| 376.005. | Definitions. |
| 376.010. | Who may form company--purposes. |
| 376.015. | Involuntary unemployment insurance may be issued in connection with |
| | extension of credit or certain group life insurance, |
| | requirements. |
| 376.020. | Various companies defined. |
| 376.050. | Declaration of corporators. |
| 376.060. | Stock companies--content of charter. |
| 376.070. | To be submitted to attorney general. |
| 376.080. | Director to examine, when. |
| 376.090. | To furnish certificate of deposit, when. |
| 376.100. | Mutual companies--contents of charter. |
| 376.110. | To be submitted to attorney general. |
| 376.120. | Director to examine and certify, when. |
| 376.130. | To furnish certificate of deposit, when. |
| 376.142. | Stock company may become mutual--procedure--policyholders' |
| | meeting--acquisition of stock. |
| 376.143. | Stock company may acquire its own shares to be held in trust for |
| | mutual--appointment, powers and duties of trustees. |
| 376.144. | Acquisition of shares of dissenting stockholders, |
| | procedure--abandonment of mutualization. |
| 376.145. | Officers of stock company to continue as officers of mutual. |
| 376.146. | Board of directors or trustees of mutual, membership qualifications, |
| | term of office. |
| 376.147. | Meetings of board of mutual, notice--executive committee of board, |
| | powers. |
| 376.148. | Policyholders are members of mutual--voting rights--directors may |
| | alter articles--additional assessments prohibited. |
| 376.150. | Stock and mutual companies--content of charter. |
| 376.160. | Formation of stock and mutual companies. |
| 376.170. | Special deposits for registered policies and annuity bonds. |
| 376.180. | Certificates as to registration and reserves on policy--policies |
| | exempt, exceptions. |
| 376.190. | Additional deposits required. |
| 376.200. | Definition of net value. |
| 376.210. | Excess deposits. |
| 376.220. | May use realty to secure notes and bonds. |
| 376.230. | Changing of securities on deposit. |
| 376.240. | Deposits to be held in trust by director. |
| 376.250. | Deposits to be kept separate. |
| 376.260. | Fees collected by director of revenue. |
| 376.270. | Director may proceed against depositary companies. |
| 376.280. | Capital necessary to do business--how invested. |
| 376.290. | Deposit and transfer of securities. |
| 376.291. | Applicability and inapplicability. |
| 376.292. | Definitions. |
| 376.293. | Permissible investments--written plan for investments required. |
| 376.294. | Prohibited acts. |
| 376.295. | Additional prohibited acts--authorized actions. |
| 376.296. | Value of investments, how calculated. |
| 376.297. | Investment subsidiaries not permitted, when. |
| 376.298. | Acquisition of rate credit instruments, when. |
| 376.300. | Equity interests permitted, when. |
| 376.301. | Tangible personal property interests permitted, when. |
| 376.302. | Mortgage interests, may be acquired, when--other real estate |
| | interests. |
| 376.303. | Lending and repurchase, permitted when. |
| 376.304. | Acquisition of foreign investments, when. |
| 376.305. | Rulemaking authority. |
| 376.306. | Cash surrender value, life insurer may lend to policyholder, when. |
| 376.307. | Limits on acquisition of certain investments. |
| 376.308. | Secondary mortgage market act, not to preempt health insurer, when. |
| 376.309. | Separate account defined--establishment of account and special voting |
| | or control rights authorized--approved investments--approval of |
| | director required. |
| 376.310. | Investment of surplus and reserve funds by foreign companies. |
| 376.311. | Investment of capital reserve and surplus of life insurance companies |
| | in investment pools--definitions--qualifications--requirements. |
| 376.320. | (Repealed L. 2007 S.B. 66 § A) |
| 376.330. | Securities may be changed. |
| 376.350. | Reports to director. |
| 376.360. | Distribution of surplus funds to participating policyholders--method. |
| 376.370. | Director to value reserves, methods. |
| 376.380. | Legal minimum standards for valuation--procedures--reserves |
| | required--life insurance company to submit opinion of actuary, |
| | contents. |
| 376.383. | Health care claims for reimbursement, how paid, |
| | when--definitions--clean claims, procedure--unpaid claims, |
| | procedure--fraudulent claims, notification to the department, |
