§ 27-41-3. Establishment of health maintenance organizations.
§ 27-41-4. Issuance of license.
§ 27-41-5. Powers of health maintenance organizations.
§ 27-41-7. Fiduciary responsibilities.
§ 27-41-8. Evidence of coverage and charges for healthcare services.
§ 27-41-10. Information to enrollees.
§ 27-41-13. Protection against insolvency.
§ 27-41-13.1. Initial net worth and capital requirements.
§ 27-41-13.2. Ongoing net worth and capital requirements.
§ 27-41-13.3. Waiver, surplus notes, and risk-based capital requirements.
§ 27-41-14. Prohibited practices.
§ 27-41-14.1. Prohibition against restraint on provider — Patient communications.
§ 27-41-15. Powers of insurers and hospital and medical service corporations.
§ 27-41-17. Suspension or revocation of license.
§ 27-41-18. Rehabilitation, liquidation, or conservation of health maintenance organization.
§ 27-41-18.1. Summary orders and supervision.
§ 27-41-19. Rules and regulations.
§ 27-41-20. Administrative procedures.
§ 27-41-21. Penalties and enforcement.
§ 27-41-22. Statutory construction and relationship to other laws.
§ 27-41-23. Filings and reports as public documents.
§ 27-41-24. Director of health’s authority to contract.
§ 27-41-25. Holding company systems.
§ 27-41-26. Enrollee liability.
§ 27-41-26.1. Patient responsibility — Administrative requirements.
§ 27-41-27. Offer of health maintenance organization alternative to employees.
§ 27-41-27.1. No derogation of attorney general.
§ 27-41-27.2. Health insurance rates.
§ 27-41-29.1. Uniform explanation of benefits and coverage.
§ 27-41-29.2. Filing of policy forms.
§ 27-41-30. Mammograms and pap smears — Coverage mandated.
§ 27-41-30.1. Postpartum hospital stays.
§ 27-41-31. Mammograms — Quality assurance standards.
§ 27-41-32. Pap smears — Quality assurance standards.
§ 27-41-33. Coverage for infertility.
§ 27-41-34. Health maintenance organizations’ assessment.
§ 27-41-35. Enrollment period in the event of insolvency.
§ 27-41-36. Services of midwives.
§ 27-41-37. Discontinuance of coverage — Chronic disabilities.
§ 27-41-38.1. Medication synchronization.
§ 27-41-38.3. Specialty drugs. [Effective January 1, 2025.]
§ 27-41-40. Certified counselors in mental health and therapists in marriage and family practice.
§ 27-41-43. Mastectomy treatment.
§ 27-41-43.1. Insurance coverage for mastectomy hospital stays.
§ 27-41-44. Diabetes treatment.
§ 27-41-45. Primary and preventive obstetric and gynecological care.
§ 27-41-45.1. Hysterectomy or myomectomy treatment.
§ 27-41-46. Whistleblowers protection.
§ 27-41-47. Penalties and remedies.
§ 27-41-48. Additional relief and damages — Reinstatement.
§ 27-41-49. Third-party reimbursement for services of certain healthcare workers.
§ 27-41-49.1. Third-party reimbursement for services of registered nurse first assistants.
§ 27-41-50. Human leukocyte antigen testing.
§ 27-41-52. Restricted annual rate payments prohibited.
§ 27-41-53.1. Genetic information.
§ 27-41-54. Disassociation prohibited.
§ 27-41-56. Magnetic resonance imaging — Quality assurance standards.
§ 27-41-57. Acupuncture services.
§ 27-41-58. Prohibition against requiring indemnification from dentists.
§ 27-41-59. FDA approved prescription contraceptive drugs and devices.
§ 27-41-61. Eligibility for children’s benefits.
§ 27-41-62. Temporary credentials.
§ 27-41-64. Prompt processing of claims.
§ 27-41-65. Mandatory coverage for certain lyme disease treatments.
§ 27-41-66. Dental insurance assignment of benefits.
§ 27-41-67. Determination of maximum coverage limitation for prescription drug benefits.
§ 27-41-68. Coverage for early intervention services.
§ 27-41-69. Post-payment audits.
§ 27-41-70. Tobacco cessation programs.
§ 27-41-71. Mandatory coverage for scalp hair prosthesis.
§ 27-41-72. Reimbursement for orthotic and prosthetic services.
§ 27-41-73. Licensed ambulance service.
§ 27-41-74. Enteral nutrition products.
§ 27-41-75. Prohibition on rescission of coverage.
§ 27-41-76. Prohibition on annual and lifetime limits.
§ 27-41-77. Coverage for individual participating in approved clinical trials.
§ 27-41-78. Medical loss ratio reporting and rebates.
§ 27-41-79. Emergency services.
§ 27-41-80. Internal and external appeal of adverse benefit determinations.
§ 27-41-81. Prohibition on preexisting condition exclusions.
§ 27-41-82. Primary care provider designation requirement.
§ 27-41-83. Discretionary clauses.
§ 27-41-84. Orally administered anticancer medication — Cost-sharing requirement.
§ 27-41-85. Consumer notification.
§ 27-41-86. Opioid antagonists.
§ 27-41-87. Healthcare provider credentialing.
§ 27-41-88. Unfair discrimination prohibited.
§ 27-41-89. Health insurance contracts — Full year coverage for contraception.
§ 27-41-90. Prohibition on discrimination in organ transplants.
§ 27-41-91. Health insurance contracts — Copayments exemption for COVID-19 vaccinations.
§ 27-41-94. Coverage for biomarker testing.
§ 27-41-98. Dispensing and administration of HIV PrEP or PEP drugs.