Chapter

Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans

Mo. Rev. Stat. § 354.010— Definitions
Mo. Rev. Stat. § 354.015— Health services corporations, laws applicable to — exceptions
Mo. Rev. Stat. § 354.020— Preexisting health services corporation to amend articles, effect of
Mo. Rev. Stat. § 354.025— Corporate purposes and authority
Mo. Rev. Stat. § 354.027— Discrimination in coverage or reimbursement for covered service by licensed..
Mo. Rev. Stat. § 354.030— For-profit corporations excluded from act
Mo. Rev. Stat. § 354.035— Procedure for organization of corporation
Mo. Rev. Stat. § 354.040— Articles of incorporation, required information and contents
Mo. Rev. Stat. § 354.045— Issuance of certificate, effect of
Mo. Rev. Stat. § 354.050— General powers of corporation
Mo. Rev. Stat. § 354.055— Certificate of authority required — expiration of, extended how
Mo. Rev. Stat. § 354.060— Director to issue certificate, when
Mo. Rev. Stat. § 354.065— Articles of incorporation, how amended — copy to director, when
Mo. Rev. Stat. § 354.070— Certificate of authority automatically extended, when
Mo. Rev. Stat. § 354.075— Capital required to do business
Mo. Rev. Stat. § 354.080— Reserves required, how computed
Mo. Rev. Stat. § 354.085— Membership contract forms, approval by director, when — time for filing —..
Mo. Rev. Stat. § 354.090— Health services corporation contracts, purposes, parties to
Mo. Rev. Stat. § 354.095— Limitation of membership and benefits — certain benefits to be provided, when
Mo. Rev. Stat. § 354.105— Annual report required, contents of
Mo. Rev. Stat. § 354.115— Member's grievance, how and where filed — director may investigate, court..
Mo. Rev. Stat. § 354.120— Rules and regulations by director authorized — procedure, review
Mo. Rev. Stat. § 354.125— Corporation not liable for injuries resulting from medical services..
Mo. Rev. Stat. § 354.130— Exemption from certain taxes, exceptions
Mo. Rev. Stat. § 354.140— Dissolution, liquidation or rehabilitation of corporation, procedure for
Mo. Rev. Stat. § 354.145— Appeal from director's actions or decisions, how taken
Mo. Rev. Stat. § 354.150— Fees — waiver, when
Mo. Rev. Stat. § 354.152— Premiums, dues or fees subject to restrictions — violation, hearing — order..
Mo. Rev. Stat. § 354.155— Disclaimer as to nonhealth services corporations
Mo. Rev. Stat. § 354.165— Certain organizations exempt
Mo. Rev. Stat. § 354.175— Wage continuation plans by employer exempt
Mo. Rev. Stat. § 354.180— Administrative order, director to issue, when
Mo. Rev. Stat. § 354.190— Examinations, procedures
Mo. Rev. Stat. § 354.195— Records of examination, duty to keep
Mo. Rev. Stat. § 354.200— Examinations, false testimony, penalty
Mo. Rev. Stat. § 354.205— Examinations — costs, how paid
Mo. Rev. Stat. § 354.207— Second medical opinion to be allowed by health services corporations,..
Mo. Rev. Stat. § 354.210— Director may seek relief, when
Mo. Rev. Stat. § 354.215— Examiner's sick leave to apply to health services corporations
Mo. Rev. Stat. § 354.220— Director may bring suit to recover fees or sums
Mo. Rev. Stat. § 354.225— Enrollment representative, defined — annual report to furnish information —..
Mo. Rev. Stat. § 354.230— License required for enrollment representative
Mo. Rev. Stat. § 354.235— Enrollment representative — license issued when, qualifications
Mo. Rev. Stat. § 354.240— Nonresident may be licensed — examination waived, when
Mo. Rev. Stat. § 354.265— Nonrenewable temporary license issued, when
Mo. Rev. Stat. § 354.275— Violations by enrollment representatives, penalties
Mo. Rev. Stat. § 354.280— Officers of corporation found to be of known bad character or incompetent —..
Mo. Rev. Stat. § 354.285— Management agreements to control corporation, notice to department, when —..
Mo. Rev. Stat. § 354.290— Examiner's duties — examination contents — hearing on reports allowed —..
Mo. Rev. Stat. § 354.295— Certificate of authority not to be issued if controlling management..
