Chapter 176b - Medical Service Corporations

Section 1 - Definitions
Section 2 - Incorporators; Formation; Articles of Organization; Certification
Section 3 - By-Laws; Joint Service Contracts; Preferred Provider Arrangements
Section 3a - Contracts of Reinsurance
Section 3b - Group Medical Service Agreements; Contribution Percentages
Section 4 - Contracts for Medical, Chiropractic, Visual, Surgical, and Other Health Services; Approval, Subscription Certificates; Classification of Risks
Section 4a - Mental Illness Expenses; Inclusion as Benefits; Biologically-Based Mental Disorders; Rape-Related Mental Disorders; Non-Biologically-Based Mental Disorders of Children and Adolescents Under Age 19
Section 4c - Dependent Coverage for Newborn Infants or Adoptive Children; Inclusion of Medical Expenses as Benefits
Section 4d - Refusal to Contract With Blind or Deaf Persons; Prohibition
Section 4e - Diethylstilbestrol Exposure; Discrimination
Section 4f - Cardiac Rehabilitation Expense Benefits
Section 4g - Certified Nurse Midwife Services Benefits
Section 4h - Prenatal, Childbirth and Postpartum Care Benefits; Minimum Coverage for In-Patient Care
Section 4i - Cytologic Screening and Mammographic Examination Benefits
Section 4j - Infertility Diagnosis and Treatment Benefits
Section 4k - Nonprescription Enteral Formulas for Home Use
Section 4l - Chiropractic Services Benefits
Section 4m - Standardized Claim Form
Section 4n - Off-Label Drug Use; Cancer
Section 4o - Medical Service Agreement Coverage for Bone Marrow Transplants
Section 4p - Off-Label Use of Prescription Drugs for HIV/AIDS Treatment
Section 4q - Coverage for Licensed Hospice Services
Section 4r - Scalp Hair Prostheses Necessary Due to Cancer or Leukemia Treatment
Section 4s - Items Medically Necessary for Diagnosis and Treatment of Diabetes
Section 4t - Subscription Certificate Benefits for Services Rendered by a Nurse Anesthetist or Nurse Practitioner
Section 4u - Emergency Services Provided to Insureds for Emergency Medical Conditions
Section 4v - Coverage for Human Leukocyte or Histocompatibility Locus Antigen Testing
Section 4w - Outpatient Services; Hormone Replacement Therapy for Peri and Post Menopausal Women; Contraceptive Services; Approved Prescription Contraceptive Drugs or Devises; Exception
Section 4x - Coverage for Patient Care Services Provided Under Qualified Clinical Trials
Section 4y - Coverage for Speech, Hearing and Language Disorders
Section 4aa - Coverage for Prosthetic Devices and Repairs
Section 4bb - Coverage for Eligible Dependents Under 26 Years of Age
Section 4cc - Coverage for Medically Necessary Hypodermic Syringes or Needles
Section 4dd - Coverage for Diagnosis and Treatment of Autism Spectrum Disorder
Section 4ee - Coverage for Children 21 Years of Age or Younger for Hearing AIDS and Related Services
Section 4ff - Coverage for Orally Administered Anticancer Medications
Section 4gg - Coverage for Abuse Deterrent Opioid Drug Products
Section 4hh - Preauthorization for Substance Abuse Treatment Not to Be Required
Section 4ii - Coverage for Medically Necessary Acute Treatment or Clinical Stabilization Services
Section 4jj - Coverage for Long-Term Antibiotic Therapy for Patients With Lyme Disease
Section 4kk - Coverage for Medical or Drug Treatments to Correct or Repair Disturbances of Body Composition Caused by HIV Associated Lipodystrophy Syndrome
Section 4ll - Filling of Remaining Portion of Prescription for Covered Drug That Is a Narcotic Substance Earlier Filled in Lesser Quantity
Section 4mm - Pain Management Access Plans
Section 5 - Subscribers; Qualifications, Misrepresentation; Open Enrollment Periods
Section 5a - Discrimination Against Abuse Victims in Terms of Medical Service Plans
Section 5b - Medical Service Plans; Genetic Tests; Discrimination Based on Genetic Information
Section 6 - Subscription Certificate; Issuance; Content
Section 6a - Limited Extension of Benefits
Section 6b - Divorced or Separated Spouses; Continuation of Eligibility for Benefits
Section 7 - Contracts Between Corporation and Care Providers
Section 7a - Medicare Supplemental Group Coverage; Eligibility Due to Age or Disability
Section 7b - Medicare Supplemental Group Coverage; Medical Assistance Recipients
Section 7c - Retroactive Premium Rate Increase
Section 8 - Annual Statement; Verification, Form, Violations
Section 8a - Financial Statements; Inclusion of Electronic Data Processing Equipment as Asset
Section 8b - Applicability of Chapter 176v to Medical Service Corporations Governed by This Chapter
Section 8c - Applicability of Chapter 176w to Medical Service Corporations Governed by This Chapter
Section 9 - Inspection and Examination of Affairs of Corporation; Confidentiality and Privilege; Inability to Pay Providers; Pro Rata Payments; Termination of Contract
Section 10 - Investments, Sales, Loans and Places of Deposit; Approval; Acquisition of Real Estate; Leases; Tax Exemption; Limit; Special Contingent Surplus
Section 11 - Salaries, Compensation or Emoluments
Section 12 - Submission of Disputes or Controversies to Board; Privacy of Patient Information
Section 13 - Grounds for Enjoining Transaction of Business; Receivers
Section 14 - Liability of Corporation; Exemption From Insurance Laws; Tax Exemption
Section 16 - Operators of Medical Service Plan
Section 16a - Payroll Deductions of Governmental Employees
Section 17 - Enforcement
Section 18 - Contracts for Administrative or Other Services; Loans and Investments
Section 19 - Payment of Sums Owed Subscriber's Estate
Section 20 - Disclosure of Information; Mental or Nervous Condition
Section 21 - Insolvency of Health Maintenance Organization; Replacement Coverage
Section 22 - Statement Provided to Individuals Provided With Creditable Coverage; Report
Section 23 - Attribution of Members to a Primary Care Provider
Section 24 - Disclosure of Patient-Level Data and Contracted Prices of Individual Health Care Services by Carriers to Providers