Chapter
1271
Benefits Provided by Health Maintenance Organizations; Evidence of Coverage; Charges
Sections
1271.001
Applicability of Definitions
1271.002
Right to Evidence of Coverage; Issuance
1271.003
Evidence of Coverage Not Health Insurance Policy
1271.004
Individual Health Care Plan
1271.005
Applicability of Other Law
1271.006
Benefits to Dependent Child and Grandchild
1271.007
Religious Convictions
1271.008
Balance Billing Prohibition Notice
1271.051
Evidence of Coverage: Contract and Certificate Requirements
1271.052
Information About Benefits and Limitations
1271.053
Information About Obtaining Services
1271.054
Information About Complaints and Appeals
1271.055
Out-of-network Services
1271.056
Unfair or Deceptive Provisions and Statements Prohibited
1271.057
Discretionary Clauses Prohibited
1271.101
Approval of Form of Evidence of Coverage or Group Contract
1271.102
Procedures for Approval of Form of Evidence of Coverage or Group Contract; Withdrawal of Approval
1271.103
Withdrawal of Approval of Form
1271.104
Information Required by Commissioner
1271.151
Provision of Basic Health Care Services
1271.152
Standards for Basic Health Care Services
1271.153
Periodic Health Evaluations
1271.154
Well-child Care from Birth
1271.155
Emergency Care
1271.156
Benefits for Rehabilitation Services and Therapies
1271.157
Non-network Facility-based Providers
1271.158
Non-network Diagnostic Imaging Provider or Laboratory Service Provider
1271.159
Non-network Emergency Medical Services Provider
1271.201
Designation of Specialist as Primary Care Physician
1271.202
Appeal
1271.203
Effective Date of Designation
1271.251
Approval of Formula or Method for Computing Schedule of Charges
1271.252
Consideration of Individual Health Status Prohibited
1271.253
Information Required by Commissioner
1271.301
Entitlement to Continuation of Group Coverage
1271.302
Request for Continued Coverage; Deadline
1271.303
Payment for Continued Coverage
1271.304
Termination of Continued Coverage
1271.306
Conversion Contracts
1271.307
Renewability of Coverage: Individual Health Care Plans and Conversion Contracts
