reglab/housing_qa huggingface dataset:
MT Code § 33-30-1013 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1013. Coverage required for services provided by nurse specialists

  33-30-1013. Coverage required for services provided by nurse specialists. A health service corporation shall provide, in group and individual insurance contracts, coverage for health services provided by a nurse specialist, as specifically listed in 37-8-202, if health care services that nurse specialists are licensed to perform are covered by the contract.   History: En. Sec. 2, Ch. 329, L. 1987; amd. Sec. 5, Ch. 467, L. 2005.
MT Code § 33-30-1014 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1014. Coverage for well-child care

  33-30-1014. Coverage for well-child care. (1) Each disability insurance plan or group disability insurance plan that is delivered, issued for delivery, renewed, extended, or modified in this state by a health service corporation and that provides coverage for a family member of the insured or subscriber must provide coverage for well-child care for children from the moment of birth through 7 years of age. Benefits provided under this coverage are exempt from any deductible provision that may be in force in the plan.   (2) Coverage for well-child care under subsection (1) must include:   (a) a history, physical examination, developmental assessment, anticipatory guidance, and laboratory tests, according to the schedule of visits adopted under the early and periodic screening, diagnosis, and treatment services program provided for in 53-6-101; and   (b) routine immunizations according to the schedule for immunizations recommended by the immunization practices advisory committee of the U.S. department of health and human services.   (3) Minimum benefits may be limited to one visit payable to one provider for all of the services provided at each visit cited in this section.   (4) This section does not apply to disability income, specified disease, medicare supplement, or hospital indemnity policies.   (5) For purposes of this section:   (a) "developmental assessment" and "anticipatory guidance" mean the services described in the Guidelines for Health Supervision II, published by the American academy of pediatrics; and   (b) "well-child care" means the services described in subsection (2) and delivered at the intervals required in that subsection by a physician or a health care professional supervised by a physician.   (6) When a disability insurance plan or group disability insurance plan issued by a health service corporation provides coverage or benefits to a resident of this state, it is considered to be delivered in this state within the meaning of this section, whether the health service corporation that issued or delivered the policy or certificate is located inside or outside of this state.   History: En. Sec. 3, Ch. 199, L. 1991; amd. Sec. 4, Ch. 390, L. 2007.
MT Code § 33-30-1015 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1015. Limitation of eligibility on conversion

  33-30-1015. Limitation of eligibility on conversion. A person who purchases a policy of insurance under 33-30-1007 ceases to be eligible for a conversion policy if the person insured by the policy:   (1) fails to pay the premium on the policy purchased under 33-30-1007; or   (2) enrolls under another major medical disability insurance policy or plan, except that the person may maintain the conversion policy during any waiting period established under any new disability insurance policy or plan that the insured person purchases.   History: En. Sec. 4, Ch. 200, L. 1991; amd. Sec. 22, Ch. 399, L. 2007.
MT Code § 33-30-1016 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1016. Coverage for adopted children from time of placement -- preexisting conditions

  33-30-1016. Coverage for adopted children from time of placement -- preexisting conditions. (1) Each individual or group membership contract issued or amended by a health service corporation in this state that provides coverage of dependent children of a member must provide coverage for an adopted child of the member to the same extent as for natural children of the member.   (2) The coverage required by this section must be effective from the date of placement for the purpose of adoption and must continue unless the placement is disrupted prior to legal adoption and the child is removed from placement. Coverage at the time of placement must include the necessary care and treatment of medical conditions existing prior to the date of placement.   (3) As used in this section, "placement" has the meaning as defined in 33-22-130.   History: En. Sec. 2, Ch. 387, L. 1991; amd. Sec. 162, Ch. 480, L. 1997.
MT Code § 33-30-1017 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1017. Coverage required for services provided by naturopathic physicians

  33-30-1017. Coverage required for services provided by naturopathic physicians. A health service corporation shall provide, in group and individual insurance contracts or certificates, coverage for health services provided by a naturopathic physician licensed pursuant to Title 37, chapter 26, if the health care services that naturopathic physicians are licensed to perform are covered by the contract or certificate.   History: En. Sec. 2, Ch. 459, L. 1999.
MT Code § 33-30-1018 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1018. Coverage required for services provided by physical therapist

  33-30-1018. Coverage required for services provided by physical therapist. A health service corporation shall provide, in group and individual insurance contracts or certificates, coverage for health services provided by a physical therapist licensed pursuant to Title 37, chapter 11, if the health care services that physical therapists are licensed to perform are covered by the contracts or certificates.   History: En. Sec. 2, Ch. 235, L. 2001.
MT Code § 33-30-1019 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1019. Coverage for services provided under freedom of choice for auxiliary health services

