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58-18 GROUP AND BLANKET HEALTH INSURANCE POLICIES
CHAPTER 58-18

GROUP AND BLANKET HEALTH INSURANCE POLICIES

58-18-1      "Group health insurance" defined.
58-18-2      Employee group insurance authorized--"Employees" defined.
58-18-3      Association member and employee group insurance authorized--Inclusion of retired employees.
58-18-4      Industry fund group insurance authorized--"Employees" defined.
58-18-5      Issuance to person or organization to which group life insurance policy may be issued.
58-18-6      Issuance to cover similar group subject to discretion of director.
58-18-6.1      Coverage of proprietors, partners and executive corporate officer employees.
58-18-7      Continuation without evidence of insurability--Application.
58-18-7.1      Coverage for inpatient treatment of alcoholism to be offered in group policies--Treatment within state included.
58-18-7.2      Benefits provided under alcoholism coverage--Maximum treatment periods permitted.
58-18-7.3      Policies not within alcoholism coverage requirement.
58-18-7.4      Coverage upon application by employee or beneficiary with right to convert following notice of termination.
58-18-7.5      Continuation of coverage upon leaving employment or termination of coverage by insurer--Duration.
58-18-7.6 to 58-18-7.10.      Repealed.
58-18-7.11      Continuation or conversion policy not required under certain circumstances.
58-18-7.12      Conditions for continuation.
58-18-7.13      Premium for conversion policy and continuation policy.
58-18-7.14      Notification of continuation and conversion rights.
58-18-7.15      Group insurance coverage in lieu of converted individual policies.
58-18-7.16      Repealed.
58-18-7.17      Exclusion of benefits for injury while under the influence of alcohol or drugs prohibited--Exception for sickness or injury caused in commission of felony.
58-18-7.18      Continuation coverage to be same as that available to similarly situated beneficiaries--Option to decrease benefits.
58-18-7.19      Probationary period for continuation or conversion coverage prohibited.
58-18-7.20      Construction with chapter 58-18C.
58-18-7.21      Continued coverage--Insurer's use of experience for rating purposes not limited--Options unavailable in market not required.
58-18-8      Representations by applicant not warranties--Written statement required to avoid insurance or reduce benefits.
58-18-9      Summary statement of coverage for delivery to member of insured group.
58-18-10      Additions to group originally insured.
58-18-11      Direct payment for hospital, medical, or surgical services--Option of insurer.
58-18-11.1      Reduction of benefits because of increase in statutory disability benefits prohibited.
58-18-11.2      Repealed.
58-18-12      "Blanket health insurance" defined.


