reglab/housing_qa huggingface dataset:
MT Code § 33-30-201 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 2. Finance|33-30-201. Reserves -- requirements suspended

  33-30-201. Reserves -- requirements suspended. (1) The corporation shall maintain at all times unobligated funds adequate to:   (a) provide the hospital, medical-surgical, and other health services made available to its members and beneficiaries; and   (b) meet all costs and expenses.   (2) In addition, reserves of a health service corporation in cash, certificates of deposit, obligations issued or guaranteed by the government of the United States, or other assets approved by the commissioner must be maintained in an amount not less than:   (a) $500,000 or, if authorized under this chapter after October 1, 1999, $750,000; or   (b) an amount equal to 1 month's average income from dues or fees paid to the corporation by its members or beneficiaries, based on an average of the preceding 12 months, whichever is less.   (3) The determination of minimum reserves is subject, as to amounts payable to participating providers of the health services, to any right of the corporation to prorate the amounts under the terms of its health service contracts with providers.   (4) The commissioner may decrease or suspend the requirements of this section if the commissioner finds that the action is in the best interest of the members of the corporation.   History: En. 40-5905 by Sec. 5, Ch. 319, L. 1975; R.C.M. 1947, 40-5905; amd. Sec. 55, Ch. 472, L. 1999; amd. Sec. 30, Ch. 63, L. 2015.
MT Code § 33-30-202 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 2. Finance|33-30-202. Annual report by certified public accountant

  33-30-202. Annual report by certified public accountant. (1) All corporations subject to the provisions of this chapter shall file annually with the commissioner, on or before June 1, a financial statement audited by a certified public accountant pursuant to rules promulgated by the commissioner.   (2) (a) The commissioner may establish rules governing the content and preparation of the report required by subsection (1).   (b) The report must include:   (i) the corporation's financial statements for the most recent calendar year;   (ii) an opinion by the certified public accountant concerning the accuracy and fairness of the corporation's representation of its financial statements; and   (iii) other information that the commissioner specifies by rule.   History: En. 40-5911 by Sec. 11, Ch. 319, L. 1975; R.C.M. 1947, 40-5911; amd. Sec. 70, Ch. 379, L. 1995.
MT Code § 33-30-203 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 2. Finance|33-30-203. Premium tax exemption

  33-30-203. Premium tax exemption. A health service corporation is exempt from all premium taxes.   History: En. 40-5915 by Sec. 15, Ch. 319, L. 1975; R.C.M. 1947, 40-5915.
MT Code § 33-30-204 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 2. Finance|33-30-204. Fees

  33-30-204. Fees. (1) Every health service corporation subject to the provisions of this chapter shall pay the following fees to the commissioner for enforcement of the provisions of this chapter:   (a) for a certified copy of any document or other paper filed in the office of the commissioner, per page, 50 cents;   (b) filing of a membership contract, $25;   (c) filing of a membership contract package, $100;   (d) filing annual statement, $25;   (e) issuance of health service corporation certificate of authority, $300; and   (f) annual continuation of health service corporation certificate of authority, $300.   (2) The commissioner shall promptly deposit with the state treasurer, to the credit of the state special revenue fund of the state auditor's office, all fees and certificate of authority fees received under this section.   History: En. 40-5917 by Sec. 17, Ch. 319, L. 1975; R.C.M. 1947, 40-5917; amd. Sec. 1, Ch. 452, L. 1981; amd. Sec. 5, Ch. 558, L. 1987; amd. Sec. 7, Ch. 351, L. 1989; amd. Sec. 1, Ch. 713, L. 1989; amd. Sec. 71, Ch. 379, L. 1995; amd. Sec. 46, Ch. 380, L. 2003; amd. Sec. 31, Ch. 63, L. 2015.
MT Code § 33-30-301 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 3. Operations|33-30-301. Forms -- filing, approval

  33-30-301. Forms -- filing, approval. A copy of all forms of the membership contract or any type of endorsement or rider shall be filed with and approved by the commissioner of this state and the insurance regulator of the state of domicile of the health service corporation in accordance with chapter 1, part 5.   History: En. 40-5906 by Sec. 6, Ch. 319, L. 1975; R.C.M. 1947, 40-5906; amd. Sec. 2, Ch. 452, L. 1981; amd. Sec. 6, Ch. 558, L. 1987.
MT Code § 33-30-302 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 3. Operations|33-30-302. Allowed contracts

