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