| | procedure--requests for additional information, contents. |
| 376.384. | Reimbursement of claims, duties of health carriers--claims submitted |
| | in electronic format, when--compliance monitored by |
| | department--complaint procedures developed--standard medical code |
| | sets required, when--rulemaking authority. |
| 376.385. | Diabetes--insurance coverage for equipment, supplies and |
| | self-management training. |
| 376.386. | Prescription drugs, one co-payment for dosage prescribed. |
| 376.390. | Reserve liability for group insurance--how computed. |
| 376.391. | Co-payments for chiropractic services, cap. |
| 376.392. | Prescription drug formularies, enrollees to be notified of changes to, |
| | when. |
| 376.395. | Definitions for group health conversion policy requirements. |
| 376.397. | Converted policy to be offered on termination of group health |
| | coverage, when--exceptions--terms and conditions. |
| 376.398. | Application to all group policies--effective, when. |
| 376.401. | Conversion rights--retirees--dependents of insured. |
| 376.403. | Benefit levels--group coverage may be provided in lieu of converted |
| | policy--delivery outside state, form. |
| 376.404. | Specific requirement requests of policyholder may be met by |
| | alteration. |
| 376.405. | Group health and accident policies, approval required--exempt, when, |
| | director's powers. |
| 376.406. | Newborn child to be covered under health policies, extent of |
| | coverage--notification of birth, when, effect of--definitions. |
| 376.407. | Advance practice nurse, claims for service to be reimbursed, when. |
| 376.410. | Insurance companies to maintain reserves--exemptions. |
| 376.421. | Group health insurance, authorized categories. |
| 376.422. | Direct response solicitation and sponsoring or endorsing entity, |
| | defined--certain group or individual insurers paying compensation to |
| | policyholder or sponsoring entity to notify policyholders. |
| 376.423. | Health insurance, claims for chiropractic services denial, |
| | qualified chiropractor to review, qualifications--investigation |
| | by department, when. |
| 376.424. | Group health insurance policies may be extended to insure family |
| | members or dependents. |
| 376.425. | Student accident policies, may not limit surgical benefits, when. |
| 376.426. | Group health policies, required provisions. |
| 376.427. | Assignment of benefits made by insured to provider--payment, how |
| | made--exceptions--all claims to be paid, when. |
| 376.428. | Federal COBRA provisions to apply to group health insurance policies. |
| 376.429. | Coverage for certain clinical trials for prevention, early detection |
| | and treatment of cancer, restrictions--definitions--exclusions. |
| 376.431. | Employees or members of unions or associations, group or group-type |
| | basis coverage, sections 376.431 to 376.442 to apply. |
| 376.432. | Group-type basis, defined. |
| 376.433. | Self-insurance plans for health care, public entities--subject |
| | to Medicaid rights, obligations, and remedies. |
| 376.434. | Carrier liable for claims incurred during grace period, |
| | when--exceptions. |
| 376.435. | Claim information to be reported, when--covered lives defined. |
| 376.436. | Discontinuance notice by carrier, contents--notice forms furnished by |
| | carrier for distribution to policyholders. |
| 376.438. | Group policies, modifying or amending benefits shall provide |
| | extension of benefits in event of total disability at date of |
| | termination or discontinuance. |
| 376.441. | Carrier contract replaced by similar benefit plan of another |
| | carrier--liability of prior carrier--succeeding carrier coverage |
| | requirements. |
| 376.442. | Rules and regulations, procedure. |
| 376.446. | Enrollee cost-sharing responsibilities, health carriers to provide |
| | timely information--exceptions. |
| 376.450. | Citation of law--definitions (Missouri HIPAA). |
| 376.451. | Standards prohibiting discrimination. |
| 376.452. | Large group market, renewal or continuation of coverage |
| | required--nonrenewal or discontinuation permitted, |
| | when--conditions for discontinuation. |
| 376.453. | Premium--only cafeteria plans required, when. |
| 376.454. | Individual market, renewal or continuation at option of |
| | individual--nonrenewal or discontinuation permitted, |