Mo. Rev. Stat. § 354.300— Certificate of authority suspended or revoked, when
Mo. Rev. Stat. § 354.305— Corporation advertising assets also to show liabilities — penalties
Mo. Rev. Stat. § 354.315— Data processing system authorized, cost, amount allowed — amortization not..
Mo. Rev. Stat. § 354.320— Corporate funds and securities use for private gain by officers and..
Mo. Rev. Stat. § 354.325— Investigation by director of investments — records to be kept by division —..
Mo. Rev. Stat. § 354.330— Public official failing to perform duties as to investment violations, penalty
Mo. Rev. Stat. § 354.335— Damages allowed if corporation without reasonable cause refuses to pay
Mo. Rev. Stat. § 354.340— Unsatisfied judgments against corporation — suspension or revocation of..
Mo. Rev. Stat. § 354.345— Court decree of specific performance — membership contract, failure of..
Mo. Rev. Stat. § 354.350— Fraudulent or bad faith conduct — investigation by division — hearing,..
Mo. Rev. Stat. § 354.355— Injunctions, permanent or temporary, grounds, procedure — dissolution of..
Mo. Rev. Stat. § 354.357— Receivership, grounds, procedure
Mo. Rev. Stat. § 354.362— Newborn child coverage required — notice of birth, when, effect
Mo. Rev. Stat. § 354.380— Certain provisions of insurance law to be applicable
Mo. Rev. Stat. § 354.400— Definitions
Mo. Rev. Stat. § 354.405— Certificate of authority, who may make application — foreign corporation..
Mo. Rev. Stat. § 354.407— PACE projects not deemed health maintenance organizations, when
Mo. Rev. Stat. § 354.410— Certificate issued, when — annual deposit, requirements — capital account,..
Mo. Rev. Stat. § 354.415— Powers of organization
Mo. Rev. Stat. § 354.420— Advisory panels to afford enrollees participation in policy decisions
Mo. Rev. Stat. § 354.425— Bonding of officers who disburse or invest funds — bond requirements
Mo. Rev. Stat. § 354.430— Evidence of coverage, requirements — rights of enrollee — toll-free..
Mo. Rev. Stat. § 354.435— Annual reports filed with director, when — content — forms
Mo. Rev. Stat. § 354.440— Information to be available to enrollees
Mo. Rev. Stat. § 354.441— Disclosures to subscribers shall not be prohibited or restricted
Mo. Rev. Stat. § 354.442— Disclosure information to enrollees required, when
Mo. Rev. Stat. § 354.443— Financial disclosures to the department required by health maintenance..
Mo. Rev. Stat. § 354.444— Administrative orders for violations — voluntary forfeitures, civil actions
Mo. Rev. Stat. § 354.445— Complaints by enrollees, organization to establish system
Mo. Rev. Stat. § 354.450— Investments authorized
Mo. Rev. Stat. § 354.455— Deposit required, how made
Mo. Rev. Stat. § 354.460— Advertising not to be untrue or misleading — deceptive solicitation —..
Mo. Rev. Stat. § 354.462— Enrollee, grounds for disenrollment
Mo. Rev. Stat. § 354.464— Names not authorized for use, exceptions
Mo. Rev. Stat. § 354.465— Examinations by division, when — costs, how paid
Mo. Rev. Stat. § 354.470— Suspension or revocation, when — effect
Mo. Rev. Stat. § 354.475— Insurance companies or health service company may organize and operate a..
Mo. Rev. Stat. § 354.480— Rehabilitation, liquidation, or conservation, grounds, procedure —..
Mo. Rev. Stat. § 354.485— Rules and regulations authorized
Mo. Rev. Stat. § 354.490— Certificate of authority, denial, suspension or revocation, grounds — procedure
Mo. Rev. Stat. § 354.495— Fees to be paid to director
Mo. Rev. Stat. § 354.500— Conferences called by director as to suspected or potential violations
Mo. Rev. Stat. § 354.505— Laws regulating insurance or health service corporations not to apply,..
Mo. Rev. Stat. § 354.510— Public documents, all filings and required reports
Mo. Rev. Stat. § 354.515— Confidential information, diagnosis, treatment, health of enrollees or..
Mo. Rev. Stat. § 354.520— Mergers, consolidations, control of organization, requirements
Mo. Rev. Stat. § 354.525— Health provision collective bargaining agreements or contracts — charge for..