  33-30-1019. Coverage for services provided under freedom of choice for auxiliary health services. A health service corporation shall provide, in group and individual insurance contracts or certificates, coverage for health services provided by a speech-language pathologist or audiologist licensed pursuant to Title 37, chapter 15, or an addiction counselor licensed under Title 37, chapter 35, if the health care services that speech-language pathologists, audiologists, or addiction counselors are licensed to perform are covered by the contracts or certificates.   History: En. Sec. 2, Ch. 342, L. 2015.
MT Code § 33-30-1020 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1020. Coverage for services provided under freedom of choice for mental health services

  33-30-1020.  Coverage for services provided under freedom of choice for mental health services. A health service corporation shall provide, in group and individual insurance contracts, coverage for health services provided by marriage and family therapists licensed under Title 37, chapter 37, if the health care services that marriage and family therapists are licensed to perform are covered by the contracts.   History: En. Sec. 2, Ch. 206, L. 2017.
MT Code § 33-30-1021 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 10. Health Service Corporation Plans|33-30-1021. Applicability

  33-30-1021. Applicability. Notwithstanding any provision of Title 33 or other law to the contrary, it shall be lawful for an insurer and insured to agree to any terms in an insurance contract that provides more favorable terms for the benefit of the insured than authorized in Title 33 or other provisions of law.   History: En. Sec. 9, Ch. 579, L. 1981; MCA 1981, 33-30-1010; redes. 33-30-1021 by Code Commissioner, 1983.
MT Code § 33-30-1101 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 11. Subrogation -- Notice|33-30-1101. Subrogation rights

  33-30-1101. Subrogation rights. A hospital or medical service plan contract issued by a health service corporation may contain a provision providing that, to the extent necessary for reimbursement of benefits paid to or on behalf of the insured, the health service corporation is entitled to subrogation, as provided for in 33-30-1102, against a judgment or recovery received by the insured from a third party found liable for a wrongful act or omission that caused the injury necessitating benefit payments.   History: En. Sec. 2, Ch. 365, L. 1987.
MT Code § 33-30-1102 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 30. Health Service Corporations|Part 11. Subrogation -- Notice|33-30-1102. Notice -- shared costs of third-party action -- limitation

  33-30-1102. Notice -- shared costs of third-party action -- limitation. (1) If an insured intends to institute an action for damages against a third party, the insured shall give the health service corporation reasonable notice of the intention to institute the action.   (2) The insured may request that the health service corporation pay a proportionate share of the reasonable costs of the third-party action, including attorney fees.   (3) A health service corporation may elect not to participate in the cost of the action. If that election is made, the health service corporation waives 50% of any subrogation rights granted to it by 33-30-1101.   (4) The health service corporation's right of subrogation granted in 33-30-1101 may not be enforced until the injured insured has been fully compensated for the insured's injuries.   History: En. Sec. 4, Ch. 365, L. 1987; amd. Sec. 1248, Ch. 56, L. 2009.
MT Code § 33-31-101 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 1. General Provisions|33-31-101. Short title

  33-31-101. Short title. This chapter may be cited as the "Montana Health Maintenance Organization Act".   History: En. Sec. 1, Ch. 457, L. 1987.
MT Code § 33-31-103 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 1. General Provisions|33-31-103. Rules

  33-31-103. Rules. The commissioner may, after notice and hearing, make reasonable rules necessary to effectuate this chapter.   History: En. Sec. 20, Ch. 457, L. 1987; amd. Sec. 2, Ch. 437, L. 1991.
MT Code § 33-31-104 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 1. General Provisions|33-31-104. Repealed

  33-31-104. Repealed. Sec. 10, Ch. 437, L. 1991.   History: En. Sec. 27, Ch. 457, L. 1987.
MT Code § 33-31-105 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 1. General Provisions|33-31-105. through 33-31-110 reserved

  33-31-105 through 33-31-110 reserved.
MT Code § 33-31-112 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 1. General Provisions|33-31-112. Filings and reports as public documents

  33-31-112. Filings and reports as public documents. All applications, filings, and reports required under this chapter, except those that contain trade secrets or privileged or confidential commercial or financial information (other than an annual financial statement that the commissioner may require under 33-31-211), are public documents.   History: En. Sec. 25, Ch. 457, L. 1987.
MT Code § 33-31-113 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 1. General Provisions|33-31-113. Confidentiality of medical information

  33-31-113. Confidentiality of medical information. (1) Any data or information pertaining to the diagnosis, treatment, or health of an enrollee or applicant obtained from the enrollee, applicant, or a provider by a health maintenance organization must be held in confidence and may not be disclosed to any person except:   (a) to the extent that it may be necessary to carry out the purposes of this chapter;   (b) upon the express consent of the enrollee or applicant;   (c) pursuant to statute or court order for the production of evidence or the discovery thereof; or   (d) in the event of claim or litigation between the enrollee or applicant and the health maintenance organization wherein the data or information is pertinent.   (2) A health maintenance organization is entitled to claim the same statutory privileges against disclosure that the provider who furnished the information to the health maintenance organization is entitled to claim.   History: En. Sec. 26, Ch. 457, L. 1987.
MT Code § 33-31-114 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 1. General Provisions|33-31-114. Coverage for adopted children from time of placement -- preexisting conditions

