There is a newer version of this Chapter

View our newest version here

2019 Missouri Revised Statutes
Title XXIV - Business and Financial Institutions
Chapter 376 - Life, Health and Accident Insurance

Previous Next

GENERAL PROVISIONS

GROUP LIFE INSURANCE

Section 376.691 Group life policies, eligible groups authorized for issue — premiums, how paid. (8/28/1987)
Section 376.693 Special group life policies, requirements — director's approval. (8/28/1982)
Section 376.694 Group life, definitions of direct response solicitation and sponsoring or endorsing entity — certain insurers required to give notice of compensation to policyholder or endorsing entity. (8/28/1985)
Section 376.695 Extension of policy to insure for loss due to death of spouse or dependent children, requirements, limitations. (8/28/1985)
Section 376.696 Political subdivisions purchasing any insurance policies to submit to competitive bidding, when — renewal between bidding periods deemed extension. (8/28/1985)
Section 376.697 Required provisions for group life policies. (8/28/1982)
Section 376.699 Person insured by group policy entitled to individual life policy, notice requirements. (8/28/1982)

BUYER'S GUIDE

Section 376.700 Purpose — use of additional material. (8/28/1979)
Section 376.702 Application of law — exceptions. (8/28/1979)
Section 376.704 Definitions. (8/28/1979)
Section 376.706 Delivery of guide and summary required, when. (8/28/1979)
Section 376.708 Required presentations and statements — company to maintain file. (8/28/1979)
Section 376.710 Effect of omission. (8/28/1979)
Section 376.712 Effective date. (8/28/1979)
Section 376.714 Contents and form of buyer's guide. (8/28/1979)

GUARANTY ASSOCIATION — LIFE AND HEALTH INSURANCE
Effective date of certain amendments, 376.758

INDIVIDUAL ACCIDENT AND SICKNESS INSURANCE

EATING DISORDERS

Section 376.845 Definitions — eating disorders, coverage for diagnosis and treatment of — limitations on coverage. (8/28/2015)

MEDICARE SUPPLEMENT INSURANCE

SPOUSAL COVERAGE CONTINUATION

LIFE CARE CONTRACTS

Section 376.900 Definitions. (8/28/1981)
Section 376.905 Administration by department, powers, duties — fees. (8/28/1981)
Section 376.910 Certificate of authority required. (8/28/1981)
Section 376.915 Application for certificate, content — renewal, content, filed when — extensions, fee. (8/28/1981)
Section 376.920 Annual statement, form, contents. (8/28/1981)
Section 376.925 Seven-day rescission period, all money or property to be refunded. (8/28/1981)
Section 376.930 Insured to be furnished application for certificate and annual statement, when. (8/28/1981)
Section 376.935 Certificates issued for one year — nontransferable — not endorsement by department. (8/28/1981)
Section 376.940 Escrow account for entrance fees required, released when. (8/28/1981)
Section 376.945 Escrow account, amount required — principal, how released, investment. (8/28/1988)
Section 376.950 Board of directors, one member to be resident of facility. (8/28/1981)

HEALTH INSURANCE POOL

LIMITED MANDATE HEALTH INSURANCE

Section 376.995 Limited mandate health insurance policies defined — certain sections not to apply to limited mandate health insurance policies, exceptions — requirements to sell or issue — certain law to apply. (8/28/1997)

EXCEPTED BENEFIT PLANS

Section 376.998 Health insurance mandate exemption for excepted benefit plans — definitions — procedure to exempt. (8/28/2016)

MULTIPLE EMPLOYER SELF-INSURED HEALTH PLANS

DENTAL SERVICES

ADMINISTRATORS, CERTAIN INSURANCE POLICIES

LONG-TERM CARE

HEALTH BENEFIT EXCHANGES

Section 376.1186 State-based health benefit exchanges prohibited without statutory authority — executive order to establish prohibited — state agency restrictions — taxpayer standing — definitions. (11/6/2012)

HEALTH CARE MANDATE REVIEW

Section 376.1190 Health care mandates — review by oversight division — actuarial analysis. (8/28/2011)

