Mo. Rev. Stat. ch. 376
Mo. Rev. Stat. ch. 376
in effectContents
section376.005. Definitions.section376.010. Who may form company - purposes.section376.015. Involuntary unemployment insurance may be issued in connection with ...section376.020. Various companies defined.section376.050. Declaration of corporators.section376.060. Stock companies - content of charter.section376.070. To be submitted to attorney general.section376.080. Director to examine, when.section376.090. To furnish certificate of deposit, when.section376.100. Mutual companies - contents of charter.section376.110. To be submitted to attorney general.section376.120. Director to examine and certify, when.section376.130. To furnish certificate of deposit, when.section376.142. Stock company may become mutual - procedure - policyholders' meeting - ...section376.143. Stock company may acquire its own shares to be held in trust for mutual - ...section376.144. Acquisition of shares of dissenting stockholders, procedure - abandonment ...section376.145. Officers of stock company to continue as officers of mutual.section376.146. Board of directors or trustees of mutual, membership qualifications, term ...section376.147. Meetings of board of mutual, notice - executive committee of board, powers.section376.148. Policyholders are members of mutual - voting rights - directors may alter ...section376.150. Stock and mutual companies - content of charter.section376.160. Formation of stock and mutual companies.section376.170. Special deposits for registered policies and annuity bonds.section376.180. Certificates as to registration and reserves on policy - policies exempt, ...section376.190. Additional deposits required.section376.200. Definition of net value.section376.210. Excess deposits.section376.220. May use realty to secure notes and bonds.section376.230. Changing of securities on deposit.section376.240. Deposits to be held in trust by director.section376.250. Deposits to be kept separate.section376.260. Fees collected by director of revenue.section376.270. Director may proceed against depositary companies.section376.280. Capital necessary to do business - how invested.section376.290. Deposit and transfer of securities.section376.291. Applicability and inapplicability.section376.292. Definitions.section376.293. Permissible investments - written plan for investments required.section376.294. Prohibited acts.section376.295. Additional prohibited acts - authorized actions.section376.296. Value of investments, how calculated.section376.297. Investment subsidiaries not permitted, when.section376.298. Acquisition of rate credit instruments, when.section376.300. Equity interests permitted, when.section376.301. Tangible personal property interests permitted, when.section376.302. Mortgage interests, may be acquired, when - other real estate interests.section376.303. Lending and repurchase, permitted when.section376.304. Acquisition of foreign investments, when.section376.305. Rulemaking authority.section376.306. Cash surrender value, life insurer may lend to policyholder, when.section376.307. Limits on acquisition of certain investments.section376.308. Secondary mortgage market act, not to preempt health insurer, when.section376.309. Separate account defined - establishment of account and special voting or ...section376.310. Investment of surplus and reserve funds by foreign companies.section376.311. Investment of capital reserve and surplus of life insurance companies in ...section376.325. Any willing provider provision - definitions.section376.330. Securities may be changed.section376.350. Reports to director.section376.360. Distribution of surplus funds to participating policyholders - method.section376.365. Standard valuation law - definitions.section376.370. Director to value reserves, methods.section376.379. Medication synchronization services, offer of coverage required.section376.380. Legal minimum standards for valuation - interest rates - valuation manual, ...section376.381. Health insurance products, department duties.section376.383. Health care claims for reimbursement, how paid, when - definitions - clean ...section376.384. Reimbursement of claims, duties of health carriers - claims submitted in ...section376.385. Diabetes - insurance coverage for equipment, supplies and self-management ...section376.386. Prescription drugs, one co-payment for dosage prescribed.section376.387. Pharmacy benefits manager, limitations and restrictions - enforcement.section376.388. Maximum allowable costs - definitions - contract requirements - ...section376.390. Reserve liability for group insurance - how computed.section376.391. Co-payments for chiropractic services, cap.section376.392. Prescription drug formularies, enrollees to be notified of changes to, when.section376.393. Pharmacy benefits manager, license required - definitions - complaints, ...section376.395. Definitions for group health conversion policy requirements.section376.397. Converted policy to be offered on termination of group health coverage, ...section376.398. Application to all group policies - effective, when.section376.401. Conversion rights - retirees - dependents of insured.section376.403. Benefit levels - group coverage may be provided in lieu of converted policy ...section376.404. Specific requirement requests of policyholder may be met by alteration.section376.405. Group health and accident policies, approval required - exempt, when, ...section376.406. Newborn child to be covered under health policies, extent of coverage - ...section376.407. Advance practice nurse, claims for service to be reimbursed, when.section376.410. Insurance companies to maintain reserves - exemptions.section376.414. 