PORTABILITY AND ACCOUNTABILITY
- Bona Fide Associations
- General Provisions
- 689A.470 - Definitions.
- 689A.475 - “Affiliated” defined.
- 689A.480 - “Basic health benefit plan” defined.
- 689A.485 - “Bona fide association” defined.
- 689A.490 - “Church plan” defined.
- 689A.495 - “Control” defined.
- 689A.500 - “Converted policy” defined.
- 689A.505 - “Creditable coverage” defined.
- 689A.510 - “Dependent” defined.
- 689A.515 - “Eligible person” defined.
- 689A.520 - “Established geographic service area” defined.
- 689A.523 - Exclusion for a preexisting condition” defined.
- 689A.525 - “Geographic area” defined.
- 689A.530 - “Governmental plan” defined.
- 689A.535 - “Group health plan” defined.
- 689A.540 - “Health benefit plan” defined.
- 689A.545 - “Health status-related factor” defined.
- 689A.550 - “Individual carrier” defined.
- 689A.555 - “Individual health benefit plan” defined.
- 689A.560 - “Individual reinsuring carrier” defined.
- 689A.565 - “Individual risk-assuming carrier” defined.
- 689A.570 - “Plan for coverage of a bona fide association” defined.
- 689A.575 - “Plan of operation” defined.
- 689A.580 - “Plan sponsor” defined.
- 689A.585 - “Preexisting condition” defined.
- 689A.590 - “Producer” defined.
- 689A.595 - “Program of Reinsurance” defined.
- 689A.600 - “Provision for a restricted network” defined.
- 689A.605 - “Standard health benefit plan” defined.
- 689A.610 - Applicability; ceding arrangement prohibited in certain circumstances.
- 689A.615 - Certain plan, fund or program to be treated as employee welfare benefit plan which is group health plan; partnership deemed employer of each partner.
- 689A.620 - Certain person with break in coverage deemed eligible person.
- 689A.625 - Supplemental coverage not health benefit plan if individual carrier files annual certification with Commissioner.
- Individual Carriers
- 689A.630 - Requirement to renew coverage at option of individual; exceptions; discontinuation of form of product of health benefit plan; discontinuation of health benefit plan available through bona f
- 689A.635 - Coverage offered through network plan not required to be offered to eligible person who does not reside or work in established geographic service area.
- 689A.637 - Coverage offered through plan that provides for restricted network: Contracts with certain federally qualified health centers.
- 689A.640 - Each health benefit plan marketed in this State required to be offered to eligible persons.
- 689A.645 - Coverage to eligible person who does not reside in established geographic service area not required; coverage within certain areas not required.
- 689A.650 - Coverage to eligible persons not required under certain circumstances; notice to Commissioner of and prohibition on writing new business after election not to offer new coverage required.
- 689A.655 - Requirement to file basic and standard health benefit plans with Commissioner; disapproval of plan.
- 689A.660 - Prohibited acts concerning preexisting conditions and modification of health benefit plan.
- 689A.665 - Certain health carriers not required to offer health benefit insurance coverage to individuals.
- 689A.670 - Election to operate as individual risk-assuming carrier or individual reinsuring carrier: Notice to Commissioner; effective date; change in status.
- 689A.675 - Election to act as individual risk-assuming carrier: Suspension by Commissioner; applicable statutes.
- 689A.680 - Rates for individual health benefit plans to be developed based on rating characteristics: Prohibited characteristics; health status as rating factor.
- 689A.685 - Amount of change in rate of single block of business; plan with provision for restricted network; involuntary transfer of individual or dependent prohibited; premiums adjusted for block of
- 689A.690 - Information required to be disclosed as part of solicitation and sales materials; information required to be maintained at place of business; actuarial certification required to be filed wi
- 689A.695 - Information and documents to be made available to Commissioner; proprietary information.
- 689A.700 - Regulations regarding rates.
- 689A.705 - Regulations concerning reissuance of health benefit plan.
- 689A.710 - Prohibited acts; denial of application for coverage; regulations; violation may constitute unfair trade practice; applicability of section.
- Individual Health Insurance Coverage
- Miscellaneous Provisions