2012 Pennsylvania Consolidated Statutes
Title 40 - INSURANCE
Chapter 63 - Professional Health Services Plan Corporations
Section 6326 - Specifically authorized contract provisions

     § 6326.  Specifically authorized contract provisions.
        A professional health service corporation may, as a condition
     precedent to entering into a contract with an applicant or group
     of applicants for professional health service, require any of
     the following:
            (1)  A physical examination of the applicant and of each
        of his dependents, if any, and proof of his or their
        substantial freedom from any disease or condition requiring
        immediate professional health service or likely to require it
        within the next 12 months, before a contract becomes
        effective.
            (2)  A waiting period after a contract is entered into
        and before the subscriber is entitled to professional health
        service.
            (3)  An agreement that the subscriber or someone on his
        behalf shall pay the stated fee or fees for professional
        health services in the case of any given illness or injury or
        other condition requiring professional health service, before
        becoming entitled to treatment under the terms of the
        contract.
            (4)  An agreement that, as a condition precedent to
        payment by the corporation for professional health services
        performed for the subscriber, the subscriber or someone on
        his behalf will submit to the corporation such information as
        is reasonably necessary to enable it to determine the amount
        of such payment, which information shall be submitted in the
        form and verified in the manner prescribed by the
        corporation.
            (5)  An agreement that any rights of the subscriber to
        receive services or payments under his contract with the
        corporation are personal to the subscriber and may not be
        assigned.