340B drugs - definitions - acquisition not to be restricted, when - ...section376.421. Group health insurance, authorized categories.section376.422. Direct response solicitation and sponsoring or endorsing entity, defined - ...section376.423. Health insurance, claims for chiropractic services denial, qualified ...section376.424. Group health insurance policies may be extended to insure family members or ...section376.425. Student accident policies, may not limit surgical benefits, when.section376.426. Group health policies, required provisions.section376.427. Assignment of benefits made by insured to provider - payment, how made - ...section376.428. Federal COBRA provisions to apply to group health insurance policies.section376.429. Coverage for certain clinical trials for prevention, early detection and ...section376.431. Employees or members of unions or associations, group or group-type basis ...section376.432. Group-type basis, defined.section376.433. Self-insurance plans for health care, public entities - subject to Medicaid ...section376.434. Carrier liable for claims incurred during grace period, when - exceptions.section376.435. Claim information to be reported, when - covered lives defined.section376.436. Discontinuance notice by carrier, contents - notice forms furnished by ...section376.438. Group policies, modifying or amending benefits shall provide extension of ...section376.441. Carrier contract replaced by similar benefit plan of another carrier - ...section376.442. Rules and regulations, procedure.section376.446. Enrollee cost-sharing responsibilities, health carriers to provide timely ...section376.450. Citation of law - definitions (Missouri HIPAA).section376.451. Standards prohibiting discrimination.section376.452. Large group market, renewal or continuation of coverage required - ...section376.453. Premium - only cafeteria plans required, when.section376.454. Individual market, renewal or continuation at option of individual - ...section376.465. Missouri health insurance rate transparency act - definitions - rate filing ...section376.480. Domestic companies may assume risks of foreign companies - duties of director.section376.500. Discriminations, rebates and favors prohibited - contracts to conform to policy.section376.502. Life insurers not to discriminate based on lawful travel destinations - ...section376.510. Penalty for violation of section 376.500.section376.531. Life insurance policies, consent of insured required, exceptions - ...section376.540. Policy, to whom payable.section376.562. Charitable, benevolent, educational and religious organizations may be ...section376.570. Foreign executor or administrator.section376.580. Misrepresentation.section376.590. Misrepresentations, false estimates and circulars prohibited - agents - ...section376.600. Penalty for violating section 376.590.section376.610. Defense in case of suits.section376.620. Suicide, effect on liability - refund of premiums, when.section376.630. Life insurance policies not to be forfeited or become invalid, when.section376.640. Paid-up policy may be demanded, when.section376.650. Rules of payment on commuted policy.section376.660. Foregoing provisions inapplicable, when.section376.669. Annuity contract requirements - paid-up annuity benefits, how calculated - ...section376.670. Provisions which shall be contained in life insurance policies, exceptions.section376.671. Provisions which shall be contained in annuity contracts - inapplicability date.section376.673. Life insurance policies, regulations relative to.section376.674. Life insurance policies, no cash surrender value, regulations relative to.section376.675. Life insurance policies and annuity contracts to be approved - exemption, ...section376.676. Regulation of the valuation of life insurance policies - may adopt NAIC ...section376.677. Life policies may be issued that have no cash surrender value prior to ...section376.678. Life insurance policies and annuity contracts, annual statement to holder ...section376.679. Life insurance company may reinsure for risks involving aircraft, limitation.section376.680. Assignment of incidents of ownership, group life policy, effect of.section376.685. Optometrists, health insurance plans not to limit fees charged unless ...section376.690. Unanticipated out-of-network care, claim procedure - definitions - ...section376.691. Group