| | when--discontinuation of a type of coverage, procedure. |
| 376.480. | Domestic companies may assume risks of foreign companies--duties of |
| | director. |
| 376.500. | Discriminations, rebates and favors prohibited--contracts to conform |
| | to policy. |
| 376.502. | Life insurers not to discriminate based on lawful travel |
| | destinations--violations, penalty. |
| 376.510. | Penalty for violation of section 376.500. |
| 376.530. | (Repealed L. 2007 S.B. 613 Revision § A) |
| 376.531. | Life insurance policies, consent of insured required, |
| | exceptions--employers have insurable interest in employees, when, |
| | effects. |
| 376.540. | Policy, to whom payable. |
| 376.550. | (Repealed L. 2007 S.B. 613 Revision § A) |
| 376.562. | Charitable, benevolent, educational and religious organizations may |
| | be beneficiary or owner of policy, life insurance, when--fraud or |
| | coercion, exception. |
| 376.570. | Foreign executor or administrator. |
| 376.580. | Misrepresentation. |
| 376.590. | Misrepresentations, false estimates and circulars |
| | prohibited--agents--notes to be held until policy delivered. |
| 376.600. | Penalty for violating section 376.590. |
| 376.610. | Defense in case of suits. |
| 376.620. | Suicide, effect on liability--refund of premiums, when. |
| 376.630. | Life insurance policies not to be forfeited or become invalid, when. |
| 376.640. | Paid-up policy may be demanded, when. |
| 376.650. | Rules of payment on commuted policy. |
| 376.660. | Foregoing provisions inapplicable, when. |
| 376.669. | Annuity contract requirements--paid-up annuity benefits, how |
| | calculated--cash surrender benefits, how calculated--applicable, |
| | when. |
| 376.670. | Provisions which shall be contained in life insurance policies, |
| | exceptions. |
| 376.671. | Provisions which shall be contained in annuity |
| | contracts--inapplicability date. |
| 376.672. | (Repealed L. 2007 S.B. 66 § A) |
| 376.673. | Life insurance policies, regulations relative to. |
| 376.674. | Life insurance policies, no cash surrender value, regulations |
| | relative to. |
| 376.675. | Life insurance policies and annuity contracts to be |
| | approved--exemption, when--director's powers--judicial review of |
| | disapproval. |
| 376.676. | Regulation of the valuation of life insurance policies--may adopt |
| | NAIC model regulation. |
| 376.677. | Life policies may be issued that have no cash surrender value prior to |
| | death--no policy loans so law regulating not applicable--requirements |
| | to issue. |
| 376.678. | Life insurance policies and annuity contracts, annual statement to |
| | holder required--company to furnish policy or contract information to |
| | holder upon request. |
| 376.679. | Life insurance company may reinsure for risks involving aircraft, |
| | limitation. |
| 376.680. | Assignment of incidents of ownership, group life policy, effect of. |
| 376.691. | Group life policies, eligible groups authorized for issue--premiums, |
| | how paid. |
| 376.693. | Special group life policies, requirements--director's approval. |
| 376.694. | Group life, definitions of direct response solicitation and |
| | sponsoring or endorsing entity--certain insurers required to give |
| | notice of compensation to policyholder or endorsing entity. |
| 376.695. | Extension of policy to insure for loss due to death of spouse or |
| | dependent children, requirements, limitations. |
| 376.696. | Political subdivisions purchasing any insurance policies to submit to |
| | competitive bidding, when--renewal between bidding periods deemed |
| | extension. |
| 376.697. | Required provisions for group life policies. |
| 376.699. | Person insured by group policy entitled to individual life policy, |
| | notice requirements. |
| 376.700. | Purpose--use of additional material. |
| 376.702. | Application of law--exceptions. |
| 376.704. | Definitions. |
| 376.706. | Delivery of guide and summary required, when. |
| 376.708. | Required presentations and statements--company to maintain file. |
| 376.710. | Effect of omission. |
| 376.712. | Effective date. |
| 376.714. | Contents and form of buyer's guide. |
| 376.715. | Citation of law, purpose. |
| 376.717. | Coverages provided, persons covered--coverage not provided, |
| | when--maximum benefits allowable. |
| 376.718. | Definitions. |
| 376.720. | Association, created--accounts--director to supervise. |