WOMEN'S HEALTH

Section 376.1199 Coverage for certain obstetrical/gynecological services — exclusion of contraceptive coverage permitted, when — rulemaking authority. (10/12/2012)

BREAST CANCER, OFFER OF COVERAGE

MATERNITY BENEFITS, MANDATED HOSPITAL CARE

Section 376.1210 Maternity benefits, minimum hospital stays, exceptions — notice of benefits, contents — attending physician defined — rulemaking. (8/28/1996)

IMMUNIZATIONS, MANDATED COVERAGE

Section 376.1215 Immunizations, mandated coverage, exceptions, rulemaking. (8/28/1996)

PART C OF IDEA (FIRST STEPS PROGRAM) COVERAGE

Section 376.1218 Insurance coverage for children enrolled in the Part C early intervention system (First Steps). (8/28/2007)

PKU FORMULA, MANDATED COVERAGE

Section 376.1219 PKU formula and low protein modified food products covered by insurance, when — exceptions. (8/28/2002)

NEWBORN HEARING SCREENINGS, MANDATED COVERAGE

Section 376.1220 Insurance coverage for newborn hearing screenings mandated. (8/28/1999)

SCALP HAIR PROSTHESES

Section 376.1222 Prostheses and scalp prostheses to be provided for children under eighteen by Medicaid, children's health insurance and the consolidated plan — no additional insurance cost — amount allowable. (8/28/2003)

AUTISM SPECTRUM DISORDER

Section 376.1224 Definitions — insurance coverage required — limitations on coverage — maximum benefit amount, adjustments — reimbursements, how made — applicability to plans. (8/28/2019)

DENTAL CARE, ANESTHESIA AND HOSPITALIZATION, MANDATED COVERAGE

CHIROPRACTIC CARE

Section 376.1230 Chiropractic care coverage, rates, terms, conditions, limits, and exclusions. (8/28/2003)

PROSTHETICS, OFFER OF COVERAGE

Section 376.1232 Insurers to offer coverage for prosthetics. (8/28/2009)

PHYSICAL THERAPY SERVICES

Section 376.1235 No co-payments or coinsurance for physical or occupational therapy services, when — actuarial analysis of cost, when. (8/28/2016)

PRESCRIPTION EYE DROPS

Section 376.1237 Refills for prescription eye drops, required, when — definitions. (8/28/2018)

CANCER COVERAGE

BONE MARROW TRANSPLANTS

Section 376.1275 Coverage for human leukocyte antigen testing for bone marrow transplantation required, when — exceptions. (8/28/2002)

LEAD TESTING

Section 376.1290 Coverage for lead testing. (8/28/2001)

REORGANIZATION OF DOMESTIC MUTUAL LIFE INSURANCE COMPANY

REIMBURSEMENT

Section 376.1345 Method of reimbursement not to require fee, discount, or remuneration — notification requirements — electronic funds transfer, when — violation, penalty. (8/28/2019)

HEALTH CARE UTILIZATION REVIEW

RULEMAKING AUTHORITY

Section 376.1399 Rules, effective, when — rules invalid and void, when. (8/28/2007)

STANDARDIZATION OF INFORMATION

DOCUMENTS AND MATERIALS

Section 376.1450 Enrollee's right to receive documents and materials in printed or electronic form, when. (8/28/2010)