life policies, eligible groups authorized for issue - premiums, how paid.section376.693. Special group life policies, requirements - director's approval.section376.694. Group life, definitions of direct response solicitation and sponsoring or ...section376.695. Extension of policy to insure for loss due to death of spouse or dependent ...section376.696. Political subdivisions purchasing any insurance policies to submit to ...section376.697. Required provisions for group life policies.section376.699. Person insured by group policy entitled to individual life policy, notice ...section376.700. Purpose - use of additional material.section376.702. Application of law - exceptions.section376.704. Definitions.section376.706. Delivery of guide and summary required, when.section376.708. Required presentations and statements - company to maintain file.section376.710. Effect of omission.section376.712. Effective date.section376.714. Contents and form of buyer's guide.section376.715. Citation of law, purpose.section376.717. Coverages provided, persons covered - coverage not provided, when - maximum ...section376.718. Definitions.section376.720. Association, created - accounts - director to supervise.section376.722. Board of directors, established, members, how selected - expense reimbursement.section376.724. Impaired insurers, association's options, duties - insolvent insurers, ...section376.725. Terminated coverage, reissuance of, premium set, how - obligation to cease, ...section376.726. Nonpayment of premiums, effect of.section376.728. Law not applicable, when.section376.730. Liens, association may impose, when.section376.732. Director to have association's powers and duties, when - association may ...section376.733. Assignment of rights to association by persons receiving benefits, when - ...section376.734. Additional powers of association.section376.735. Assessments against members, when due, classes - amounts, how determined.section376.737. Deferment of assessment, how, when - maximum assessment - refund of, when - ...section376.738. Certificate of contribution, when issued.section376.740. Plan of operation, required, approval of director - provisions of plan.section376.742. Director, powers and duties.section376.743. Board of directors, powers.section376.745. Assessments, offset against tax liability, when, how.section376.746. Records of association meetings to be kept - association deemed creditor of ...section376.747. Distribution of member insurer assets upon liquidation, priority of ...section376.748. Liquidation, recovery of distributions, when, exceptions, limitations.section376.750. Financial report, submitted to director, when - tax exempt status - ...section376.752. Member insurer's deposit with director, exemption from, amount.section376.754. Stay of proceedings, insolvent insurer, when.section376.755. Advertising, use of guaranty association prohibited.section376.756. Summary document, association to prepare, contents - policy not covered by ...section376.758. Law inapplicable to insolvent insurers on effective date of law.section376.770. Title of law.section376.773. Definitions.section376.775. Matters required in policies.section376.776. Hospital and medical expense provisions extended for certain handicapped ...section376.777. Specifically required provisions - exemptions, when - director's powers - ...section376.778. Payment direct to public hospitals or clinics with or without assignment, ...section376.779. Health insurance policies to offer coverage for treatment of alcoholism - ...section376.780. Limits on provisions, effect of conflict of policy with law.section376.781. Speech and hearing disorders, companies to offer coverage, when - rules, ...section376.782. Mammography - low-dose screening, defined - health care policies to provide ...section376.783. Insured bound only if copy of application attached to policy.section376.785. What does not constitute waiver of defenses.section376.787. Effect of age limit provision.section376.789. Definition of actual charge and actual fee.section376.790. Limits on applicability of law.section376.791. Portion of section 376.777 not applicable to individual health insurance ...section376.800. Misrepresentation made in obtaining individual accident and health policy ...section376.801. Coverage for child health supervision services required - definitions - ...section376.805. Elective abortion to be by optional rider and requires additional premium - ...section376.806. Refund of health insurance unearned premium on notice of death of insured - ...section376.807. Policies not to reduce or deny benefits to persons eligible for medical ...section376.810. Definitions for policy requirements for chemical dependency.section376.811. Coverage required for chemical dependency by all insurance and health ...section376.814. Rules and regulations authorized, department of mental health to advise ...section376.816. Adopted children to be provided health care coverage on the same basis as ...section376.818. Eligibility for