Individuals & Families
Small Businesses
Nonprofits
Employers
Employee Benefits Brokers
PEOs
Credit Unions
Membership Groups
Legal Information
Sign In
/
U.S. State Codes
/
Missouri
/
Title XXIII - Corporations,...
/
Chapter 354 - Health Services Corporations — He...
Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans
Section 354.010 Definitions.
Section 354.015 Health services corporations, laws applicable to — exceptions.
Section 354.020 Preexisting health services corporation to amend articles, effect of.
Section 354.025 Corporate purposes and authority.
Section 354.027 Discrimination in coverage or reimbursement for covered service by licensed persons, prohibited.
Section 354.030 For-profit corporations excluded from act.
Section 354.035 Procedure for organization of corporation.
Section 354.040 Articles of incorporation, required information and contents.
Section 354.045 Issuance of certificate, effect of.
Section 354.050 General powers of corporation.
Section 354.055 Certificate of authority required — expiration of, extended how.
Section 354.060 Director to issue certificate, when.
Section 354.065 Articles of incorporation, how amended — copy to director, when.
Section 354.070 Certificate of authority automatically extended, when.
Section 354.075 Capital required to do business.
Section 354.080 Reserves required, how computed.
Section 354.085 Membership contract forms, approval by director, when — time for filing — time for disapproval.
Section 354.090 Health services corporation contracts, purposes, parties to.
Section 354.095 Limitation of membership and benefits — certain benefits to be provided, when.
Section 354.105 Annual report required, contents of.
Section 354.115 Member's grievance, how and where filed — director may investigate, court action not barred.
Section 354.120 Rules and regulations by director authorized — procedure, review.
Section 354.125 Corporation not liable for injuries resulting from medical services rendered members.
Section 354.130 Exemption from certain taxes, exceptions.
Section 354.140 Dissolution, liquidation or rehabilitation of corporation, procedure for.
Section 354.145 Appeal from director's actions or decisions, how taken.
Section 354.150 Fees — waiver, when.
Section 354.152 Premiums, dues or fees subject to restrictions — violation, hearing — order prohibiting.
Section 354.155 Disclaimer as to nonhealth services corporations.
Section 354.165 Certain organizations exempt.
Section 354.175 Wage continuation plans by employer exempt.
Section 354.180 Administrative order, director to issue, when.
Section 354.190 Examinations, procedures.
Section 354.195 Records of examination, duty to keep.
Section 354.200 Examinations, false testimony, penalty.
Section 354.205 Examinations — costs, how paid.
Section 354.207 Second medical opinion to be allowed by health services corporations, procedure, costs.
Section 354.210 Director may seek relief, when.
Section 354.215 Examiner's sick leave to apply to health services corporations.
Section 354.220 Director may bring suit to recover fees or sums.
Section 354.225 Enrollment representative, defined — annual report to furnish information — solicitors of members to be insurance agent or broker, exception.
Section 354.230 License required for enrollment representative.
Section 354.235 Enrollment representative — license issued when, qualifications.
Section 354.240 Nonresident may be licensed — examination waived, when.
Section 354.265 Nonrenewable temporary license issued, when.
Section 354.275 Violations by enrollment representatives, penalties.
Section 354.280 Officers of corporation found to be of known bad character or incompetent — authority to transact business, effect.
Section 354.285 Management agreements to control corporation, notice to department, when — examination requirements — violations.
Section 354.290 Examiner's duties — examination contents — hearing on reports allowed — publication of report, when.
Section 354.295 Certificate of authority not to be issued if controlling management involved in improper actions.
Section 354.300 Certificate of authority suspended or revoked, when.
Section 354.305 Corporation advertising assets also to show liabilities — penalties.
Section 354.315 Data processing system authorized, cost, amount allowed — amortization not to exceed ten years.
Section 354.320 Corporate funds and securities use for private gain by officers and employees prohibited, penalty.
Section 354.325 Investigation by director of investments — records to be kept by division — criminal action, when.
Section 354.330 Public official failing to perform duties as to investment violations, penalty.
Section 354.335 Damages allowed if corporation without reasonable cause refuses to pay.
Section 354.340 Unsatisfied judgments against corporation — suspension or revocation of certificate of authority until judgment satisfied.
Section 354.345 Court decree of specific performance — membership contract, failure of corporation to comply, procedure, effect.
Section 354.350 Fraudulent or bad faith conduct — investigation by division — hearing, procedure.
Section 354.355 Injunctions, permanent or temporary, grounds, procedure — dissolution of corporation or rehabilitation, procedure.
Section 354.357 Receivership, grounds, procedure.
Section 354.362 Newborn child coverage required — notice of birth, when, effect.
Section 354.380 Certain provisions of insurance law to be applicable.
Section 354.400 Definitions.
Section 354.405 Certificate of authority, who may make application — foreign corporation may qualify, requirements — procedure.
Section 354.407 PACE projects not deemed health maintenance organizations, when.
Section 354.410 Certificate issued, when — annual deposit, requirements — capital account, amount, contents.
Section 354.415 Powers of organization.
Section 354.420 Advisory panels to afford enrollees participation in policy decisions.
Section 354.425 Bonding of officers who disburse or invest funds — bond requirements.
Section 354.430 Evidence of coverage, requirements — rights of enrollee — toll-free telephone number required.
Section 354.435 Annual reports filed with director, when — content — forms.
Section 354.440 Information to be available to enrollees.
Section 354.441 Disclosures to subscribers shall not be prohibited or restricted.
Section 354.442 Disclosure information to enrollees required, when.