  33-30-302. Allowed contracts. (1) A corporation subject to the provisions of this chapter may enter into contracts for the rendering of health services on behalf of its members or beneficiaries with:   (a) hospitals maintained by a governmental body or agency;   (b) hospitals maintained by a nonprofit corporation organized for hospital purposes; or   (c) other corporations, organizations, associations, partnerships, or individuals furnishing health services.   (2) A health service corporation may enter into agreements or contracts with other organizations or corporations licensed to do business in this state or in any other state for:   (a) the transfer of members or beneficiaries;   (b) the reciprocal joint provisions of benefits to the members or beneficiaries of the corporation and of those other organizations or corporations; or   (c) other joint undertakings the corporation's board of directors approves.   History: En. 40-5907 by Sec. 7, Ch. 319, L. 1975; R.C.M. 1947, 40-5907.
MT Code § 33-30-303 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 3. Operations|33-30-303. Grievance procedure for members

  33-30-303. Grievance procedure for members. Any individual member of a corporation, subject to the provisions of this chapter, who believes that the member is aggrieved by any act or omission of the corporation or its officers, directors, or employees may file a statement in writing of the grievance in the office of the commissioner, and the commissioner may investigate the grievance. An investigation by the commissioner may not act as a bar to any suit in a court of competent jurisdiction instituted by an aggrieved member or as a bar to any defense by the involved corporation.   History: En. 40-5913 by Sec. 13, Ch. 319, L. 1975; R.C.M. 1947, 40-5913; amd. Sec. 1243, Ch. 56, L. 2009.
MT Code § 33-30-304 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 3. Operations|33-30-304. Nonliability for injuries caused by contractees

  33-30-304. Nonliability for injuries caused by contractees. A health service corporation is not liable for injuries resulting from neglect, misfeasance, malfeasance, or malpractice on the part of any person, organization, agency, or corporation rendering health services to the health service corporation's members and beneficiaries.   History: En. 40-5914 by Sec. 14, Ch. 319, L. 1975; R.C.M. 1947, 40-5914.
MT Code § 33-30-306 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 3. Operations|33-30-306. Discrimination between individuals -- restrictions -- ratesetting by commissioner prohibited

  33-30-306. Discrimination between individuals -- restrictions -- ratesetting by commissioner prohibited. (1) No person may knowingly make or permit any unreasonable discrimination between individuals in any classification which may be established by a health service corporation and of essentially the same condition of health in the amount of dues or rates charged for any membership contract or in the benefits payable thereunder or in any of the terms and conditions of such contract or in any manner whatever.   (2) Nothing herein contained shall, however, restrict the right of a health service corporation within the discretion of its board of directors to limit or define the classes of persons who shall be eligible to become members, to limit and to define the benefits which it will furnish, and define such benefits as it undertakes to furnish into classes or kinds. A health service corporation may make available to its members health services, or reimbursement therefor, as the board of directors of that corporation may approve.   (3) Nothing contained in subsection (1) includes within the definition of discrimination any of the following practices:   (a) readjustment of the rate of payment for membership in a health service corporation under a group contract based on the loss or expense experience thereunder at the end of the first or any subsequent contract year thereunder which may be made retroactive only for that contract year;   (b) in the case of membership contracts issued on the preauthorized bank draft or similar plans, making allowance to members in an amount which fairly represents the saving in collection expense;   (c) reduction of the rate of payment for group contracts covering a large number of members, but not exceeding savings in administrative expenses reasonably attributable to these contracts as compared with contracts offering similar benefits to smaller numbers of members;   (d) issuing individual membership contracts on a "salary savings" or payroll deduction plan reasonably commensurate with the savings made by use of such plan.   (4) Nothing in this chapter gives the commissioner power to fix and determine a rate level by classification or otherwise.   History: En. 40-5918, 40-5919 by Secs. 18, 19, Ch. 319, L. 1975; R.C.M. 1947, 40-5918(8), 40-5919.
MT Code § 33-30-307 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 3. Operations|33-30-307. Repealed

  33-30-307. Repealed. Sec. 9, Ch. 384, L. 2003.   History: En. Sec. 2, Ch. 309, L. 1983; amd. Sec. 7, Ch. 558, L. 1987.
MT Code § 33-30-308 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 3. Operations|33-30-308. through 33-30-310 reserved

  33-30-308 through 33-30-310 reserved.
MT Code § 33-30-311 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 3. Operations|33-30-311. Insurance producer

  33-30-311. Insurance producer. A person who, for compensation, solicits membership in a prepayment health service plan offered by a corporation subject to the provisions of this chapter is an insurance producer of that corporation and is subject to the provisions of 33-2-708 and Title 33, chapter 17.   History: En. 40-5908 by Sec. 8, Ch. 319, L. 1975; R.C.M. 1947, 40-5908; amd. Sec. 1, Ch. 713, L. 1989; amd. Sec. 72, Ch. 379, L. 1995.
MT Code § 33-30-312 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 3. Operations|33-30-312. Repealed

