2018 Wyoming Statutes
TITLE 26 - INSURANCE CODE
CHAPTER 1 - SCOPE OF CODE
SECTION 26-1-104 - Applicability of provisions.
26-1-104. Applicability of provisions.
(a) This code does not apply to:
(i) Repealed by Laws 2018, ch. 21, § 2.
(ii) Fraternal benefit societies as identified in chapter 29 of this code, except as stated in that chapter;
(iii) Health maintenance organizations as identified in chapter 34 of this code, except as otherwise specifically provided in that chapter;
(iv) Transactions in mechanical breakdown insurance as identified in chapter 37 of this code, except as otherwise provided in that chapter;
(v) Health care sharing ministries. As used in this section, "health care sharing ministry" means a faith-based nonprofit organization that is tax exempt under the Internal Revenue Code and which:
(A) Coordinates financial sharing for medical expenses among willing participants in accordance with criteria established by the health care sharing ministry;
(B) Has annual audits performed by an independent certified public accountant that are available upon request; and
(C) Includes a written disclaimer on or accompanying all applications and guideline materials distributed by or on behalf of the organization that reads in substance: "Notice: The organization facilitating the sharing of medical expenses is not an insurance company, and neither its guidelines nor plan of operation is an insurance policy. Any assistance with your medical bills is completely voluntary. No other participant is compelled by law or otherwise to contribute toward your medical bills. Participation in the organization or a subscription to any of its documents shall not be considered to be health insurance and is not subject to the regulatory requirements or consumer protections of the Wyoming insurance code. You are personally responsible for payment of your medical bills regardless of any financial sharing you may receive from the organization for medical expenses. You are also responsible for payment of your medical bills if the organization ceases to exist or ceases to facilitate the sharing of medical expenses."
(vi) A direct primary care agreement. A direct primary care agreement means a written agreement that:
(A) Is between a patient or their legal representative and a health care provider;
(B) Allows either party to terminate the agreement in writing, without penalty or payment of a termination fee, at any time or after notice as specified in the agreement which notice shall not exceed sixty (60) days;
(C) Describes the health care services to be provided in exchange for payment of a periodic fee;
(D) Specifies the periodic fee required and any additional fees that may be charged;
(E) May allow the periodic fee and any additional fees to be paid by a third party;
(F) Prohibits the provider from charging or receiving additional compensation for health care services included in the periodic fee; and
(G) Conspicuously and prominently states that the agreement is not health insurance and does not meet any individual health insurance mandate that may be required by federal law.