Section 354.443 Financial disclosures to the department required by health maintenance organizations, when.
Section 354.444 Administrative orders for violations — voluntary forfeitures, civil actions.
Section 354.445 Complaints by enrollees, organization to establish system.
Section 354.450 Investments authorized.
Section 354.455 Deposit required, how made.
Section 354.460 Advertising not to be untrue or misleading — deceptive solicitation — prohibited — how determined.
Section 354.462 Enrollee, grounds for disenrollment.
Section 354.464 Names not authorized for use, exceptions.
Section 354.465 Examinations by division, when — costs, how paid.
Section 354.470 Suspension or revocation, when — effect.
Section 354.475 Insurance companies or health service company may organize and operate a health maintenance organization.
Section 354.480 Rehabilitation, liquidation, or conservation, grounds, procedure — enrollee's priorities — claims, priority.
Section 354.485 Rules and regulations authorized.
Section 354.490 Certificate of authority, denial, suspension or revocation, grounds — procedure.
Section 354.495 Fees to be paid to director.
Section 354.500 Conferences called by director as to suspected or potential violations.
Section 354.505 Laws regulating insurance or health service corporations not to apply, exceptions.
Section 354.510 Public documents, all filings and required reports.
Section 354.515 Confidential information, diagnosis, treatment, health of enrollees or applicants, exceptions.
Section 354.520 Mergers, consolidations, control of organization, requirements.
Section 354.525 Health provision collective bargaining agreements or contracts — charge for coverage, how determined.
Section 354.530 Severability clause.
Section 354.535 Pharmacist, emergency situation, may take an assignment of enrollee's right to reimbursement — health maintenance organizations shall only contract with entities licensed by the board of pharmacy — requirements for drug prescriptions, exceptions.
Section 354.536 Continuation of dependent child coverage, when — dependent child defined.
Section 354.540 Health maintenance organization of bordering states may be admitted to do business — procedure.
Section 354.545 Exempt plans and companies.
Section 354.546 Second medical opinion to be allowed by health maintenance organizations, procedure, costs.
Section 354.550 Laws not applicable to community health companies.
Section 354.551 Health maintenance organizations may offer point of service (POS) riders, when.
Section 354.552 Community-based health maintenance organizations, requirements.
Section 354.554 Standing referrals for certain members of community-based health maintenance organizations, when.
Section 354.556 Trustees, vacancies, elections.
Section 354.558 Materials provided to prospective purchasers.
Section 354.559 Disclosure to members, restrictions and prohibitions.
Section 354.560 Payment arrangements, department to adopt rules — disclosure of financial arrangements — confidentiality.
Section 354.562 Grievance procedures, rulemaking authority.
Section 354.563 Medicare rules to apply to community-based health maintenance organizations, when.
Section 354.565 Community-based health maintenance organization designation given, when — revocation.
Section 354.567 Community-based health maintenance organizations subject to other laws regarding health maintenance organizations.
Section 354.570 Rulemaking — procedure.
Section 354.600 Definitions.
Section 354.603 Sufficiency of health carrier network, requirements, criteria — access plan filed with the department, when.
Section 354.606 Providers notified of specific covered services, when — hold harmless provision — cessation of operations procedure — selection standards for health care professionals, filing with the department.
Section 354.609 Termination of a contract, procedure.
Section 354.612 Continuation of care after provider termination, when.
Section 354.615 Referrals to appropriate providers, when.
Section 354.618 Open referral health plans offered, when — definitions — obstetrician/ gynecologist services to be offered, when — eye care providers, discrimination against, prohibited — exemptions.
Section 354.621 Intermediary and participating provider requirements.
Section 354.624 Proposed provider contract forms filed with the director — contracts maintained at place of business, available for review, when.
Section 354.627 Liability of a health carrier, when.
Section 354.636 Contract requirements after January 1, 1998.
Section 354.650 Definitions.
Section 354.652 Designation as essential community provider, procedure, qualifications.
Section 354.654 Department of health and senior services, duties — rulemaking authority.
Section 354.656 Inclusion of essential community providers in health care network, exceptions.
Section 354.658 Designation nontransferable, site specific — annual affidavit required — notice of certain changes, required when.
Section 354.700 Definitions.
Section 354.702 Prepaid dental plans, who may offer — certificate of authority required — certain state laws not to apply.
Section 354.703 Director may order violators to cease and desist, hearing — noncompliance, director's remedies.
Section 354.704 Application for certificate of authority, content.
Section 354.705 Certificate of authority granted, when.
Section 354.707 Capital, surplus, security required — cash, securities, bond to be deposited or filed with director, director to return deposit, when — security subject to final judgments — security not required for prepaid dental plans funded by government — director may waive capital, surplus, security requirements, when.
Section 354.710 Reserve requirements — reserve not required for prepaid dental plans funded by government — surplus requirement for prepaid dental plans in existence January 1, 1987, additional time.
Section 354.712 Contract or contract certificate to be issued to enrollees, content, copy to be filed with director — newborn child to be covered, when, extent of coverage, notification of birth and additional premium, when, effect of.
Section 354.715 Providers of dental care, written contract with prepaid dental plan corporations, review and mediation procedures for enrollees required.
Section 354.717 Director, powers — financial examinations, when, by whom made and paid.
Section 354.720 Annual report, required, content.
Section 354.721 Agents, registration required — rules and regulations authorized.
Section 354.722 Revocation or suspension of certificate of authority, when — notice, civil suit authorized — suspension, revocation, activity permitted.
Section 354.723 Rulemaking authorized.
Section 354.725 Exclusion, labor organization's health plans.