Medicaid may not be considered by insurers.section376.819. MO HealthNet division to have right to payment for health care services ...section376.820. Insurers may not deny coverage of child because of marital status of ...section376.821. Insurers may not cancel health or dental insurance solely because the ...section376.823. Prohibition on kickbacks not applicable for rebates for certain chronic ...section376.845. Definitions - eating disorders, coverage for diagnosis and treatment of - ...section376.850. Law, how cited.section376.854. Definitions.section376.859. Medicare supplement law applicable to what policies - policies not included.section376.864. Policies not to duplicate benefits provided by Medicare - preexisting ...section376.869. Standards for policies, minimum, director to adopt.section376.874. Requirements of policy, return to policyholders.section376.879. Outline of coverage for fair disclosure - furnished to each applicant - ...section376.881. Policy certificate front page to contain notice of right to return and ...section376.882. Cancellation of policy, refund required - notification.section376.884. Advertisement to be reviewed by director.section376.886. Regulations, requirements - rules, procedure.section376.889. Violations, penalty.section376.890. Invalidity of any section regulating Medicare supplement not to affect others.section376.891. Definitions.section376.892. Surviving spouse may continue coverage, when - divorced or separated spouse ...section376.893. Divorced or separated spouse, continuation of coverage, notice - contents ...section376.894. Amount of premium, date of payment - termination of right of continuation ...section376.900. Definitions.section376.905. Administration by department, powers, duties - fees.section376.910. Certificate of authority required.section376.915. Application for certificate, content - renewal, content, filed when - ...section376.920. Annual statement, form, contents.section376.925. Seven-day rescission period, all money or property to be refunded.section376.930. Insured to be furnished application for certificate and annual statement, when.section376.935. Certificates issued for one year - nontransferable - not endorsement by ...section376.940. Escrow account for entrance fees required, released when.section376.945. Escrow account, amount required - principal, how released, investment.section376.950. Board of directors, one member to be resident of facility.section376.960. Definitions.section376.961. Missouri health insurance pool created - members to be all health insurers ...section376.962. Plan of operation to be submitted by board - effective when - failure to ...section376.964. Board, powers and duties - including providing for issuing policies and ...section376.965. Board members not civilly liable for performance of duties, exception.section376.966. No employee to lose coverage by enrolling in pool - eligibility for pool ...section376.968. Administration of pool by insurer or insurers by competitive bids - ...section376.970. Administering insurer to serve for three years subject to removal for cause ...section376.973. Administering insurer at close of fiscal year to make accounting and ...section376.975. Member's proportion of participation in pool to be determined annually - ...section376.978. Director of revenue to determine reduced amount in county foreign insurance ...section376.980. Pool member exempt from taxation of financial institution, may be allowed ...section376.982. Rulemaking procedure.section376.984. Abatement or deferring all or part of assessment of member, when - amount ...section376.986. Pool to offer medical coverage - premiums, how established - standard risk ...section376.987. High deductible health plans and establishment of health savings plans to ...section376.989. No liability, criminal or civil, for participation in pool by members.section376.995. Limited mandate health insurance policies defined - certain sections not to ...section376.998. Health insurance mandate exemption for excepted benefit plans - definitions ...section376.1000. Multiple employer self-insured health plan, defined.section376.1002. Certificate of authority required - penalty for noncompliance - law ...section376.1005. Application for certificate of authority, form - fee - policy or other ...section376.1007. Plan to file copy of bylaws, coverage and agreements with director.section376.1010. Excess stop-loss coverage maintained by plan.section376.1012. Funds collected from employers held in trust - requirements - board of ...section376.1015. Department not to grant approval, when.section376.1017. Plan to establish loss reserves - plan to establish surplus account, amount.section376.1020. Plan to maintain principal place of business in Missouri, exception.section376.1022. Dissolution of plan, application, procedure, granted when - distribution of ...section376.1025. Director may adopt rules.section376.1027. Plan in unsound condition, powers of director.section376.1030. Agreement of employer to pay