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Chapter 432D

39 sections

§432D-1 Definitions for Health Maintenance Organization Law

§432D-1.5 How trade associations can get group health insurance

§432D-2 Getting a license to start a health maintenance organization

§432D-3 What health maintenance organizations can do

§432D-4 Fiduciary duties for HMO money handlers

§432D-5 HMO annual and quarterly reports

§432D-6 What your health plan must tell you

§432D-7 Which investments count toward net worth

§432D-8 Financial safety rules for health maintenance organizations

§432D-9 Deposit for unpaid medical costs when an HMO is in financial trouble

§432D-9.5 Rules for health plans getting reinsurance credit

§432D-10 What happens to your health plan if your HMO goes broke

§432D-11 Health plan replacement after an HMO fails

§432D-12 How insurers can start or work with health maintenance organizations

§432D-13 State checks on health plans and their providers

§432D-14 When the state can suspend or revoke a health plan's license

§432D-15 What happens when an HMO is shut down or taken over

§432D-16 State can order HMO to fix financial problems

§432D-17 Fees for insurance certificates and late penalties

§432D-18 Penalties and enforcement

§432D-19 How this law interacts with other insurance laws

§432D-20 Filings and reports are public documents

§432D-21 Keeping your health information private

§432D-22 Getting approval to take over or merge with a health plan

§432D-23 Health plans must include required benefits

§432D-23.5 Health plans must pay for telehealth visits like in-person care

§432D-23.6 Exemption for federally funded health plans

§432D-24 How health plans work together when you have more than one

§432D-25 Health plans must tell you what they cover

§432D-26 Health plans cannot use your genetic information against you

§432D-26.3 Health plans cannot discriminate based on gender identity

§432D-27 Health plans cannot deny coverage because of domestic abuse

§432D-28 Health plans must follow federal law

§432D-29 When a health plan can cancel your coverage

§432D-30 Rules for syncing prescription refills and paying pharmacy fees

§432D-31 Health plans must cover adult children until age 26

§432D-32 Health plans cannot deny coverage for preexisting conditions

§432D-33 Health plans cannot charge more based on gender

§432D-34 Health plans must cover pharmacist services