GROUP POLICIES
- Coverage
- 689B.030 - Required provisions.
- 689B.0303 - Required provision concerning coverage for continued medical treatment.
- 689B.0306 - Required provision concerning coverage for treatment received as part of clinical trial or study.
- 689B.031 - Required provision concerning coverage of certain gynecological or obstetrical services without authorization or referral from primary care physician.
- 689B.0313 - Required provision concerning coverage for human papillomavirus vaccine.
- 689B.0317 - Required provision concerning coverage for prostate cancer screening.
- 689B.033 - Required provision concerning coverage for newly born and adopted children and children placed for adoption.
- 689B.0335 - Required provision concerning coverage for autism spectrum disorders. [Effective January 1, 2011.]
- 689B.034 - Required provision concerning effect of benefits under other valid group coverage; subrogation.
- 689B.0345 - Required provision concerning coverage for employee or member on leave without pay as result of total disability.
- 689B.035 - Required provision concerning termination of coverage on dependent child.
- 689B.0353 - Required provision concerning coverage for treatment of certain inherited metabolic diseases.
- 689B.0357 - Required provision concerning coverage for management and treatment of diabetes.
- 689B.0359 - Required provision concerning coverage for treatment of conditions relating to severe mental illness. Â
- 689B.036 - Required provision concerning benefits for treatment of abuse of alcohol or drugs. Â
- 689B.0365 - Required provision concerning coverage for use of certain drugs for treatment of cancer.
- 689B.0367 - Required provision concerning coverage for screening for colorectal cancer.
- 689B.0368 - Required provision concerning coverage for prescription drug previously approved for medical condition of insured.
- 689B.0374 - Required provision concerning coverage for cytologic screening tests and mammograms for certain women.
- 689B.0375 - Required provision concerning coverage relating to mastectomy.
- 689B.0376 - Policy covering prescription drugs or devices to provide coverage for drug or device for contraception and of hormone replacement therapy in certain circumstances; prohibited actions by in
- 689B.0377 - Policy covering outpatient care to provide coverage for health care services related to contraceptives and hormone replacement therapy; prohibited actions by insurer; exceptions.
- 689B.0379 - Required provision concerning coverage for treatment of temporomandibular joint.
- Miscellaneous Provisions
- 689B.050 - Extended disability benefit.
- 689B.060 - Readjustment of premiums; dividends.
- 689B.061 - Limitations on deductibles and copayments charged under policy which offers difference of payment between preferred providers of health care and providers who are not preferred.
- 689B.063 - Primary and secondary policies: Determination of benefits.
- 689B.064 - Primary and secondary policies: Order of benefits.
- 689B.065 - Policy issued to replace discontinued policy or coverage: Requirements; notice of reduction of benefits; statement of benefits; applicability of section.
- 689B.067 - Provision in policy requiring binding arbitration for disputes with insurer authorized; procedure for arbitration; declaratory relief.
- 689B.068 - Insurer prohibited from denying coverage solely because person was victim of domestic violence.
- 689B.069 - Insurer prohibited from requiring or using information concerning genetic testing; exceptions.
- Reimbursement and Payment
- 689B.038 - Reimbursement for treatments by licensed psychologist.
- 689B.0383 - Reimbursement for treatments by licensed marriage and family therapist or licensed clinical professional counselor.
- 689B.0385 - Reimbursement for treatments by licensed associate in social work, social worker, independent social worker or clinical social worker.
- 689B.039 - Reimbursement for treatments by chiropractor.
- 689B.0393 - Reimbursement for treatments by podiatrist.
- 689B.0397 - Reimbursement for treatment by licensed clinical alcohol and drug abuse counselor.
- 689B.040 - Direct payment for hospital and medical services and home health care; payment to assignee.
- 689B.045 - Reimbursement for services provided by certain nurses; prohibited limitations; exception.
- 689B.047 - Reimbursement to provider of medical transportation.