benefits, requirements, form - copy filed with ...section376.1032. Plan considered insurer, when.section376.1035. Chapter 376 applicable to plan.section376.1037. Plan subject to premium taxes.section376.1040. Plan not to be offered to public - marketing restrictions - exemption - use ...section376.1042. Marketing by agent, agency or broker violation of law.section376.1045. Injunctive relief, director may seek, when - procedures.section376.1060. Health care services - definitions - limitations on third-party access, ...section376.1065. Official notification communications, contracting entity requirements.section376.1075. Definitions.section376.1077. Administrator to have agreement with insurer, form, contents - termination, how.section376.1080. Payments of premiums and claims deemed paid, when.section376.1082. Records maintained by administrator for insurer - director may examine ...section376.1083. Advertising restrictions for administrator.section376.1084. Insurer responsible for benefits and underwriting practices - insurer to ...section376.1085. Premiums held in fiduciary capacity, duties - financial records, duties - ...section376.1087. Commissions not to be contingent on savings in payment of claims - may be ...section376.1088. Notice to policyholder of administrator, contents, required - disclosure of ...section376.1090. Materials delivered to administrator for insured to be promptly delivered.section376.1092. Certificate of authority, required, application, contents, fee - refusal to ...section376.1093. Annual report filed with director, when - contents - filing fee, amount.section376.1094. Certificate of authority, suspension or revocation, grounds - civil action, ...section376.1095. Rules and regulations, promulgation.section376.1100. Law, how cited - definitions.section376.1103. Laws applicable, Medicare supplement laws not applicable - purpose - ...section376.1106. Policies issued in other states may be issued to residents of Missouri if ...section376.1109. Policies, content requirements, provisions prohibited - rules authorized - ...section376.1112. Director to provide buyer's guide - content - advertising of long-term care ...section376.1115. Coverage outline to be delivered to applicants, when, content.section376.1118. Benefits funded by a life insurance death benefit acceleration, reports to ...section376.1121. Denial of claim, long-term care insurance, duties of issuer.section376.1124. Rescinding of a long-term care policy, permitted when - grounds for ...section376.1127. Nonforfeiture benefit option required for long-term care insurance ...section376.1130. Rulemaking authority.section376.1183. Breast examinations, no cost-sharing requirements.section376.1186. State-based health benefit exchanges prohibited without statutory authority ...section376.1190. Health care mandates - review by oversight division - actuarial analysis.section376.1199. Coverage for certain obstetrical/gynecological services - exclusion of ...section376.1200. Certain policies to offer coverage for treatment of breast cancer - ...section376.1209. Mastectomy - mandatory insurance coverage for prosthetic devices and ...section376.1210. Maternity benefits, minimum hospital stays, exceptions - notice of ...section376.1215. Immunizations, mandated coverage, exceptions, rulemaking.section376.1218. Insurance coverage for children enrolled in the Part C early intervention ...section376.1219. PKU formula and low protein modified food products covered by insurance, ...section376.1220. Insurance coverage for newborn hearing screenings mandated.section376.1222. Prostheses and scalp prostheses to be provided for children under eighteen ...section376.1224. Definitions - insurance coverage required - limitations on coverage - ...section376.1225. Mandated coverage for general anesthesia and hospital charges for dental ...section376.1226. Fee schedule for services not covered under health benefit plans - definitions.section376.1228. Hearing aids coverage for children required - amount of coverage - ...section376.1230. Chiropractic care coverage, rates, terms, conditions, limits, and exclusions.section376.1232. Insurers to offer coverage for prosthetics.section376.1235. No co-payments or coinsurance for physical or occupational therapy ...section376.1237. Refills for prescription eye drops, required, when - definitions.section376.1240. Hormonal contraceptives, self-administered, coverage required, when.section376.1250. Cancer screening, health insurance coverage required, when, types.section376.1253. Second opinion, right of newly diagnosed cancer patients, attending ...section376.1257. Orally administered anticancer medications, plan to provide coverage no ...section376.1275. Coverage for human leukocyte antigen testing for bone marrow ...section376.1290. Coverage for lead testing.section376.1300. Reorganization of a domestic mutual life insurance company, authority.section376.1305. Formation of holding company, application - shareholder approval.section376.1307. Issuance of