reglab/housing_qa huggingface dataset:
40 PA Cons Stat § 4004 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 40 - Medication Sychronization|Section 4004 - Certain payment structures prohibited

§ 4004. Certain payment structures prohibited. (a) Prorated dispensing fees.--A health insurance plan providing prescription drug coverage may not use payment structures incorporating prorated dispensing fees.  (b) Full payment.--Dispensing fees for a partial supply or refilled prescriptions shall be paid in full for each maintenance medication dispensed, regardless of any prorated copay for the beneficiary or fee paid for alignment services.
40 PA Cons Stat § 4005 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 40 - Medication Sychronization|Section 4005 - Application of chapter

§ 4005. Application of chapter. (a) Prescription drugs.--This chapter does not apply to prescription drugs that are:  (1) unit-of-use packaging for which medication synchronization is not possible; or (2) controlled substances classified in Schedule II under section 4(2) of the act of April 14, 1972 (P.L.233, No.64), known as The Controlled Substance, Drug, Device and Cosmetic Act.  (b) Health insurance policies.--This chapter shall apply to health insurance policies as follows:  (1) For a health insurance policy for which either rates or forms are required to be filed with the Federal Government or the Insurance Department, this chapter shall apply to a health insurance policy for which a form or rate is first permitted to be used on or after the effective date of this section.  (2) For a health insurance policy for which neither rates nor forms are required to be filed with the Federal Government or the Insurance Department, this chapter shall apply to a health insurance policy issued or renewed on or after the effective date of this section.
40 PA Cons Stat § 4301 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 43 - Mental Health Parity and Access to Addiction Treatment|Section 4301 - Scope of chapter

§ 4301. Scope of chapter. This chapter relates to an attestation of compliance with Federal and State insurance laws regarding mental health and substance use disorder benefits.
40 PA Cons Stat § 4302 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 43 - Mental Health Parity and Access to Addiction Treatment|Section 4302 - Definitions

§ 4302. Definitions. The following words and phrases when used in this chapter shall have the meanings given to them in this section unless the context clearly indicates otherwise:  "Health insurance policy." As follows:  (1) An insurance policy, subscriber contract, certificate or plan that provides medical or health care coverage, including emergency services.  (2) The term does not include any of the following types of policies: (i) Accident only. (ii) Fixed indemnity. (iii) Credit. (iv) Dental only. (v) Vision only. (vi) Specified disease. (vii) Medicare supplement. (viii) Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) supplement. (ix) Long-term care. (x) Disability income. (xi) Workers' compensation. (xii) Automobile medical payment insurance. "Insurer." An entity licensed by the department with accident and health authority to issue a health insurance policy that is offered or governed under any of the following:  (1) The act of May 17, 1921 (P.L.682, No.284), known as The Insurance Company Law of 1921, including section 630 and Article XXIV of that act.  (2) The act of December 29, 1972 (P.L.1701, No.364), known as the Health Maintenance Organization Act.  (3) Chapter 61 (relating to hospital plan corporations) or 63 (relating to professional health services plan corporations).  "MHPAEA." The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (Public Law 110-343, 122 Stat. 3881).
40 PA Cons Stat § 4303 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 43 - Mental Health Parity and Access to Addiction Treatment|Section 4303 - Annual attestation

§ 4303. Annual attestation. (a) Statement regarding MHPAEA compliance.--For the form for each health insurance policy offered, issued or renewed by an insurer, the insurer shall annually file with the department a statement attesting to the insurer's documented analyses of efforts to comply with MHPAEA and the Federal regulations relating to mental health and substance use disorder parity as of the date of the attestation.  (b) Statement regarding MHPAEA nonapplicability.--For the form for each insurance policy offered, issued or renewed by an insurer in this Commonwealth that is required to be filed but to which MHPAEA does not apply, the insurer shall annually file with the department a statement attesting to the nonapplicability of MHPAEA to the policy form.  (c) Filing.--Each attestation required under this section must be filed by April 30 of each year or with the form filing, whichever is earlier.
40 PA Cons Stat § 4304 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 43 - Mental Health Parity and Access to Addiction Treatment|Section 4304 - Regulations

§ 4304. Regulations. The department may promulgate regulations necessary to implement this chapter.
40 PA Cons Stat § 6101 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 61 - Hospital Plan Corporations|Section 6101 - Definitions

