2017 Missouri Revised Statutes
Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS
Chapter 376 Life, Health and Accident Insurance
Section 376.1510 Prohibited acts.
Effective 28 Aug 2007
Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS
Chapter 376376.1510. Prohibited acts. — A discount medical plan organization shall not:
(1) Use in its advertisements, marketing material, brochures, and discount cards the terms "health plan", "coverage", "co-pay", "co-payments", "preexisting conditions", "guaranteed issue", "premium", "PPO", "preferred provider organization", or other terms in a manner that could reasonably mislead a person to believe that the discount medical plan is health insurance;
(2) Except for hospital services, have restrictions on free access to plan providers including waiting periods and notification periods;
(3) Pay providers any fees for medical services;
(4) Collect or accept money from a member for payment to a provider for specific medical services furnished or to be furnished to the member, unless the organization is licensed by the director to act as an administrator; or
(5) Except as otherwise provided in sections 376.1500 to 376.1532, as a disclaimer of any relationship between discount medical plan benefits and insurance, or as a description of an insurance product connected with a discount medical plan, use in its advertisements, marketing material, brochures, and discount cards the term "insurance".
(L. 2007 H.B. 818 merged with S.B. 66)
Effective 8-28-07 (S.B. 66); 1-01-08 (H.B. 818)