| 376.722. | Board of directors, established, members, how selected--expense |
| | reimbursement. |
| 376.724. | Impaired insurers, association's options, duties--insolvent insurers, |
| | association's options, duties--alternative policies, |
| | requirements. |
| 376.725. | Terminated coverage, reissuance of, premium set, how--obligation to |
| | cease, date--interest rate, guaranteed minimum. |
| 376.726. | Nonpayment of premiums, effect of. |
| 376.728. | Law not applicable, when. |
| 376.730. | Liens, association may impose, when. |
| 376.732. | Director to have association's powers and duties, when--association |
| | may appear in court, when. |
| 376.733. | Assignment of rights to association by persons receiving benefits, |
| | when--subrogation rights. |
| 376.734. | Additional powers of association. |
| 376.735. | Assessments against members, when due, classes--amounts, how |
| | determined. |
| 376.737. | Deferment of assessment, how, when--maximum assessment--refund of, |
| | when--members may increase premiums to cover assessments. |
| 376.738. | Certificate of contribution, when issued. |
| 376.740. | Plan of operation, required, approval of director--provisions of plan. |
| 376.742. | Director, powers and duties. |
| 376.743. | Board of directors, powers. |
| 376.745. | Assessments, offset against tax liability, when, how. |
| 376.746. | Records of association meetings to be kept--association deemed |
| | creditor of insolvent or impaired insured. |
| 376.747. | Distribution of member insurer assets upon liquidation, priority of |
| | association. |
| 376.748. | Liquidation, recovery of distributions, when, exceptions, limitations. |
| 376.750. | Financial report, submitted to director, when--tax exempt |
| | status--immunity from liability. |
| 376.752. | Member insurer's deposit with director, exemption from, amount. |
| 376.754. | Stay of proceedings, insolvent insurer, when. |
| 376.755. | Advertising, use of guaranty association prohibited. |
| 376.756. | Summary document, association to prepare, when, contents--policy not |
| | covered by guaranty association to contain notice, form determined by |
| | director. |
| 376.758. | Law inapplicable to insolvent insurers on effective date of law. |
| 376.770. | Title of law. |
| 376.773. | Definitions. |
| 376.775. | Matters required in policies. |
| 376.776. | Hospital and medical expense provisions extended for certain |
| | handicapped and dependent children past normal coverage age. |
| 376.777. | Specifically required provisions--exemptions, when--director's powers. |
| 376.778. | Payment direct to public hospitals or clinics with or without |
| | assignment, when--provisions required in contracts. |
| 376.779. | Health insurance policies to offer coverage for treatment of |
| | alcoholism--exclusions. |
| 376.780. | Limits on provisions, effect of conflict of policy with law. |
| 376.781. | Speech and hearing disorders, companies to offer coverage, |
| | when--rules, procedure. |
| 376.782. | Mammography--low-dose screening, defined--health care policies |
| | to provide required coverage. |
| 376.783. | Insured bound only if copy of application attached to policy. |
| 376.785. | What does not constitute waiver of defenses. |
| 376.787. | Effect of age limit provision. |
| 376.789. | Definition of actual charge and actual fee. |
| 376.790. | Limits on applicability of law. |
| 376.800. | Misrepresentation made in obtaining individual accident and health |
| | policy no defense, exception. |
| 376.801. | Coverage for child health supervision services |
| | required--definitions--permitted limitations on benefits. |
| 376.805. | Elective abortion to be by optional rider and requires additional |
| | premium--elective abortion defined--health insurance exchanges |
| | not to offer coverage for elective abortions. |
| 376.806. | Refund of health insurance unearned premium on notice of death of |
| | insured--refunded to whom--definitions--exception--failure to |
| | notify within one year. |
| 376.807. | Policies not to reduce or deny benefits to persons eligible for |
| | medical assistance--deemed primary contract. |
| 376.810. | Definitions for policy requirements for chemical dependency. |
| 376.811. | Coverage required for chemical dependency by all insurance and health |
| | service corporations--minimum standards--offer of coverage may be |