  33-30-312. Repealed. Sec. 97, Ch. 379, L. 1995.   History: En. 40-5909 by Sec. 9, Ch. 319, L. 1975; R.C.M. 1947, 40-5909; amd. Sec. 8, Ch. 558, L. 1987; amd. Sec. 8, Ch. 509, L. 1989; amd. Sec. 1, Ch. 713, L. 1989.
MT Code § 33-30-313 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 3. Operations|33-30-313. Repealed

  33-30-313. Repealed. Sec. 97, Ch. 379, L. 1995.   History: En. 40-5910 by Sec. 10, Ch. 319, L. 1975; R.C.M. 1947, 40-5910; amd. Sec. 1, Ch. 713, L. 1989.
MT Code § 33-30-1001 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1001. Newborn infants covered by insurance by health service corporation

  33-30-1001. Newborn infants covered by insurance by health service corporation. A disability insurance plan or group disability insurance plan issued by a health service corporation may not be issued or amended in this state if it contains any disclaimer, waiver, preexisting condition exclusion, or other limitation of coverage relative to the accident and sickness coverage or insurability of newborn infants of the persons insured from and after the moment of birth. Each policy must contain a provision granting immediate accident and sickness coverage, from and after the moment of birth, to each newborn infant of any insured person. The policy or contract may require notification of the birth of a child and payment of a required premium or subscription fee to be furnished to the insurer or nonprofit or indemnity corporation within 31 days of the birth in order to have the coverage extend beyond 31 days.   History: En. Sec. 5, Ch. 74, L. 1973; R.C.M. 1947, 15-2304.1; amd. Sec. 28, Ch. 303, L. 1981; amd. Sec. 73, Ch. 379, L. 1995; amd. Sec. 28, Ch. 416, L. 1997; amd. Sec. 6, Ch. 325, L. 2003.
MT Code § 33-30-1002 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1002. Disability coverage of services received in state institutions -- coverage of persons eligible for public medical assistance

  33-30-1002. Disability coverage of services received in state institutions -- coverage of persons eligible for public medical assistance. (1) It is unlawful for any health service corporation issuing membership contracts in Montana to exclude from coverage in a membership contract services rendered the insured while a resident in a Montana state institution if the services to the insured would be covered by the membership contract if rendered to the insured outside a Montana state institution.   (2) A membership contract is considered issued in Montana if the insured purchasing the membership contract is, at the time of purchase, residing in the state of Montana.   (3) If the exclusion prohibited by this section appears in a membership contract issued in Montana after February 14, 1973, the provision is void and the membership contract will be considered to cover services rendered the insured in a Montana state institution if the services would have been covered if rendered to an insured outside a Montana state institution.   (4) Payment for services rendered in a Montana state institution must be to the same extent and at the same rates, according to the provisions of the membership contract, that would be paid for the services if rendered outside a Montana state institution.   (5) A membership contract issued by a health service corporation on or after July 1, 1979, may not deny or reduce benefits to any member on the ground that the person insured is eligible for or receiving public medical assistance provided under Title 53, chapter 2.   History: En. Secs. 1, 2, 3, 4, Ch. 50, L. 1973; R.C.M. 1947, 40-4035(part), 40-4036, 40-4037, 40-4038; amd. Sec. 3, Ch. 169, L. 1979; amd. Sec. 1244, Ch. 56, L. 2009.
MT Code § 33-30-1003 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1003. Continuation of coverage for persons with disabilities -- individual contracts

  33-30-1003. Continuation of coverage for persons with disabilities -- individual contracts. (1) An individual hospital or medical service plan contract delivered or issued for delivery in this state that provides that coverage of a dependent child terminates upon attainment of the limiting age for dependent children specified in the contract must also provide in substance that attainment of the limiting age may not operate to terminate the coverage of the child while the child is and continues to be both incapable of self-sustaining employment by reason of intellectual disability or physical disability and chiefly dependent upon the subscriber for support and maintenance. Proof of intellectual disability or physical disability and dependency must be furnished to the hospital or medical service plan corporation by the subscriber within 31 days of the child's attainment of the limiting age and subsequently as may be required by the corporation. Proof may not be required more frequently than annually after the 2-year period following the child's attainment of the limiting age.   (2) Notwithstanding any other exemption or contrary law, the provisions of this section have equal application to hospital or medical expense insurance policies and hospital and medical service plan contracts.   History: (1)En. 40-3738 by Sec. 1, Ch. 298, L. 1971; Sec. 40-3738, R.C.M. 1947; (2)En. Sec. 2, Ch. 298, L. 1971; Sec. 40-3740, R.C.M. 1947; R.C.M. 1947, 40-3738(part), 40-3740; amd. Sec. 24, Ch. 472, L. 1997; amd. Sec. 4, Ch. 68, L. 2013.
MT Code § 33-30-1004 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1004. Continuation of coverage for persons with disabilities -- group contracts

