Subchapter E. Group Coverages

Section 1551.201. Establishment
Section 1551.2011. Employee Awareness and Education
Section 1551.202. Authority to Define Basic Coverages
Section 1551.203. Authority to Define Optional Coverages
Section 1551.204. Authority to Define Voluntary Coverages
Section 1551.205. Limitations
Section 1551.206. Cafeteria Plan
Section 1551.207. Premium Conversion Benefit Portion of Cafeteria Plan
Section 1551.208. Determination to Self-Fund
Section 1551.209. Coverage Exempt From Insurance Law
Section 1551.210. Actuarial Advice for Self-Funded Coverage
Section 1551.211. Contingency Reserve Fund for Self-Funded Coverage
Section 1551.212. Firms to Administer Self-Funded Coverage
Section 1551.213. Bids for Purchased Coverage
Section 1551.214. Selection of Bids for Purchased Coverage
Section 1551.215. Accounting by Carrier Providing Purchased Coverage
Section 1551.216. Special Contingency Reserve
Section 1551.217. Use of Employee's Salary in Computation of Premium or Coverage
Section 1551.218. Prior Authorization for Certain Drugs
Section 1551.219. Disease Management Services
Section 1551.220. Beneficiary Causing Death of Participant or Beneficiary of Participant
Section 1551.222. Incentive Payments
Section 1551.224. Mail Order Requirement for Prescription Drug Coverage Prohibited
Section 1551.225. Bariatric Surgery Coverage
Section 1551.226. Tobacco Cessation Coverage
Section 1551.227. Tricare Military Health System Supplemental Plan
Section 1551.228. Emergency Care Payments
Section 1551.229. Out-of-Network Facility-Based Provider Payments
Section 1551.230. Out-of-Network Diagnostic Imaging Provider or Laboratory Service Provider Payments