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§ 58-18B-1 |
Definition of terms |
§ 58-18B-2 |
Chapter applicable to small employer benefit plans |
§ 58-18B-3 |
Regulations on premium rates |
§ 58-18B-3.1 |
Base rate increase to be filed with director–Approval or disapproval |
§ 58-18B-6 |
Disclosure in solicitation and sales materials |
§ 58-18B-7 |
Information and documentation required–Disclosure |
§ 58-18B-8 |
Suspension of rate requirements |
§ 58-18B-9 |
Application of chapter |
§ 58-18B-11 |
Health maintenance organization considered separate carrier |
§ 58-18B-12 |
Ceding arrangements resulting in less than fifty percent of obligation orrisk retained by carrier prohibited |
§ 58-18B-13 |
Transition period when acquiring additional class of business |
§ 58-18B-14 |
Rate changes only for small employer business |
§ 58-18B-15 |
Provisions for premium rates |
§ 58-18B-17 |
Limit on premium rates |
§ 58-18B-18 |
Promulgation of rules for rating practices |
§ 58-18B-20 |
Small employer carrier to issue plan to any small employer–Criteria–Exceptions–Two percent earned premium threshold |
§ 58-18B-23 |
Uniform application of requirements used to determine eligibility ofemployers |
§ 58-18B-24 |
Application of minimum participation and minimum employercontribution requirements |
§ 58-18B-25 |
Considerations in applying minimum participation requirements–Premiumdiscounts |
§ 58-18B-26 |
Increase in minimum requirements for employee participation or employercontribution prohibited after acceptance for coverage |
§ 58-18B-27 |
Modification to exclude certain diseases prohibited |
§ 58-18B-27.1 |
Exclusion of benefits for injury while under the influence of alcohol ordrugs prohibited–Exception for sickness or injury caused in commissionof felony |
§ 58-18B-28 |
Requirements lifted from small employer carrier in financially impairedcondition |
§ 58-18B-35 |
Director to promulgate rules regulating sale of multiple employer trustsand welfare arrangements–Scope of rules |
§ 58-18B-36 |
Rules governing implementation and administration of this chapter |
§ 58-18B-37 |
Marketing health benefit plans–Denial of coverage to employer |
§ 58-18B-38 |
Prohibited activities of small employer carriers or insurance producers |
§ 58-18B-39 |
Information regarding restricted network provision of carrier |
§ 58-18B-40 |
Agent compensation based on characteristics of small employerprohibited–Commission on sale of health insurance plan throughexchange |
§ 58-18B-41 |
Compensation of insurance producer based on percentage of premium |
§ 58-18B-43 |
Status of insurance producer’s employment may not be affected by healthstatus, claims experience, occupation, or location of small employer placedwith carrier |
§ 58-18B-44 |
Carrier or agent not to induce or encourage employer to exclude employeefrom coverage |
§ 58-18B-45 |
Reasons for denial of coverage to be in writing |
§ 58-18B-46 |
Rules for additional standards for fair marketing and broad availability ofbenefit plans to small employers–Penalties |
§ 58-18B-47 |
Third-party administrator treated as small employer carrier |
§ 58-18B-48 |
Chapter not applicable to certain group health insurance plans |
§ 58-18B-49 |
Establishing risk adjusters |
§ 58-18B-50 |
Minimum inpatient care coverage following delivery |
§ 58-18B-51 |
Shorter hospital stay permitted–Follow-up visit within forty-eight hoursrequired |
§ 58-18B-52 |
Notice to employees–Disclosures |
§ 58-18B-53 |
Health insurance policies to provide coverage for biologically-basedmental illnesses |
§ 58-18B-54 |
Application–Exemptions |
§ 58-18B-55 |
Supplemental or short term individual health benefit plans exempt fromprovisions of chapter–Conditions |
§ 58-18B-56 |
Policies to provide coverage for diabetes supplies, equipment andeducation–Exceptions–Conditions and limitations |
§ 58-18B-57 |
Diabetes coverage not required of certain plans |
§ 58-18B-58 |
Health benefit plans to provide coverage for prostate cancer screening |
§ 58-18B-60 |
Coverage for treatment of hearing impairment for persons under agenineteen |