carolina Code 40-63-20
  • 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.
  • Defendant: In a civil suit, the person complained against; in a criminal case, the person accused of the crime.
  • Department: means the Department of Insurance of South Carolina. See South Carolina Code 38-1-20
  • Department: means the Department of Labor, Licensing and Regulation. See South Carolina Code 40-65-20
  • Dependent: A person dependent for support upon another.
  • Director: means the person who is appointed by the Governor upon the advice and consent of the Senate and who is responsible for the operation and management of the department. See South Carolina Code 38-1-20
  • Domestic insurer: means an insurer incorporated or organized under the laws of this State. See South Carolina Code 38-1-20
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • 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.
  • Examination: means a standardized test of social work knowledge, skills, and abilities approved by the board. See South Carolina Code 40-63-20
  • Fraud: Intentional deception resulting in injury to another.
  • Independent Social Worker-Advanced Practice: means a person duly licensed to practice Independent Social Work-Advanced Practice under this act. See South Carolina Code 40-63-20
  • Independent Social Worker-Clinical Practice: means a person duly licensed to practice Independent Social Work-Clinical Practice under this act. See South Carolina Code 40-63-20
  • Injunction: An order of the court prohibiting (or compelling) the performance of a specific act to prevent irreparable damage or injury.
  • insurance: includes annuities. See South Carolina Code 38-1-20
  • Insurer: includes a corporation, fraternal organization, burial association, other association, partnership, society, order, individual, or aggregation of individuals engaging or proposing or attempting to engage as principals in any kind of insurance or surety business, including the exchanging of reciprocal or interinsurance contracts between individuals, partnerships, and corporations. See South Carolina Code 38-1-20
  • 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.
  • License: means an authorization to practice social work issued by the board pursuant to this chapter. See South Carolina Code 40-63-20
  • License: means a document issued by the state's director or his designee authorizing a person to act as an insurance producer for the lines of authority specified in the document. See South Carolina Code 38-1-20
  • Licensee: means an individual who has met the requirements for licensure under this chapter and has been issued a license to practice as a social worker. See South Carolina Code 40-63-20
  • Life insurance: means a contract of insurance upon the lives of human beings. See South Carolina Code 38-1-20
  • Masters Social Worker: means a person licensed to engage in the practice of Masters Social Work. See South Carolina Code 40-63-20
  • 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.
  • 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: means a corporation, agency, partnership, association, voluntary organization, individual, or another entity, organization, or aggregation of individuals. See South Carolina Code 38-1-20
  • Policy: means a contract of insurance. See South Carolina Code 38-1-20
  • Premium: means payment given in consideration of a contract of insurance. See South Carolina Code 38-1-20
  • professional soil classifier: means a person who, by reason of his special knowledge of the physical, chemical, and biological sciences applicable to soils as natural bodies and of the methods and principles of soil classification as acquired by soil education and soil classification experience in the formation, morphology, description, and mapping of soils, is qualified to practice soil classifying, who has been licensed by the Department of Labor, Licensing and Regulation, and who has passed an examination in the fundamental soil and related subjects as provided for in this chapter. See South Carolina Code 40-65-20
  • Prosecute: To charge someone with a crime. A prosecutor tries a criminal case on behalf of the government.
  • Responsible charge: means direct control and personal supervision of soil classification. See South Carolina Code 40-65-20
  • Soil: means all of the groups of natural bodies occupying the unconsolidated portion of the earth's surface capable of supporting plant life and having properties due to the combined effect of climate and living organisms, as modified by topography and time, upon parent materials. See South Carolina Code 40-65-20
  • Soil classification: means plotting the boundaries and describing and evaluating the kinds of soil as to their behavior and response to management under various uses. See South Carolina Code 40-65-20
  • Soil-classifier-in-training: means a person who complies with the requirements for education and character and who has passed an examination in the fundamental soil and related subjects as provided for in this chapter. See South Carolina Code 40-65-20
  • Statute: A law passed by a legislature.
  • Terminate: means the cancellation of the relationship between an insurance producer and the insurer or the termination of a producer's authority to transact insurance. See South Carolina Code 38-1-20