reglab/housing_qa huggingface dataset:
MS Code § 83-9-6.1 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-6.1. Pharmacy cash discount cards; cannot be issued unless issuer pays portion of discount given by pharmacy

  As used in this section:   "Cash discount card" means a card, other than the program identification card of a member or participant of a prescription drug program, that allows the holder to obtain a discount on a prescription drug when paying for the prescription at the point-of-sale.   "Prescription drug program" means a program or plan that provides coverages and benefits for prescription drugs for members or participants in the program, whether the program is a separate program or part of a health benefit plan.     Any entity that administers a prescription drug program through a network of participating pharmacies for the benefit of any resident of the State of Mississippi shall not issue or distribute any cash discount card that the participating pharmacies must accept or honor as a condition or requirement of participation in the prescription drug program, or that the participating pharmacies must accept or honor if they accept or honor program identification cards held by members or participants of any prescription drug program administered by the entity, unless the entity pays a portion of the cost of the discount given by the pharmacy for prescriptions purchased with the use of the cash discount card.   Any person or entity that is not subject to subsection (2) of this section shall not issue or distribute any cash discount card to any resident of the State of Mississippi unless the person or entity pays a portion of the cost of the discount given by the pharmacy for prescriptions purchased with the use of the cash discount card.   Any provision in any prescription drug program or health benefit plan that is executed, delivered, renewed or otherwise contracted for in this state that is not in compliance with this section shall be void to the extent of the noncompliance.   The provisions of this section shall not apply to the issuers of Medicare Supplement Insurance policies.   The Office of Attorney General, Consumer Protection Division, shall enforce the provisions of this section.
MS Code § 83-9-7 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-7. Benefits to patients in tax-supported institutions

 No policy of sickness and accident insurance delivered or issued for deliverance after August 6, 1968, to any person in this state, including both individual policies and group policies, which provide coverage for tuberculosis or mental illness or any other illness, shall exclude hospitalization benefits for such patients hospitalized in tax-supported institutions of the State of Mississippi or any county or municipality thereof, whether such institution be deemed charitable or otherwise. However, only that portion or percent of the benefits shall be payable that have been assigned to said eleemosynary institution as payment in whole or in part for services rendered by such institution.
MS Code § 83-9-8 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-8. Coverage of drugs not approved by Federal Food and Drug Administration; drugs used in treatment of cancer

  No insurance policy which provides coverage for drugs shall exclude coverage of any such drug used for the treatment of cancer on the grounds that the drug has not been approved by the Federal Food and Drug Administration for the treatment of the specific type of cancer for which the drug has been prescribed, provided that such drug is recognized for treatment of that specific type of cancer in one of the standard reference compendia or in the medical literature.   This section may not be construed to:   Alter existing law with regard to provisions limiting the coverage of drugs that have not been approved by the Federal Food and Drug Administration;   Require coverage for any drug when the Federal Food and Drug Administration has determined its use to be contraindicated;   Require coverage for experimental drugs not otherwise approved for any indication by the Federal Food and Drug Administration;   Create, impair, alter, limit, modify, enlarge, abrogate or prohibit reimbursement for drugs used in the treatment of any other disease or condition.     For purposes of this section:   "Insurance policy" means an individual, group or blanket policy written by a medical expense indemnity corporation, a hospital service corporation, a health care service plan contract, or a private insurance plan issued, amended, delivered or renewed in this state or which provides insurance for residents of this state. This term shall include all health insurance plans for the state and its political subdivisions.   "Standard reference compendia" means:   The United States Pharmacopoeia Drug Information;   The American Hospital Formulary Service Drug Information.     "Medical literature" means two (2) articles from major peer-reviewed professional medical journals that have recognized, based on scientific or medical criteria, the drug's safety and effectiveness for treatment of the indication for which it has been prescribed unless two (2) articles from major peer-reviewed professional medical journals have concluded, based on scientific or medical criteria, that the drug is unsafe or ineffective or that the drug safety and effectiveness cannot be determined for the treatment of the indication for which it has been prescribed. Peer-reviewed medical literature shall not include publications or supplements that are sponsored to a significant extent by a pharmaceutical manufacturing company or health carrier.
MS Code § 83-9-9 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-9. Conforming to statute

