2019 Statutes Index

Segregated accounts, 614.24

Subscription proceeds, deposit of, 614.14

Subsidiaries, 614.24

Surplus requirements, 614.19

Tax exemption, 614.80

Transitional provisions, continued effect, 610.40

Ultra vires acts, 614.07 (2)

Variable benefits, 614.24

Voluntary conversion to mutuals, 614.76

Voluntary dissolution of solvent domestic fraternals, 614.74

Voting, no votes by proxy, 614.42 (3)

Waiver of notice, 614.07 (4)

insurance_13. health care liability 13. Health Care Liability

Generally, Ch. 655

For non-insurance related provisions, see Medical Malpractice

Cancellation or nonrenewal, 655.24

Liability limitation, 655.23 (5)

Payments prior to fault determination, 655.245 (2)

Penalties for violations, 655.23 (6), (7)

Policy limits, 655.23 (4)

Proof of financial responsibility, 655.23

Reports on claims paid, 655.26

Required policy provisions, 655.24

Risk sharing plans:

Cancellation or nonrenewal, 655.25

Mandatory, 619.04

Policy limits, 619.01 (7)

Self-insurance, 655.23

Settlements, rejection by provider prohibited, 655.245 (1)

insurance_14. health care plans 14. Health Care Plans

For provisions relating to surgical, medical, hospital, major medical or other health services policy requirements, see Insurance—7. Disability and Medical

Abortion coverage prohibited, when, 632.8985

Claims experience disclosure, 632.797

Continuation coverage, 632.897

Conversion to individual policy, 632.897

Cooperative health care plans, 185.981 to 185.985

County officers and employees, 59.52 (11)

Coverage, denial:

Appeal, 632.835

Denial because liability policy may cover, prohibited, 632.845

Written reason required, 609.89, 631.17

Coverage, mandatory:

Adopted children, 609.75

Alcoholism and drug abuse, mental disorders, and other diseases, 609.715, 609.717

Autism, 609.87, 632.895 (12m)

Breast reconstruction, 609.77

Chiropractic coverage, 609.70

Colorectal cancer screening, 609.875

Contraceptives, 609.805, 632.895 (17)

Dental anesthetics, hospital and surgery center charges, 609.79

Dependent coverage, 609.755

Students, 609.655

Domestic abuse victims, 609.90, 631.95

Drugs and devices, 609.83

Chemotherapy, equality for oral and injected, 609.837

Emergency conditions without prior authorization, 609.82

Experimental treatment, 609.84

Eye drops, prescription refill, 632.895 (16t)

HIV infection, 609.81

Immunization coverage, 609.88, 632.895 (14)

Mammograms, 609.80

Mentally ill, coverage for court-ordered services for, 609.65

Student on medical leave, 609.76

Temporomandibular disorders, 609.78

Defined network plans:

Access standards, 609.22

Applicability of requirements to preferred provider plans, 609.35

Clinical decision-making; medical director, 609.34

Continuity of care, 609.24

Data systems and confidentiality, 609.36

Oversight, 609.38

Provider disclosures, 609.30

Quality assurance, 609.32

Rules for, 609.20

Disability, certification of, 632.99

Disciplinary action against providers, report to board, 609.17

Disclosure of estimated costs to insurer for covered procedures, 609.71, 632.798

Employee benefit plans, see Insurance—10. Employee Benefit Plans

Enrollment periods, notice, 609.10

Free choice of providers, 609.05 (1)

Grievance procedure, 632.83

Group health claims experience disclosure, 632.797

Group health plans:

Contract termination and renewability, 632.749

Definitions, 632.745

Discrimination prohibited, 632.748

Guaranteed acceptance, 632.747

Guaranteed renewability of individual coverage, 632.7495

Preexisting conditions, portability, restrictions, enrollment periods, 632.746