  33-30-1004. Continuation of coverage for persons with disabilities -- group contracts. (1) A group hospital or medical service plan contract delivered or issued for delivery in this state that provides that coverage of a dependent child of an employee or other member of the covered group terminates upon attainment of the limiting age for dependent children specified in the contract must also provide in substance that attainment of the limiting age may not operate to terminate the coverage of the child while the child is and continues to be both incapable of self-sustaining employment by reason of intellectual disability or physical disability and chiefly dependent upon the employee or member for support and maintenance. Proof of intellectual disability or physical disability and dependency must be furnished to the hospital or medical service plan corporation by the employee or member within 31 days of the child's attainment of the limiting age and subsequently as may be required by the corporation. Proof may not be required more frequently than annually after the 2-year period following the child's attainment of the limiting age.   (2) Notwithstanding any other exemption or contrary law, the provisions of this section have equal application to hospital or medical expense insurance policies and hospital and medical service plan contracts.   History: (1)En. 40-3739 by Sec. 1, Ch. 298, L. 1971; Sec. 40-3739, R.C.M. 1947; (2)En. Sec. 2, Ch. 298, L. 1971; Sec. 40-3740, R.C.M. 1947; R.C.M. 1947, 40-3739(part), 40-3740; amd. Sec. 25, Ch. 472, L. 1997; amd. Sec. 5, Ch. 68, L. 2013.
MT Code § 33-30-1005 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1005. Right of rescission

  33-30-1005. Right of rescission. Each membership contract, other than a group contract, issued for delivery in this state on or after January 1, 1980, must contain a notice stating in substance that if the person to whom the contract is issued is not satisfied for any reason, the person is permitted to return the contract within 10 days of its delivery or a longer period that the contract may provide and to have refunded the amount of the premium paid. A contract returned pursuant to this section is void from the beginning.   History: En. Sec. 2, Ch. 342, L. 1979; amd. Sec. 1245, Ch. 56, L. 2009.
MT Code § 33-30-1006 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1006. Continuing group coverage after termination

  33-30-1006. Continuing group coverage after termination. A person covered by a group hospital or medical service plan contract, issued or renewed by a health service corporation after October 1, 1981, may, for a period of 1 year with the consent of the employer or the trustees, continue coverage under the group contract during the person's employment notwithstanding any reduction of the person's regular work schedule to less than the minimum time required to qualify for membership in the group, and the premium charged must be equal to that charged the members of the group.   History: En. Sec. 5, Ch. 579, L. 1981; amd. Sec. 1246, Ch. 56, L. 2009.
MT Code § 33-30-1008 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1008. Preexisting conditions

  33-30-1008. Preexisting conditions. The converted policy may not exclude, as a preexisting condition, any conditions covered by the group contract.   History: En. Sec. 7, Ch. 579, L. 1981.
MT Code § 33-30-1009 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1009. Insured's family -- conversion entitlement

  33-30-1009. Insured's family -- conversion entitlement. Subject to the conditions set forth in this section, the conversion privilege is also available:   (1) to the surviving spouse, if any, at the death of the employee or member, with respect to the spouse and children whose coverage under the group policy terminates by reason of the death, otherwise to each surviving child whose coverage under the group policy terminates by reason of the death, or if the group policy provides for continuation of dependent's coverage following the employee's or member's death, at the end of the continuation;   (2) to the spouse of the employee or member upon termination of coverage of the spouse, by reason of ceasing to be a qualified family member under the group policy, while the employee or member remains under the group policy, including children whose coverage under the group policy terminates at the same time; or   (3) to a child solely with respect to the child upon termination of the child's coverage by reason of ceasing to be a qualified family member under the group policy if a conversion privilege is not otherwise provided in this section with respect to the termination.   History: En. Sec. 8, Ch. 579, L. 1981; amd. Sec. 1247, Ch. 56, L. 2009.
MT Code § 33-30-1010 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1010. Renumbered 33-30-1021

  33-30-1010. Renumbered 33-30-1021. Code Commissioner, 1983.
MT Code § 33-30-1011 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1011. Dentists performing services common to both medicine and dentistry

  33-30-1011. Dentists performing services common to both medicine and dentistry. A contract or plan may exclude coverage for dental care or services, but no individual or group membership contract or plan issued or renewed on or after October 1, 1983, may disallow payment to a dentist for health care or services for which a physician would be paid, provided the dentist is licensed under the law of this state to perform such care or service.   History: En. Sec. 1, Ch. 471, L. 1983.
MT Code § 33-30-1012 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1012. Repealed

  33-30-1012. Repealed. Sec. 4, Ch. 606, L. 1987.   History: En. Sec. 15, Ch. 572, L. 1985.