§ 6101. Definitions. The following words and phrases when used in this chapter shall have, unless the context clearly indicates otherwise, the meanings given to them in this section:  "Hospital plan corporation." A corporation not-for-profit engaged in the business of maintaining and operating a nonprofit hospital plan.  "Nonprofit hospital plan." A plan whereby for prepayment, periodical or lump sum payment hospitalization or related health benefits may be provided to subscribers to such plan.    Cross References. Section 6101 is referred to in section 6301 of this title; section 102 of Title 15 (Corporations and Unincorporated Associations).
40 PA Cons Stat § 6102 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 61 - Hospital Plan Corporations|Section 6102 - Certification of hospital plan corporations

§ 6102. Certification of hospital plan corporations.  (a) General rule.--A corporation not-for-profit incorporated for the purpose of establishing, maintaining and operating a nonprofit hospital plan shall not commence business until it shall have received from the department a certificate of authority authorizing the corporation to establish, maintain and operate such a nonprofit hospital plan.  (b) Exemption.--The provisions of subsection (a) of this section shall not apply to any nonprofit corporation incorporated with the approval of the department under the former provisions of section 218 of the Nonprofit Corporation Law of 1933. For the purposes of this chapter such a corporation shall be deemed to be a holder of a certificate of authority issued under this section.  (c) Form of application.--Every application for a certificate of authority under this section shall be made to the department in writing and shall be in such form and contain such information as the regulations of the department may require.  (d) Standards for issuance of certificate.--A certificate of authority shall be issued by order of the department only if and when the department shall find and determine that the application complies with the provisions of this chapter and the regulations of the department thereunder.  (e) Procedure before department.--For the purpose of enabling the department to make the finding or determination required by subsection (d) of this section, the department, by publication of notice in the Pennsylvania Bulletin, shall afford reasonable opportunity for hearing, which shall be public, and, before or after any such hearing, it may make such inquiries, audits and investigations, and may require the submission of such supplemental studies and information, as it may deem necessary or proper to enable it to reach a finding or determination. The department, in granting a certificate of authority, may impose such conditions as it may deem to be just and reasonable. In every case the department shall make a finding or determination in writing, stating whether or not the application has been approved, and, if it has been approved in part only, specifying the part which has been approved and the part which has been denied. Any holder of a certificate of authority, exercising the authority conferred thereby, shall be deemed to have waived any and all objections to the terms and conditions of such certificate.  (f) Judicial review.--Orders of the department upon an application for a certificate of authority under this section shall be subject to judicial review in the manner and within the time provided by law.  Cross References. Section 6102 is referred to in sections 6124, 6304, 6329 of this title.
40 PA Cons Stat § 6103 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 61 - Hospital Plan Corporations|Section 6103 - Exemptions applicable to certified hospital plan corporations

§ 6103. Exemptions applicable to certified hospital plan  corporations.  (a) General insurance laws.--A hospital plan corporation holding a certificate of authority under this chapter shall not be subject to the laws of this Commonwealth now in force relating to the business of insurance, and no statute hereafter enacted relating to the business of insurance shall apply to such a corporation unless such statute shall specifically refer and apply to a corporation subject to this chapter.  (b) Tax laws.--Every hospital plan corporation holding a certificate of authority under this chapter is hereby declared to be a charitable and benevolent institution, and all its funds and investments shall be exempt from taxation by the Commonwealth and its political subdivisions.
40 PA Cons Stat § 6104 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 61 - Hospital Plan Corporations|Section 6104 - Uncertified plans prohibited

§ 6104. Uncertified plans prohibited. It shall be unlawful for any person, other than a hospital plan corporation holding a certificate of authority under this chapter, to establish, maintain or operate a nonprofit hospital plan in this Commonwealth.
40 PA Cons Stat § 6105 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 61 - Hospital Plan Corporations|Section 6105 - Penalties

§ 6105. Penalties. Any person who violates any of the provisions of this chapter, or any regulation or order of the department made pursuant thereto, any person who hinders or prevents the department in the discharge of any duty imposed on it by this chapter, any person who fraudulently procures or attempts to procure any benefit from any hospital plan corporation holding a certificate of authority under this chapter, and any person who willfully makes any false statement in any proceeding or report under this chapter, shall be guilty of a misdemeanor, and, upon conviction thereof, shall be sentenced to pay a fine of not more than $3,000 or to be imprisoned for not more than six months, or both, in the discretion of the court. Any act or default by any corporation, association, or common law trust, in violation of any provision of this chapter or of any regulation or order of the department made pursuant thereto, shall be deemed to be the act or default of the officers or directors who participated in authorizing or effecting such act or default or who knowingly permitted it.
40 PA Cons Stat § 6121 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 61 - Hospital Plan Corporations|Section 6121 - Eligible hospitals