shares.section376.1309. Member's interest - nontransference of membership - immunity from liability ...section376.1312. Nonapplicability of certain provisions of insurance holding companies law.section376.1315. Incorporation of mutual holding company, authority, approval.section376.1318. Powers of mutual holding company, engaging in business of insurance, no ...section376.1322. Mutual holding company subject to supervision of director, dissolution or ...section376.1345. Method of reimbursement not to require fee, discount, or remuneration - ...section376.1350. Definitions.section376.1353. Utilization review activities monitored.section376.1356. Utilization review entity monitored, when.section376.1359. Written utilization program implemented, filed with the director.section376.1361. Documented clinical review criteria used in a utilization program - medical ...section376.1363. Utilization review decisions, procedures.section376.1364. Unique confirmation number required, prior authorization review - secure ...section376.1365. Reconsideration of an adverse determination, when.section376.1367. Emergency services benefit determination, coverage required, when.section376.1369. Certification of compliance, when.section376.1372. Certification and member handbook to include utilization review procedures ...section376.1375. Registry of grievances maintained, procedures - definitions.section376.1378. Grievances and certificate of compliance filed with the director, when.section376.1382. First- and second-level grievance review for managed care plans, ...section376.1385. Second-level review procedures.section376.1387. Appeals of grievances determined by the director.section376.1389. Expedited grievance review procedure.section376.1399. Rules, effective, when - rules invalid and void, when.section376.1400. Explanation of benefits, standardized information used, contents, when.section376.1403. Referrals, standardized information used, content, when.section376.1450. Enrollee's right to receive documents and materials in printed or ...section376.1500. Definitions.section376.1502. Requirements for transaction of business.section376.1504. Registration requirements - term of registration - renewal.section376.1506. Violations, penalty.section376.1508. Processing fee - cancellation of membership, effect of.section376.1510. Prohibited acts.section376.1512. Required disclosures.section376.1514. Written agreement required, contents.section376.1516. Written membership materials, required contents - forms to be filed with ...section376.1518. Net worth to be maintained, amount.section376.1520. Notice of changes.section376.1522. List of providers to be maintained on website.section376.1524. Advertising and marketing materials, approval in writing required.section376.1528. Rulemaking authority.section376.1530. Denial and refusal to issue registrations, when.section376.1532. Violations, penalties.section376.1550. Mental health coverage, requirements - definitions - exclusions.section376.1551. Federal mental health parity and addiction equity requirements - ...section376.1575. Definitions.section376.1578. Credentialing procedure, health carrier duties - covered health services, ...section376.1590. Status as living organ donor not sole factor for insurance coverage.section376.1750. Health care sharing ministry, provisions not to apply to - ministry not ...section376.1753. Services related to pregnancy, persons holding ministerial or tocological ...section376.1800. Definitions - medical retainer agreements not insurance - agreement ...section376.1850. Exemption from insurance coverage for certain organization contracts - ...section376.1900. Definitions - reimbursement for telehealth services, when.section376.2000. Citation of law - definitions.section376.2002. Navigators, license required - permitted acts - prohibited acts - exemptions.section376.2004. Application procedure.section376.2006. Term of licensure - renewal - continuing education.section376.2008. Consultation with licensed insurance producer, navigator to advise, when.section376.2010. Sanction of license, when - restitution required, when - examination and ...section376.2011. Violations, administrative orders, civil actions - penalty.section376.2012. Navigators duty to report, when.section376.2014. Applicability - severability - rulemaking authority.section376.2020. Contracts prohibiting disclosure of certain payments and costs are ...section376.2030. Definitions.section376.2034. Restriction on step therapy protocol, patient to have access to override ...section376.2036. Enforcement - applicability to health insurance plans, when.section376.2050. Citation of act.section376.2051. Definitions.section376.2052. Comparison of in-force policies to death master file - violation deemed an ...section376.2053. Exemption from requirements, when.section376.2080. Funding agreement defined - authority to issue - rulemaking authority.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://revisor.mo.gov/main/OneChapter.aspx?chapter=376Fetched: 10/17/2026