Chapter 689B - Group and Blanket Health Insurance
- BLANKET POLICIES
- CONTINUATION OF COVERAGE UNDER CERTAIN GROUP POLICIES
- 689B.245 - Required provision concerning continuation of coverage.
- 689B.246 - Notice of eligibility or election to continue coverage.
- 689B.247 - Payment of premium for continued coverage.
- 689B.248 - New insurer to provide continued coverage.
- 689B.249 - Termination of continued coverage before end of period.
- CONVERSION OF GROUP POLICIES TO INDIVIDUAL POLICIES
- 689B.120 - Policies of group health insurance to contain provision for conversion; exceptions; conditions.
- 689B.130 - Conversion privilege available to spouse and children; conditions.
- 689B.140 - Denial of converted policy because of overinsurance; notice concerning cancellation of other coverage.
- 689B.150 - Choice of plans for converted policy.
- 689B.170 - Benefits payable under converted policy may be reduced by amount payable under group policy.
- 689B.180 - Issuance and effective date of converted policy; premiums; persons covered.
- 689B.200 - Notice of conversion privilege.
- ELIGIBILITY FOR COVERAGE UNDER GROUP POLICY
- 689B.290 - Definitions.
- 689B.300 - Effect of eligibility for medical assistance under Medicaid; assignment of rights to state agency.
- 689B.310 - Insurer prohibited from asserting certain grounds to deny enrollment of child of insured pursuant to order.
- 689B.320 - Certain accommodations to be made when child is covered under policy of noncustodial parent.
- 689B.330 - Insurer to authorize enrollment of child of parent who is required by order to provide medical coverage for child.
- GENERAL PROVISIONS
- GROUP POLICIES
- MISCELLANEOUS PROVISIONS
- 689B.250 - Acceptance of uniform forms for billing and claims.
- 689B.255 - Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements.
- 689B.260 - Required provision concerning coverage relating to complications of pregnancy.
- 689B.270 - Required procedure for arbitration of disputes concerning independent medical evaluations.
- 689B.275 - Contents, approval and provision of summary of coverage; provision of information about guaranteed availability of certain plans for benefits.
- 689B.280 - Disclosure of information concerning medication of insured prohibited.
- 689B.283 - Mandatory renewal of coverage under conversion health benefit plan.
- 689B.285 - Offering policy of health insurance for purposes of establishing health savings account.
- 689B.287 - Insurer prohibited from denying coverage solely because insured was intoxicated or under influence of controlled substance; exceptions.
- PORTABILITY AND ACCOUNTABILITY
- 689B.340 - Definitions.
- 689B.350 - “Affiliation period” defined.
- 689B.355 - “Blanket accident and health insurance” defined.
- 689B.360 - “Carrier” defined.
- 689B.370 - “Contribution” defined.
- 689B.380 - “Creditable coverage” defined.
- 689B.390 - “Group health plan” defined.
- 689B.400 - “Group participation” defined.
- 689B.410 - “Health benefit plan” defined.
- 689B.420 - “Health status-related factor” defined.
- 689B.430 - “Open enrollment” defined.
- 689B.440 - “Plan sponsor” defined.
- 689B.450 - “Preexisting condition” defined.
- 689B.460 - “Waiting period” defined.
- 689B.470 - Certain plan, fund or program to be treated as employee welfare benefit plan which is group health plan; partnership deemed employer of each partner.
- 689B.480 - Determination of applicable creditable coverage of person; determination of period of creditable coverage of person; required statement.
- 689B.490 - Written certification of coverage required for purpose of determining period of creditable coverage accumulated by person.
- 689B.500 - Coverage of preexisting conditions; when health maintenance organization may require affiliation period.
- 689B.510 - Carrier authorized to modify coverage for insurance product under certain circumstances.
- 689B.520 - Group plan or coverage that includes coverage for maternity care and pediatric care: Required to allow minimum stay in hospital in connection with childbirth; prohibited acts.
- 689B.530 - Carrier required to permit eligible employee or dependent of employee to enroll for coverage under certain circumstances.
- 689B.540 - Manner and period for enrollment of dependent of covered employee; period of special enrollment.
- 689B.550 - Carrier prohibited from imposing restriction on participation inconsistent with chapter; restrictions on rules of eligibility that may be established; premiums to be equitable.
- 689B.560 - Carrier required to renew coverage at option of plan sponsor; exceptions; discontinuation of form of product of group health insurance; discontinuation of group health insurance through bon
- 689B.570 - Carrier that offers coverage through network plan not required to offer coverage to employer that does not employ enrollees who reside or work in geographic area for which carrier is author
- 689B.575 - Carrier that offers coverage through network plan: Contracts with certain federally qualified health centers.
- 689B.580 - Plan sponsor of governmental plan authorized to elect to exclude governmental plan from compliance with certain statutes; duties of plan sponsor.
- 689B.590 - Converted policies: Carrier may only offer choice of basic and standard plans; election of basic or standard plan; premium; rates must be same for persons with similar case characteristics;