Mo. Rev. Stat. § 354.530— Severability clause
Mo. Rev. Stat. § 354.535— Pharmacist, emergency situation, may take an assignment of enrollee's right..
Mo. Rev. Stat. § 354.536— Continuation of dependent child coverage, when — dependent child defined
Mo. Rev. Stat. § 354.540— Health maintenance organization of bordering states may be admitted to do..
Mo. Rev. Stat. § 354.545— Exempt plans and companies
Mo. Rev. Stat. § 354.546— Second medical opinion to be allowed by health maintenance organizations,..
Mo. Rev. Stat. § 354.550— Laws not applicable to community health companies
Mo. Rev. Stat. § 354.551— Health maintenance organizations may offer point of service (POS) riders, when
Mo. Rev. Stat. § 354.552— Community-based health maintenance organizations, requirements
Mo. Rev. Stat. § 354.554— Standing referrals for certain members of community-based health..
Mo. Rev. Stat. § 354.556— Trustees, vacancies, elections
Mo. Rev. Stat. § 354.558— Materials provided to prospective purchasers
Mo. Rev. Stat. § 354.559— Disclosure to members, restrictions and prohibitions
Mo. Rev. Stat. § 354.560— Payment arrangements, department to adopt rules — disclosure of financial..
Mo. Rev. Stat. § 354.562— Grievance procedures, rulemaking authority
Mo. Rev. Stat. § 354.563— Medicare rules to apply to community-based health maintenance..
Mo. Rev. Stat. § 354.565— Community-based health maintenance organization designation given, when —..
Mo. Rev. Stat. § 354.567— Community-based health maintenance organizations subject to other laws..
Mo. Rev. Stat. § 354.570— Rulemaking — procedure
Mo. Rev. Stat. § 354.600— Definitions
Mo. Rev. Stat. § 354.603— Sufficiency of health carrier network, requirements, criteria — access plan..
Mo. Rev. Stat. § 354.606— Providers notified of specific covered services, when — hold harmless..
Mo. Rev. Stat. § 354.609— Termination of a contract, procedure
Mo. Rev. Stat. § 354.612— Continuation of care after provider termination, when
Mo. Rev. Stat. § 354.615— Referrals to appropriate providers, when
Mo. Rev. Stat. § 354.618— Open referral health plans offered, when — definitions — obstetrician/..
Mo. Rev. Stat. § 354.621— Intermediary and participating provider requirements
Mo. Rev. Stat. § 354.624— Proposed provider contract forms filed with the director — contracts..
Mo. Rev. Stat. § 354.627— Liability of a health carrier, when
Mo. Rev. Stat. § 354.636— Contract requirements after January 1, 1998
Mo. Rev. Stat. § 354.650— Definitions
Mo. Rev. Stat. § 354.652— Designation as essential community provider, procedure, qualifications
Mo. Rev. Stat. § 354.654— Department of health and senior services, duties — rulemaking authority
Mo. Rev. Stat. § 354.656— Inclusion of essential community providers in health care network, exceptions
Mo. Rev. Stat. § 354.658— Designation nontransferable, site specific — annual affidavit required —..
Mo. Rev. Stat. § 354.700— Definitions
Mo. Rev. Stat. § 354.702— Prepaid dental plans, who may offer — certificate of authority required —..
Mo. Rev. Stat. § 354.703— Director may order violators to cease and desist, hearing — noncompliance,..
Mo. Rev. Stat. § 354.704— Application for certificate of authority, content
Mo. Rev. Stat. § 354.705— Certificate of authority granted, when
Mo. Rev. Stat. § 354.707— Capital, surplus, security required — cash, securities, bond to be..
Mo. Rev. Stat. § 354.710— Reserve requirements — reserve not required for prepaid dental plans funded..
Mo. Rev. Stat. § 354.712— Contract or contract certificate to be issued to enrollees, content, copy..
Mo. Rev. Stat. § 354.715— Providers of dental care, written contract with prepaid dental plan..
Mo. Rev. Stat. § 354.717— Director, powers — financial examinations, when, by whom made and paid
Mo. Rev. Stat. § 354.720— Annual report, required, content
Mo. Rev. Stat. § 354.721— Agents, registration required — rules and regulations authorized
Mo. Rev. Stat. § 354.722— Revocation or suspension of certificate of authority, when — notice, civil..
Mo. Rev. Stat. § 354.723— Rulemaking authorized
Mo. Rev. Stat. § 354.725— Exclusion, labor organization's health plans