  Other policy provisions.- No policy provision which is not subject to Section 83-9-5 shall make a policy, or any portion thereof, less favorable in any respect to the insured or the beneficiary than the provisions thereof which are subject to Sections 83-9-1 through 83-9-21.   Policy conflicting with this statute.- A policy delivered or issued for delivery to any person in this state in violation of Sections 83-9-1 through 83-9-21 shall be held valid but shall be construed as provided in said sections. When any provision in a policy subject to the cited sections is in conflict with any provision of said sections, the rights, duties, and obligations of the insurer, the insured, and the beneficiary shall be governed by the provisions of such sections.
MS Code § 83-9-11 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-11. Application

  The insured shall not be bound by any statement made in an application for a policy unless a copy of such application is attached to or endorsed on the policy when issued as a part thereof. If any such policy delivered or issued for delivery to any person in this state shall be reinstated or renewed, and the insured or the beneficiary or assignee of such policy shall make written request to the insurer for a copy of the application, if any, for such reinstatement or renewal, the insurer shall, within fifteen (15) days after the receipt of such request at its home office or any branch office of the insurer, deliver or mail to the person making such request a copy of such application. If such copy shall not be so delivered or mailed, the insurer shall be precluded from introducing such application as evidence in any action or proceeding based upon or involving such policy or its reinstatement or renewal.   No alteration of any written application for any such policy shall be made by any person other than the applicant without his written consent, except that insertions may be made by the insurer, for administrative purposes only, in such manner as to indicate clearly that such insertions are not to be ascribed to the applicant.   The falsity of any statement in the application for any policy covered by Sections 83-9-1 through 83-9-21 may not bar the right to recovery thereunder unless such false statement materially affected either the acceptance of the risk or the hazard assumed by the insurer.
MS Code § 83-9-13 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-13. Waiver; proof-of-loss form; revision of form

  The acknowledgment by any insurer of the receipt of notice given under any policy covered by Sections 83-9-1 through 83-9-21, or the furnishing of forms for filing proofs of loss, or the acceptance of such proofs, or the investigation of any claim thereunder, shall not operate as a waiver of any of the rights of the insurer in defense of any claim arising under such policy.   The Commissioner of Insurance shall prescribe the use of the National Uniform Bill-82 (UB-82) and the Health Care Financing Administration (HCFA) Form 1500 as the uniform proof of loss forms. After July 1, 1985, no insurance company writing policies of accident and sickness insurance may require proof of loss to be on any claim form but the UB-82 or HCFA Form 1500, whichever is appropriate for services rendered.   The Commissioner of Insurance shall review the uniform proof of loss forms prescribed under subsection (2), seek comments and suggestions from insurers and consumer groups about proposed improvements to the forms, and determine whether any revisions should be made to either form that would simplify or otherwise improve the form. If the commissioner determines that either form should be revised, he shall make the revisions to the form and prescribe the use of the revised form by all insurance companies writing policies of accident and sickness insurance in Mississippi. After six (6) months from the date that the commissioner has prescribed the use of any revised form, no insurance company writing policies of accident and sickness insurance may require proof of loss to be on any claim form but the revised form when that is the appropriate form for services rendered.
MS Code § 83-9-15 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-15. Age limit

 If any such policy contains a provision establishing, as an age limit or otherwise, a date after which the coverage provided by the policy will not be effective, and if such date falls within a period for which premium is accepted by the insurer or if the insurer accepts a premium after such date, the coverage provided by the policy will continue in force, subject to any right of cancellation, until the end of the period for which premium has been accepted. In the event the age of the insured has been misstated and if, according to the correct age of the insured, the coverage provided by the policy would not have become effective, or would have ceased prior to the acceptance of such premium or premiums, then the liability of the insurer shall be limited to the refund, upon request, of all premiums paid for the period not covered by the policy.
MS Code § 83-9-17 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-17. Non-application to certain policies