§ 6121. Eligible hospitals. Any hospital plan corporation may enter into contracts for the rendering of hospitalization to any of its subscribers only with hospitals operated by the Commonwealth, or its agencies, or by political subdivisions, or by corporations organized under the laws of this Commonwealth for hospital purposes, or with such other hospitals as are approved by the Department of Public Welfare.    References in Text. The Department of Public Welfare, referred to in this section, was redesignated as the Department of Human Services by Act 132 of 2014.  Cross References. Section 6121 is referred to in section 6124 of this title.
40 PA Cons Stat § 6122 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 61 - Hospital Plan Corporations|Section 6122 - Action as agent under Federal and other programs

§ 6122. Action as agent under Federal and other programs.  (a) General rule.--Any hospital plan corporation may, with the approval of the department, act as a contracting agency or organization under section 1841 of Title XVIII of the Federal Social Security Act, as amended or supplemented, with power to perform all the services which may be required of a contracting agency or organization thereunder and may perform administrative services similar or related to those which may be required of an agency or organization thereunder in connection with a Federal, State or local governmental health care program and may perform administrative services similar or related to those which may be required of such an agency or organization in connection with or associated with nongovernmental organizations, individuals, groups and agencies in the health care field.  (b) Legislative amendment of stated purposes of existing corporations.--The stated purposes of all existing hospital plan corporations are hereby amended so as to include the performance of the activities authorized by subsection (a) of this section.
40 PA Cons Stat § 6123 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 61 - Hospital Plan Corporations|Section 6123 - Investment of funds

§ 6123. Investment of funds. Any statute to the contrary notwithstanding, funds of any hospital plan corporation, equal to its reserves, shall be invested in compliance with the requirements of law for the investment of the capital and reserves of life insurance companies. The funds of any such corporation, equal to its surplus, shall be invested in compliance with the requirements of law for the investment of the surplus of life insurance companies.
40 PA Cons Stat § 6125 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 61 - Hospital Plan Corporations|Section 6125 - Reports and examinations

§ 6125. Reports and examinations.  (a) Annual report.--Every hospital plan corporation shall on or before March 1 of each year, file with the department a statement, verified by at least two of the principal officers of the corporation showing its condition at the end of the preceding calendar year. Such statement shall be in such form, and shall contain such matters, as the department shall prescribe.  (b) Examination.--Every hospital plan corporation shall be subject to examination not less frequently than every three years by the department and its agents, who shall have free access to all the books, records, papers and documents that relate to the business of the corporation, and the power to examine the officers, agents, employees and subscribers to the nonprofit hospital plan of the corporation, under oath, in relation to the affairs, transactions and financial condition of the corporation. Such examinations shall be made at such times as the department shall deem necessary.
40 PA Cons Stat § 6126 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 61 - Hospital Plan Corporations|Section 6126 - Solicitors and agents

§ 6126. Solicitors and agents. Solicitors and agents for every hospital plan corporation shall meet the prerequisites provided by law for agents of insurance companies.
40 PA Cons Stat § 6127 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 61 - Hospital Plan Corporations|Section 6127 - Dissolution or liquidation

§ 6127. Dissolution or liquidation. No hospital plan corporation shall be dissolved under the provisions of Title 15 (relating to corporations and unincorporated associations) or under any other provision of law except with the prior approval of the department. Articles of dissolution for a hospital plan corporation filed in the Department of State, whether pursuant to a decree of court liquidating the corporation or otherwise, shall not be effective unless and until approved by the Insurance Department. Any dissolution or liquidation of a hospital plan corporation shall be under the supervision of the department, which shall have all powers with respect thereto granted to it under laws of this Commonwealth governing the dissolution or liquidation of insurance companies.
40 PA Cons Stat § 6301 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 63 - Professional Health Services Plan Corporations|Section 6301 - Application of chapter

