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New York Consolidated Laws

43

Non-profit Medical and Dental Indemnity, or Health and Hospital Service Corporations

4301Organization of corporation; purposes; board of directors 4302Permit and license to do business 4303Benefits 4303-APrescription synchronization 4304Individual contracts 4305Group contracts 4306Required contract provisions 4306-AHealth insurance coverage for full-time students on medical leaves of absence 4306-BPrimary and preventive obstetric and gynecologic care 4306-CGrievance procedure and access to specialty care 4306-DChoice of health care provider 4306-EProhibition on lifetime and annual limits 4306-FMaternal depression screenings 4306-GTelehealth delivery of services 4306-HEssential health benefits package and limit on cost-sharing 4306-ICoverage for medically fragile children 4307Providers of services 4308Supervision of superintendent 4309Limitation on expenses 4310Investments; financial conditions; reserves 4312Employment of solicitors; pension plans 4313Applicability of other provisions of this chapter 4314Not to affect provisions of workers' compensation law 4315Arbitration; judicial review 4316Individual contracts; premium refund at death of insured 4317Rating of individual and small group health insurance contracts 4318Pre-existing condition provisions 4318-ACertification of creditable coverage by corporations organized under this article 4320Limitations on administrative services and stop-loss coverage 4321Standardization of individual enrollee direct payment contracts offered by health maintenance organizations prior to October first, two t...4321-AFund for standardized individual enrollee direct payment contracts 4322Standardization of individual enrollee direct payment contracts offered by health maintenance organizations which provide out-of-plan ben...4322-AFund for standardized individual enrollee direct payment contracts which provide out-of-plan benefits 4323Marketing materials 4324Disclosure of information 4325Prohibitions 4326Standardized health insurance contracts for qualifying small employers and individuals 4327Stop loss funds for standardized health insurance contracts issued to qualifying small employers and qualifying individuals 4328Individual enrollee direct payment contracts offered by health maintenance organization on and after October first, two thousand thirteen 4329Prescription drug coverage 4330Discrimination because of sex or marital status in hospital, surgical or medical expense insurance