 Nothing in Sections 83-9-1 through 83-9-21 shall apply to or affect (a) any policy of workmen's compensation insurance or any policy of liability insurance with or without supplementary coverage therein; or (b) any policy or contract of reinsurance; or (c) life insurance, endowment or annuity contracts, or contracts supplemental thereto, which contain only such provisions relating to accident and sickness insurance as (a) provide additional benefits in case of death or dismemberment or loss of sight by accident, or as (b) operate to safeguard such contracts against lapse, or to give a special surrender value or special benefit or an annuity in the event that the insured or annuitant shall become totally and permanently disabled, as defined by the contract or supplemental contract.
MS Code § 83-9-19 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-19. Penalty

 Any person, partnership, or corporation wilfully violating any provision of Sections 83-9-1 through 83-9-21, or order of the commissioner made in accordance with said sections, shall forfeit to the people of the state a sum not less than Fifty Dollars ($50.00) nor more than One Thousand Dollars ($1,000.00) for each such violation, which may be recovered by a civil action. The commissioner may also suspend or revoke the license of an insurer or agent for any such wilful violation.
MS Code § 83-9-21 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-21. Judicial review

 Any order or decision of the commissioner under Sections 83-9-1 through 83-9-21 shall be subject to review by appeal (writ of certiorari) to the circuit court at the instance of any party in interest. The filing of the appeal (petition for such writ) shall operate as a stay of any such order or decision until the court directs otherwise. The court may review all the facts and, in disposing of the issue before it, may modify, affirm, or reverse the order or decision of the commissioner in whole or in part.
MS Code § 83-9-22 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-22. Health coverage plans prohibited from restricting coverage for medically appropriate treatment prescribed by physician based on insured's diagnosis with terminal condition

    Notwithstanding any other provision of the law to the contrary, no health coverage plan shall restrict coverage for medically appropriate treatment prescribed by a physician and agreed to by a fully informed insured, or if the insured lacks legal capacity to consent by a person who has legal authority to consent on his or her behalf, based on an insured's diagnosis with a terminal condition. Refusing to pay for treatment rendered to an insured near the end of life that is consistent with best practices for treatment of a disease or condition, approved uses of a drug or device, or uses supported by peer reviewed medical literature, is a per se violation of this section.   Violations of this section shall constitute an unfair trade practice and subject the violator to the penalties provided by law.   As used in this section "terminal condition" means any aggressive malignancy, chronic end-stage cardiovascular or cerebral vascular disease, or any other disease, illness or condition which a physician diagnoses as terminal.   As used in this section, a "health coverage plan" shall mean any hospital, health or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, contract or agreement with a health maintenance organization or a preferred provider organization, health and accident insurance policy, or any other insurance contract of this type, including a group insurance plan and the State Health and Life Insurance Plan.       Notwithstanding any other provision of the law to the contrary, no health benefit paid directly or indirectly with state funds, specifically Medicaid, shall restrict coverage for medically appropriate treatment prescribed by a physician and agreed to by a fully informed individual, or if the individual lacks legal capacity to consent by a person who has legal authority to consent on his or her behalf, based on an individual's diagnosis with a terminal condition.   Refusing to pay for treatment rendered to an individual near the end of life that is consistent with best practices for treatment of a disease or condition, approved uses of a drug or device, or uses supported by peer reviewed medical literature, is a per se violation of this section.   As used in this section "terminal condition" means any aggressive malignancy, chronic end-stage cardiovascular or cerebral vascular disease, or any other disease, illness or condition which a physician diagnoses as terminal.
MS Code § 83-9-23 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-23. Health and accident insurance for resident senior citizens

  Any insurance company authorized to do business of health insurance in this state may join with one or more other such insurance companies to offer to any resident of this state who is sixty-five (65) years of age or older, and to the spouse of such resident, insurance against major financial loss from accident or disease. Such insurance may be offered by such companies in their own names or in the name of a voluntary unincorporated association or other organization formed by such companies solely for the purpose of this section. The forms of applications, certificates, and policies of such insurance and the applicable premium rates shall be filed with the insurance commissioner, who may require additional pertinent information.   A financial summary concerning any insurance written under the authority of this section shall be furnished annually to the insurance commissioner in such form as he may prescribe. If the insurance commissioner finds that any forms for such insurance are not in the public interest or that the premium rates charged are, by reasonable assumptions, excessive in relation to the benefits provided, he may disapprove such forms or premium rates after notice of at least twenty (20) days and hearing.   Any person aggrieved by the decision of the commissioner under the provisions of this section may appeal therefrom within thirty (30) days after receipt of notice thereof to the Chancery Court of the First Judicial District of Hinds County by writ of certiorari, upon giving bond with surety or sureties and in such penalty as shall be approved by the chancery court of said county, conditioned that such appellant will pay all cost of the appeal in the event such appeal is unsuccessful. The said chancery court shall have the authority and jurisdiction to hear said appeal and render its decision in regard thereto, either in term time or vacation.
MS Code § 83-9-24 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-24. Prohibition against requiring higher co-payment, coinsurance, etc., for patient-administered anti-cancer medications than is required for anti-cancer medications injected or intravenously administered by health care provider