 § 6301. Application of chapter. (a) General rule.--This chapter shall apply to every person engaged in the business of maintaining and operating a nonprofit health service plan and to every person who shall violate any provision of this chapter.  (b) Exceptions.--Notwithstanding subsection (a) of this section, this chapter shall not apply to:  (1) Any hospital plan corporations as defined in section 6101 of this title (relating to hospital plan corporation definitions).  (2) Any fraternal benefit society subject to regulation under Chapter 65 of this title (relating to fraternal benefit societies).    References in Text. Chapter 65, referred to in this section, is repealed. The subject matter is now contained in Article XXIV of the act of May 17, 1921, P.L.682, No.284, known as The Insurance Company Law of 1921.
40 PA Cons Stat § 6303 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 63 - Professional Health Services Plan Corporations|Section 6303 - Statement of legislative findings and policy

§ 6303. Statement of legislative findings and policy.  (a) Declaration of necessity.--It is hereby declared that adequate professional health services are essential for the maintenance of the physical and mental health of the residents of this Commonwealth, and that it is necessary that provision be made for adequate professional health services to persons of low income who are unable to provide such services for themselves or their dependents without depriving themselves or their dependents of such necessaries of life as food, clothing and shelter.  (b) Construction of chapter.--It is hereby declared to be the purpose and intent of this chapter and the policy of the General Assembly to authorize qualified persons to provide adequate professional health services for residents of this Commonwealth who are unable to provide such services for themselves or their dependents at their own cost without depriving themselves or their dependents of such necessaries of life as food, clothing and shelter, and provide persons of over- income with the limited professional health services benefits set forth in this chapter.  Cross References. Section 6303 is referred to in section 6325 of this title.
40 PA Cons Stat § 6305 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 63 - Professional Health Services Plan Corporations|Section 6305 - Initial reserves

§ 6305. Initial reserves. No professional health service corporation shall receive a certificate of authority under this chapter unless it has set up a minimum reserve of $25,000 for the exclusive purpose of meeting the contractual obligations of its subscribers. All or any part of such $25,000 may be in the form of borrowed money to be repaid in whole or in part from surplus. Money borrowed to satisfy the requirements of this section may be repaid only when authorized by two-thirds of the board of directors of such corporation in office and the Insurance Department.
40 PA Cons Stat § 6306 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 63 - Professional Health Services Plan Corporations|Section 6306 - Standards concerning incorporators

§ 6306. Standards concerning incorporators. No certificate of authority shall be issued to a professional health service corporation unless all of its incorporators were residents of this Commonwealth and citizens of the United States.  (Apr. 28, 1978, P.L.202, No.53)   1978 Repeal. Act 53 repealed section 6306 in part, effective February 13, 1973. The repealed provisions have been deleted from the text.
40 PA Cons Stat § 6307 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 63 - Professional Health Services Plan Corporations|Section 6307 - Exemptions applicable to certificated professional health service corporations

§ 6307. Exemptions applicable to certificated professional  health service corporations.  (a) General insurance laws.--A professional health service corporation shall be subject to regulation and supervision by the Department of Health and the Insurance Department under this chapter. A professional health service corporation holding a certificate of authority under this chapter shall not be subject to the laws of this Commonwealth now in force relating to the business of insurance, and no statute hereafter enacted relating to the business of insurance shall apply to such a corporation unless such statute shall specifically refer and apply to a corporation subject to this chapter.  (b) Tax laws.--Every professional health service corporation holding a certificate of authority under this chapter is hereby declared to be a charitable and benevolent institution, and all its income, funds, investments and property shall be exempt from all taxation by the Commonwealth or its political subdivisions.
40 PA Cons Stat § 6308 (2021)
2021 Pennsylvania Consolidated & Unconsolidated Statutes|Title 40 - INSURANCE|Chapter 63 - Professional Health Services Plan Corporations|Section 6308 - Uncertificated plans prohibited

 § 6308. Uncertificated plans prohibited. (a) General rule.--It shall be unlawful for any person, other than a professional health service corporation holding a certificate of authority under this chapter relating to the plan being maintained or operated by such corporation, to establish, maintain or operate in this Commonwealth a nonprofit dental service plan, a nonprofit optometric service plan, or a nonprofit professional health service plan.  (b) Exemptions.--Nothing in subsection (a) of this section shall be construed as preventing any person from furnishing professional health services for the prevention of disease among his employees or from furnishing any of such services as required under The Pennsylvania Workmen's Compensation Act and related statutes, when the employee is not charged for such service.    References in Text. The short title of the act of June 2, 1915, P.L.736, No.338, known as The Pennsylvania Workmen's Compensation Act, referred to in subsec. (b), was amended by the act of July 2, 1993, P.L.190, No.44. The amended short title is now the Workers' Compensation Act.