58-18-13      Blanket health insurance for passengers on common carrier.
58-18-14      Blanket health insurance for employees, dependents, or guests with reference to hazardous activities.
58-18-15      Blanket health insurance for institutions of learning, camps, or sponsors.
58-18-16      Blanket health insurance for religious, charitable, recreational, educational, or civic organizations.
58-18-17      Blanket health insurance for sports team or sponsors.
58-18-18      Blanket health insurance for volunteer group or agency.
58-18-19      Blanket health insurance for other risks approved by director.
58-18-20      Authority to issue blanket health insurance--Filing of copy of form--Required provisions.
58-18-21      Policy and application constitute entire contract--Statements by policyholder not warranties--Written statement required for use in defense of claim.
58-18-22      Sickness or injury--Provision for notice to insurer.
58-18-23      Forms for filing proof of loss--Failure of insurer to furnish, submission of written proof.
58-18-24      Claim for loss of time--Time for furnishing proof of loss--Notice of continuance of disability.
58-18-25      Time for payment of benefits.
58-18-26      Physical examination of insured--Autopsy in death claims.
58-18-27      Time for commencement of action to recover under policy.
58-18-28      Individual application and certificate not required under blanket policy.
58-18-29      Persons to whom benefits payable under blanket health policy.
58-18-30      Chapter inapplicable to prior policies.
58-18-31      Continuation of coverage for child with intellectual or physical disability--Proof of dependency.
58-18-31.1      Dependent coverage termination--Age--Full-time student.
58-18-32      Family coverage to include newborn and newly adopted children.
58-18-33      Premature birth, congenital defects, and birth abnormalities covered--Applicability.
58-18-34      Notice of birth or adoption required for continued coverage.
58-18-35      Notice required for rate increase by group health insurance company.
58-18-36      Grandfathered plans required to cover low-dose mammography--Extent of coverage.
58-18-36.1      Policies required to cover occult breast cancer screening.
58-18-37      Freedom of choice for pharmacy services.
58-18-38      Annual period of enrollment for licensed pharmacies--Actual notice of enrollment period not required.
58-18-39      Provisions denying choice for pharmacy services as void.
58-18-40      Enforcement of provisions permitting choice for pharmacy services.
58-18-41      Coverage for phenylketonuria.
58-18-42      "Health benefit plan" defined.
58-18-43      "Late enrollee" defined.
58-18-44      "Creditable coverage" defined.
58-18-45      Preexisting conditions--Limitation of waiting periods.
58-18-45.1      Anesthesia and hospitalization for dental care to be provided certain covered persons.
58-18-46      Renewability of health benefit plans--Employer's election--Exceptions.
58-18-47      Nonrenewal of health benefit plans by an employer carrier.
58-18-48      Acceptance of new employees for coverage under employer's existing health benefit plan.
58-18-49      Carrier's offer of coverage to employer--Coverage of all eligible employees.
58-18-50, 58-18-51.      Repealed.
58-18-51.1      Application of §§ 58-18-42 to 58-18-49, inclusive.
58-18-52.1      Political subdivisions permitted to join with health insurance purchasing organizations.
58-18-52      Formation of voluntary health insurance purchasing organizations.
58-18-53      Membership of voluntary health insurance purchasing organizations.
58-18-54      Purchasing organization's responsibility for negotiating terms and conditions.
58-18-55      Purchasing organization's notice of premium charge.
58-18-56      Additional chapters applicable to purchasing organization.
58-18-57      Approval of purchasing organization by Division of Insurance.
58-18-58      Premiums held in trust by purchasing organization.
58-18-59      Rates for group health insurance issued to purchasing organizations.
58-18-60      Reasonable participation requirements for group members of purchasing organizations.
58-18-61      Purchasing organizations exempt from antitrust provisions.
58-18-62      Promulgation of rules for purchasing organizations.
58-18-63      Minimum loss ratio for employer health benefit plans--Application of section.
58-18-64 to 58-18-75.      Repealed.
58-18-76      Minimum inpatient care coverage following delivery.
58-18-77      Shorter hospital stay permitted--Follow-up within forty-eight hours required.
58-18-78      Notice to employees or members--Disclosures.
58-18-79      Promulgation of rules to minimally meet federal standards--Additional rules--Scope.
58-18-80      Health insurance policies to provide coverage for biologically-based mental illnesses.
58-18-81      Application--Exemptions.
58-18-82      Carrier to provide annual report--Time frame--Information.
58-18-83      Policies to provide coverage for diabetes supplies, equipment and education--Exceptions--Conditions and limitations.
58-18-84      Diabetes coverage not required of certain plans and policies.
58-18-85      Policies to provide coverage for prostate cancer screening.
58-18-86      Plans subject to § 58-18-45--Exceptions.
58-18-87      Director to promulgate rules governing use of genetic information.
58-18-88      Authorization of self-funded multiple employer trust--Conditions.
58-18-89      Promulgation of rules pertaining to multiple employer trusts.
58-18-90      Multiple employer trust not insurance company or association or subject to specified provisions--Exception.
58-18-91      Suspension or revocation of authorization of multiple employer trust--Action in lieu of suspension or revocation.
58-18-92      Payment of premium taxes.
58-18-93      Agent licensing requirements.
58-18-94      Exemption from application of §§ 58-18-88 to 58-18-94, inclusive, and § 58-18B-59--Trust authorized to include large and small employers.
58-18-95      Coverage for treatment of hearing impairment for persons under age nineteen.


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