    As used in this section, the following terms shall be defined as provided in this subsection:   "Anti-cancer medication" means drugs and biologics that are used to kill, slow, or prevent the growth of cancerous cells.   "Health plan or policy" means any hospital, health or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, contract or agreement with a health maintenance organization or a preferred provider organization, health and accident insurance policy, or any other insurance contract of this type, including a group insurance plan and the State and School Employees Life and Health Insurance Plan.     Any health plan or policy delivered, issued for delivery or renewed in this state on or after January 1, 2016, that covers anti-cancer medications that are injected or intravenously administered by a health care provider and patient-administered anti-cancer medications, including, but not limited to, those orally administered or self-injected, may not require a higher co-payment, deductible or coinsurance amount for patient-administered anti-cancer medications than it requires for injected or intravenously administered anti-cancer medications, regardless of the formulation or benefit category determination by the policy or plan.   The health insurance policy or plan may not comply with subsection (2) of this section by:   Increasing the co-payment, deductible or coinsurance amount required for injected or intravenously administered anti-cancer medications that are covered under the policy or plan; or   Reclassifying benefits with respect to anti-cancer medications.
MS Code § 83-9-25 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-25. Examination and return of policy

 Every individual accident and health policy or service contract, except travel or nonrenewable accident policies, issued for delivery in the State of Mississippi on or after July 1, 1971, by an insurance company, nonprofit hospital service plan, or medical service corporation shall have printed thereon or attached thereto a notice stating, in substance, that the person to whom the policy or contract is issued shall be permitted to return the policy or contract within not less than ten (10) days of its delivery to said purchaser and to have the premium paid refunded if, after examination of the policy or contract, the purchaser is not satisfied with it for any reason. If a policyholder or purchaser, pursuant to such notice, returns the policy or service contract to the insurance company or association at its home or branch office or to the agent through whom it was purchased, it shall be void from the beginning, and the parties shall be in the same position as if no policy or service contract had been issued.
MS Code § 83-9-27 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-27. Alcoholism care and treatment; coverage

 Notwithstanding any provision of any policy of accident or sickness insurance as defined by Section 83-9-1, issued on or after January 1, 1975, whenever such policy provides for the reimbursement for loss resulting from sickness, or from bodily injury by accidental means, or both, said reimbursement shall include health service benefits to any insured or any person covered thereunder, on the same basis as other benefits, for care and treatment of alcoholism.   For purposes of Sections 83-9-27 through 83-9-31, alcoholism is defined as the chronic and habitual use of alcoholic beverages by any person to the extent that such person has lost the power of self-control with respect to the use of such beverages.
MS Code § 83-9-29 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-29. Alcoholism care and treatment; application of law

 The provisions of Sections 83-9-27 through 83-9-31 shall apply only to group policies or group plans of health affording coverage from sickness, or bodily injury by accidental means, or both, or nonprofit health plans corporations regulated by the Mississippi Insurance Commission issued or renewed after January 1, 1975.   The provisions of Sections 83-9-27 through 83-9-31 shall not apply to any plan or policy which is individually underwritten or provided for a specific individual and the members of his family as a nongroup policy.
MS Code § 83-9-31 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 9 - Accident, Health and Medicare Supplement Insurance|Accident and Health Insurance|§ 83-9-31. Alcoholism care and treatment; limitation of coverage

 The coverage required under Section 83-9-27 shall not exceed One Thousand Dollars ($1,000.00) during any calendar year, and shall extend only to treatment and services rendered by a physician and hospitals licensed by the state wherein the service or hospitalization is rendered.