| | accepted or rejected by policyholders, companies may offer as |
| | standard coverage--mental health benefits provided, |
| | when--exclusions. |
| 376.814. | Rules and regulations authorized, department of mental health to |
| | advise department--procedure. |
| 376.816. | Adopted children to be provided health care coverage on the same basis |
| | as other dependents--effective from date of birth or on |
| | placement--placement defined. |
| 376.818. | Eligibility for Medicaid may not be considered by insurers. |
| 376.819. | Division of medical services to have right to payment for health care |
| | services provided. |
| 376.820. | Insurers may not deny coverage of child because of marital status of |
| | parents, residence or income tax dependency claim. |
| 376.821. | Insurers may not cancel health or dental insurance solely because the |
| | insured is incarcerated--insurer, defined. |
| 376.823. | Prohibition on kickbacks not applicable for rebates for certain |
| | chronic illnesses. |
| 376.825. | Title. |
| 376.826. | Definitions. |
| 376.827. | Requirements for mental illness coverage--parity with coverage |
| | provided for physical conditions. |
| 376.830. | Services administered and delivered by whom--contracted services |
| | permitted, when. |
| 376.833. | Inapplicability of section 376.827, when--waiver granted to |
| | policyholder, when. |
| 376.836. | Effective date--study conducted by director, contents, report to |
| | general assembly--exclusions--expiration date. |
| 376.840. | (Repealed L. 2004 H.B. 855 § A) |
| 376.850. | Law, how cited. |
| 376.854. | Definitions. |
| 376.859. | Medicare supplement law applicable to what policies--policies not |
| | included. |
| 376.864. | Policies not to duplicate benefits provided by Medicare--preexisting |
| | conditions, limitations on--director to issue rules establishing |
| | standards. |
| 376.869. | Standards for policies, minimum, director to adopt. |
| 376.874. | Requirements of policy, return to policyholders. |
| 376.879. | Outline of coverage for fair disclosure--furnished to each |
| | applicant--format and content--rules and standards. |
| 376.881. | Policy certificate front page to contain notice of right to return and |
| | receive premium refund. |
| 376.882. | Cancellation of policy, refund required--notification. |
| 376.884. | Advertisement to be reviewed by director. |
| 376.886. | Regulations, requirements--rules, procedure. |
| 376.889. | Violations, penalty. |
| 376.890. | Invalidity of any section regulating Medicare supplement not to affect |
| | others. |
| 376.891. | Definitions. |
| 376.892. | Surviving spouse may continue coverage, when--divorced or separated |
| | spouse may continue coverage, when--services offered. |
| 376.893. | Divorced or separated spouse, continuation of coverage, |
| | notice--contents of notice--failure to elect, |
| | effect--application. |
| 376.894. | Amount of premium, date of payment--termination of right of |
| | continuation of coverage, grounds. |
| 376.900. | Definitions. |
| 376.905. | Administration by department, powers, duties--fees. |
| 376.910. | Certificate of authority required. |
| 376.915. | Application for certificate, content--renewal, content, filed |
| | when--extensions, fee. |
| 376.920. | Annual statement, form, contents. |
| 376.925. | Seven-day rescission period, all money or property to be refunded. |
| 376.930. | Insured to be furnished application for certificate and annual |
| | statement, when. |
| 376.935. | Certificates issued for one year--nontransferable--not endorsement |
| | by department. |
| 376.940. | Escrow account for entrance fees required, released when. |
| 376.945. | Escrow account, amount required--principal, how released, investment. |
| 376.950. | Board of directors, one member to be resident of facility. |
| 376.951. | (Transferred 2002; now 376.1100) |
| 376.952. | (Transferred 2002; now 376.1103) |
| 376.953. | (Transferred 2002; now 376.1106) |
| 376.955. | (Transferred 2002; now 376.1109) |
| 376.956. | (Transferred 2002; now 376.1112) |
| 376.957. | (Transferred 2002; now 376.1115) |
| 376.958. | (Transferred 2002; now 376.1118) |
| 376.960. | Definitions. |
| 376.961. | Missouri health insurance pool created--members to be all health |
| | insurers in state--board of directors, members, terms, |
| | qualifications. |