DISCOUNT MEDICAL PLANS

Section 376.1500 Definitions. (8/28/2007)
Section 376.1502 Requirements for transaction of business. (8/28/2007)
Section 376.1504 Registration requirements — term of registration — renewal. (8/28/2007)
Section 376.1506 Violations, penalty. (8/28/2007)
Section 376.1508 Processing fee — cancellation of membership, effect of. (8/28/2007)
Section 376.1510 Prohibited acts. (8/28/2007)
Section 376.1512 Required disclosures. (8/28/2007)
Section 376.1514 Written agreement required, contents. (8/28/2007)
Section 376.1516 Written membership materials, required contents — forms to be filed with director, fee. (1/1/2008)
Section 376.1516 Written membership materials, required contents — forms to be submitted to director. (8/28/2007)
Section 376.1518 Net worth to be maintained, amount. (8/28/2007)
Section 376.1520 Notice of changes. (8/28/2007)
Section 376.1522 List of providers to be maintained on website. (8/28/2007)
Section 376.1524 Advertising and marketing materials, approval in writing required. (8/28/2007)
Section 376.1528 Rulemaking authority. (8/28/2007)
Section 376.1530 Denial and refusal to issue registrations, when. (8/28/2007)
Section 376.1532 Violations, penalties. (8/28/2007)

MENTAL HEALTH COVERAGE

Section 376.1550 Mental health coverage, requirements — definitions — exclusions. (8/28/2018)

CREDENTIALING OF PRACTITIONERS

Section 376.1575 Definitions (1/1/2014)
Section 376.1578 Credentialing procedure, health carrier duties — violations, mechanism for reporting. (1/1/2014)

HEALTH CARE SHARING MINISTRY

Section 376.1750 Health care sharing ministry, provisions not to apply to — ministry not engaging in the business of insurance, when — health care sharing ministry defined. (8/28/2007)

SERVICES RELATED TO PREGNANCY

Section 376.1753 Services related to pregnancy, persons holding ministerial or tocological certification may provide. (8/28/2007)

MEDICAL RETAINER AGREEMENTS

Section 376.1800 Definitions — medical retainer agreements not insurance — agreement requirements — use of health savings accounts for fees. (8/28/2015)

TELEHEALTH

Section 376.1900 Definitions — reimbursement for telehealth services, when. (1/1/2014)

HEALTH INSURANCE MARKETPLACE INNOVATION ACT

Section 376.2000 Citation of law — definitions. (7/12/2013)
Section 376.2002 Navigators, license required — permitted acts — prohibited acts — exemptions. (7/12/2013)
Section 376.2004 Application procedure. (7/12/2013)
Section 376.2006 Term of licensure — renewal — continuing education. (7/12/2013)
Section 376.2008 Consultation with licensed insurance producer, navigator to advise, when. (7/12/2013)
Section 376.2010 Sanction of license, when — restitution required, when — examination and investigation of records. (7/12/2013)
Section 376.2011 Violations, administrative orders, civil actions — penalty. (7/12/2013)
Section 376.2012 Navigators duty to report, when. (7/12/2013)
Section 376.2014 Applicability — severability — rulemaking authority. (7/12/2013)

DISCLOSURE OF COSTS

Section 376.2020 Contracts prohibiting disclosure of certain payments and costs are unenforceable. (10/14/2016)

STEP THERAPY

UNCLAIMED LIFE INSURANCE BENEFITS ACT

Section 376.2050 Citation of act. (8/28/2016)
Section 376.2051 Definitions. (8/28/2016)
Section 376.2052 Comparison of in-force policies to death master file — violation deemed an unfair trade practice. (8/28/2016)
Section 376.2053 Exemption from requirements, when. (8/28/2016)

CHAPTER CROSS REFERENCES

All license, permit and certificate applications shall contain the Social Security number of the applicant, 324.024
Annual statement convention blank to be filed by insurers with the N.A.I.C., failure to comply, effect, 375.041
Group service or indemnity contracts to cover newborn child, 376.406
Health coverage provider subject to jurisdiction and examination of department of insurance, 374.194
Incorporation of insurance companies other than life, may issue life policy, 379.010
Injured employees, insurance, payment of fees and integration of systems of insurers and entities administering claims, department rules not applicable, when, 375.427
Insurer, defined, 375.932
Penalty for unauthorized person or corporation transacting insurance business, 375.310
Reduction of capital stock where not fully subscribed, 375.231
Second mortgages, insurance coverage authorized as additional charge, 408.233
Unfair practices and frauds, 375.930 to 375.948
Withdrawal of securities, 375.480

Previous Next

Disclaimer: These codes may not be the most recent version. Missouri may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.