| 376.962. | Plan of operation to be submitted by board--effective when--failure |
| | to submit, director's duty to develop rules--plan content. |
| 376.964. | Board, powers and duties--including providing for issuing policies and |
| | reinsuring risks--staff appointment--rulemaking authority. |
| 376.965. | Board members not civilly liable for performance of duties, |
| | exception. |
| 376.966. | No employee to lose coverage by enrolling in pool--eligibility for |
| | pool coverage, ineligibility--medical underwriting |
| | considerations, notification required, when. |
| 376.968. | Administration of pool by insurer or insurers by competitive |
| | bids--insurer's qualifications--board to establish criteria for |
| | bid content. |
| 376.970. | Administering insurer to serve for three years subject to |
| | removal for cause--duties--reports. |
| 376.973. | Administering insurer at close of fiscal year to make accounting |
| | and assessment--how calculated--excess to be held at interest for |
| | future losses or to reduce premiums--future losses, defined. |
| 376.975. | Member's proportion of participation in pool to be determined |
| | annually--deficits to be recouped by proportioned |
| | assessment--amount of assessment to be offset against certain |
| | taxes. |
| 376.978. | Director of revenue to determine reduced amount in county foreign |
| | insurance tax fund, state treasurer to reimburse fund by reducing |
| | amount to general revenue. |
| 376.980. | Pool member exempt from taxation of financial institution, may |
| | be allowed to offset against sales or use tax, when--excess of |
| | assessment over sales or use tax payable in any one year a credit |
| | succeeding years until excess is exhausted. |
| 376.982. | Rulemaking procedure. |
| 376.984. | Abatement or deferring all or part of assessment of member, |
| | when--amount abated or deferred may be assessed against other |
| | members--deficiency liability. |
| 376.986. | Pool to offer medical coverage--premiums, how established--standard |
| | risk rate, how calculated--director to approve |
| | rates--exclusions--benefits reduced by other insurance or |
| | workers' compensation--medical expense to include prayer for |
| | spiritual healing. |
| 376.987. | High deductible health plans and establishment of health savings plans |
| | to be offered as options--definitions--rulemaking authority. |
| 376.989. | No liability, criminal or civil, for participation in pool by members. |
| 376.990. | (Repealed L. 2010 H.B. 1516 Revision § A merged with H.B. 1965 § A) |
| 376.995. | Limited mandate health insurance policies defined--certain sections |
| | not to apply to limited mandate health insurance policies, |
| | exceptions--requirements to sell or issue--certain law to apply. |
| 376.1000. | Multiple employer self-insured health plan, defined. |
| 376.1002. | Certificate of authority required--penalty for noncompliance--law |
| | inapplicable, when--exempt organizations. |
| 376.1005. | Application for certificate of authority, form--fee--policy or other |
| | evidence of coverage provided to employees, form. |
| 376.1007. | Plan to file copy of bylaws, coverage and agreements with director. |
| 376.1010. | Excess stop-loss coverage maintained by plan. |
| 376.1012. | Funds collected from employers held in trust--requirements--board of |
| | trustees, elected, duties--annual report, filed when. |
| 376.1015. | Department not to grant approval, when. |
| 376.1017. | Plan to establish loss reserves--plan to establish surplus account, |
| | amount. |
| 376.1020. | Plan to maintain principal place of business in Missouri, exception. |
| 376.1022. | Dissolution of plan, application, procedure, granted |
| | when--distribution of assets, procedures. |
| 376.1025. | Director may adopt rules. |
| 376.1027. | Plan in unsound condition, powers of director. |
| 376.1030. | Agreement of employer to pay benefits, requirements, form--copy filed |
| | with director--no excuse from liability. |
| 376.1032. | Plan considered insurer, when. |
| 376.1035. | Chapter 376 applicable to plan. |
| 376.1037. | Plan subject to premium taxes. |
| 376.1040. | Plan not to be offered to general public--marketing restrictions. |
| 376.1042. | Marketing by agent, agency or broker violation of law. |
| 376.1045. | Injunctive relief, director may seek, when--procedures. |
| 376.1075. | Definitions. |
| 376.1077. | Administrator to have agreement with insurer, form, |
| | contents--termination, how. |
| 376.1080. | Payments of premiums and claims deemed paid, when. |
| 376.1082. | Records maintained by administrator for insurer--director may examine |
| | records--records owned by insurer, transfer allowed, when. |
| 376.1083. | Advertising restrictions for administrator. |
| 376.1084. | Insurer responsible for benefits and underwriting practices--insurer |
| | to conduct review of administrator, when. |
| 376.1085. | Premiums held in fiduciary capacity, duties--financial records, |
| | duties--withdrawals from fiduciary account by agreement only, |
| | contents--payment of claims. |
| 376.1087. | Commissions not to be contingent on savings in payment of claims--may |
| | be based on premiums collected. |
| 376.1088. | Notice to policyholder of administrator, contents, |
| | required--disclosure of receipts to insurer. |
| 376.1090. | Materials delivered to administrator for insured to be promptly |
| | delivered. |
| 376.1092. | Certificate of authority, required, application, contents, |
| | fee--refusal to issue, when--renewal--bond, required when. |
| 376.1093. | Annual report filed with director, when--contents--filing fee, |
| | amount. |
| 376.1094. | Certificate of authority, suspension or revocation, grounds--civil |
| | action, when. |
| 376.1095. | Rules and regulations, promulgation. |
| 376.1100. | Law, how cited--definitions. |
| 376.1103. | Laws applicable, Medicare supplement laws not |
| | applicable--purpose--policies or riders must be in compliance. |
| 376.1106. | Policies issued in other states may be issued to residents of |
| | Missouri if in compliance with Missouri regulations. |
| 376.1109. | Policies, content requirements, provisions prohibited--rules |
| | authorized--cancellation, refund required. |
| 376.1112. | Director to provide buyer's guide--content--advertising of long-term |
| | care policies to contain notice of availability of guide. |
| 376.1115. | Coverage outline to be delivered to applicants, when, content. |
| 376.1118. | Benefits funded by a life insurance death benefit acceleration, |
| | reports to policyholder required, content. |
| 376.1121. | Denial of claim, long-term care insurance, duties of issuer. |
| 376.1124. | Rescinding of a long-term care policy, permitted when--grounds |
| | for contesting--no field issuance, when. |
| 376.1127. | Nonforfeiture benefit option required for long-term care insurance |
| | policies, requirements of offer--rulemaking authority. |
| 376.1130. | Rulemaking authority. |
| 376.1186. | State-based health benefit exchanges prohibited without statutory |
| | authority--executive order to establish prohibited--state agency |
| | restrictions--taxpayer standing--definitions. |
| 376.1190. | Health care mandates--review by oversight division--actuarial |
| | analysis. |
| 376.1199. | Coverage for certain obstetrical/gynecological services--exclusion of |
| | contraceptive coverage permitted, when--rulemaking authority. |
| 376.1200. | Certain policies to offer coverage for treatment of breast |
| | cancer--limitation on deductible, lifetime maximum |
| | benefit--administration of benefits--application, effect. |
| 376.1209. | Mastectomy--mandatory insurance coverage for prosthetic devices and |
| | reconstructive surgery--no time limit to be imposed. |
| 376.1210. | Maternity benefits, minimum hospital stays, exceptions--notice of |
| | benefits, contents--attending physician defined--rulemaking. |
| 376.1215. | Immunizations, mandated coverage, exceptions, rulemaking. |
| 376.1218. | Insurance coverage for children enrolled in the Part C early |
| | intervention system (First Steps). |
| 376.1219. | PKU formula and low protein modified food products covered by |
| | insurance, when--exceptions. |
| 376.1220. | Insurance coverage for newborn hearing screenings mandated. |
| 376.1222. | Prostheses and scalp prostheses to be provided for children under |
| | eighteen by Medicaid, children's health insurance and the |
| | consolidated plan--no additional insurance cost--amount allowable. |
| 376.1224. | Definitions--insurance coverage required--limitations on |
| | coverage--maximum benefit amount, adjustments--reimbursements, |
| | how made--applicability to plans--waiver, when--report. |
| 376.1225. | Mandated coverage for general anesthesia and hospital charges for |
| | dental care, when--prior authorization required, when--exceptions. |
| 376.1230. | Chiropractic care coverage, rates, terms, conditions, limits, |
| | and exclusions. |
| 376.1232. | Insurers to offer coverage for prosthetics. |
| 376.1250. | Cancer screening, health insurance coverage required, when, types. |
| 376.1253. | Second opinion, right of newly diagnosed cancer patients, attending |
| | physician to inform--insurance coverage for such second opinions |
| | required, when. |
| 376.1275. | Coverage for human leukocyte antigen testing for bone marrow |
| | transplantation required, when--exceptions. |
| 376.1290. | Coverage for lead testing. |
| 376.1300. | Reorganization of a domestic mutual life insurance company, authority. |
| 376.1305. | Formation of holding company, application--shareholder approval. |
| 376.1307. | Issuance of shares. |
| 376.1309. | Member's interest--nontransference of membership--immunity from |
| | liability--assessments, not imposed--security, membership interest. |
| 376.1312. | Nonapplicability of certain provisions of insurance holding companies |
| | law. |
| 376.1315. | Incorporation of mutual holding company, authority, approval. |
| 376.1318. | Powers of mutual holding company, engaging in business of insurance, |
| | no authority, affiliation and merger agreements. |
| 376.1322. | Mutual holding company subject to supervision of director, dissolution |
| | or liquidation--demutualization. |
| 376.1350. | Definitions. |
| 376.1353. | Utilization review activities monitored. |
| 376.1356. | Utilization review organization monitored, when. |
| 376.1359. | Written utilization program implemented, filed with the director. |
| 376.1361. | Documented clinical review criteria used in a utilization |
| | program--medical director qualifications--compensation of |
| | utilization review services. |
| 376.1363. | Utilization review decisions, procedures. |
| 376.1365. | Reconsideration of an adverse determination, when. |
| 376.1367. | Emergency services benefit determination, coverage required, when. |
| 376.1369. | Certification of compliance, when. |
| 376.1372. | Certification and member handbook to include utilization review |
| | procedures. |
| 376.1375. | Registry of grievances maintained, procedures--definitions. |
| 376.1378. | Grievances and certificate of compliance filed with the director, |
| | when. |
| 376.1382. | First- and second-level grievance review for managed care plans, |
| | first-level procedures. |
| 376.1385. | Second-level review procedures. |
| 376.1387. | Appeals of grievances determined by the director. |
| 376.1389. | Expedited grievance review procedure. |
| 376.1399. | Rules, effective, when--rules invalid and void, when. |
| 376.1400. | Explanation of benefits, standardized information used, contents, |
| | when. |
| 376.1403. | Referrals, standardized information used, content, when. |
| 376.1450. | Enrollee's right to receive documents and materials in printed or |
| | electronic form, when. |
| 376.1500. | Definitions. |
| 376.1502. | Requirements for transaction of business. |
| 376.1504. | Registration requirements--term of registration--renewal. |
| 376.1506. | Violations, penalty. |
| 376.1508. | Processing fee--cancellation of membership, effect of. |
| 376.1510. | Prohibited acts. |
| 376.1512. | Required disclosures. |
| 376.1514. | Written agreement required, contents. |
| 376.1516. | Written membership materials, required contents--forms to be filed |
| | with director, fee. |
| 376.1516. | Written membership materials, required contents--forms to be submitted |
| | to director. |
| 376.1518. | Net worth to be maintained, amount. |
| 376.1520. | Notice of changes. |
| 376.1522. | List of providers to be maintained on website. |
| 376.1524. | Advertising and marketing materials, approval in writing required. |
| 376.1528. | Rulemaking authority. |
| 376.1530. | Denial and refusal to issue registrations, when. |
| 376.1532. | Violations, penalties. |
| 376.1550. | Mental health coverage, requirements--definitions--exclusions. |
| 376.1750. | Health care sharing ministry, provisions not to apply to--ministry not |
| | engaging in the business of insurance, when--health care sharing |
| | ministry defined. |
| 376.1753. | Services related to pregnancy, persons holding ministerial or |
| | tocological certification may provide. |
Missouri General Assembly