  33-31-114. Coverage for adopted children from time of placement -- preexisting conditions. (1) Each health maintenance contract regulated under this chapter must provide coverage for an adopted child of the enrollee to the same extent as for natural children of the enrollee.   (2) The coverage required by this section must be effective from the date of placement for the purpose of adoption and must continue unless the placement is disrupted prior to legal adoption and the child is removed from placement. Coverage at the time of placement must include the necessary care and treatment of medical conditions existing prior to the date of placement.   (3) As used in this section, "placement" has the meaning as defined in 33-22-130.   History: En. Sec. 3, Ch. 387, L. 1991; amd. Sec. 163, Ch. 480, L. 1997.
MT Code § 33-31-115 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 1. General Provisions|33-31-115. Applicability to managed health care entity

  33-31-115. Applicability to managed health care entity. (1) The department of public health and human services may limit the amount, scope, and duration of services provided by a managed health care entity under contract for programs established under Title 53. These services may be less than services required by this title.   (2) The delivery of programs of managed health care services established under Title 53 by a managed health care entity under contract with the department of public health and human services is exempt from the provisions of 33-31-301 and 33-31-321.   History: En. Sec. 10, Ch. 502, L. 1995; amd. Sec. 2, Ch. 577, L. 1999; amd. Sec. 1, Ch. 466, L. 2001; amd. Sec. 4, Ch. 351, L. 2011.
MT Code § 33-31-203 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 2. Authorization of Health Maintenance Organizations|33-31-203. Powers of insurers and health service corporations

  33-31-203. Powers of insurers and health service corporations. (1) An insurer authorized to transact insurance in this state or a health service corporation authorized to do business in this state may, either directly or through a subsidiary or affiliate, organize and operate a health maintenance organization under the provisions of this chapter. Notwithstanding any other law which may be inconsistent with this section, two or more insurers, health service corporations, or subsidiaries or affiliates thereof may jointly organize and operate a health maintenance organization. The business of insurance is considered to include the provision of health care services by a health maintenance organization owned or operated by an insurer or a subsidiary thereof.   (2) Notwithstanding any insurance or health service corporation laws, an insurer or a health service corporation may contract with a health maintenance organization to provide insurance or similar protection against the cost of care provided through a health maintenance organization and to provide coverage if the health maintenance organization fails to meet its obligations.   (3) The enrollees of a health maintenance organization constitute a permissible group under this title. The insurer or health service corporation may make benefit payments to health maintenance organizations for health care services rendered by providers under the contracts described in subsection (2).   (4) Nothing in this section exempts a health maintenance organization that provides health care services from complying with the applicable certificate of need requirements under Title 50, chapter 5, parts 1 and 3.   History: En. Sec. 16, Ch. 457, L. 1987.
MT Code § 33-31-204 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 2. Authorization of Health Maintenance Organizations|33-31-204. Acquisition, control, or merger of a health maintenance organization

  33-31-204. Acquisition, control, or merger of a health maintenance organization. (1) Except as provided in 33-2-1106 and subsection (2) of this section, a person may not tender for, request, or invite tenders of, or enter into an agreement to exchange securities for or acquire in the open market or otherwise, any voting security of a health maintenance organization or enter into any other agreement if, after the consummation of the agreement, that person would, directly or indirectly, or by conversion or by exercise of any right to acquire, be in control of the health maintenance organization.   (2) A person may not enter into an agreement to merge or consolidate with or otherwise to acquire control of a health maintenance organization, unless, at the time any offer, request, or invitation is made or any agreement is entered into, or prior to the acquisition of the securities if no offer or agreement is involved, the acquiring person has filed with the commissioner and has sent to the health maintenance organization information required by 33-2-1104 and the commissioner has approved the offer, request, invitation, agreement, or acquisition pursuant to 33-2-1105.   History: En. Sec. 28, Ch. 457, L. 1987; amd. Sec. 39, Ch. 370, L. 2015.
MT Code § 33-31-205 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 2. Authorization of Health Maintenance Organizations|33-31-205. through 33-31-210 reserved

  33-31-205 through 33-31-210 reserved.
MT Code § 33-31-212 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 2. Authorization of Health Maintenance Organizations|33-31-212. Fees

  33-31-212. Fees. (1) Each health maintenance organization shall pay to the commissioner the following fees:   (a) for filing an application for a certificate of authority or amendment to a certificate of authority, $300;   (b) for filing an amendment to the organization documents that requires approval, $25;   (c) for filing each annual statement, $25;   (d) for annual continuation of certificate of authority, $300.   (2) All fees, miscellaneous charges, fines, penalties, and those amounts received pursuant to 33-31-211(4) and 33-31-405 collected by the commissioner pursuant to this chapter and the rules adopted under this chapter must be deposited in the state special revenue fund to the credit of the state auditor's office.   History: En. Sec. 22, Ch. 457, L. 1987; amd. Sec. 8, Ch. 351, L. 1989; amd. Sec. 6, Ch. 628, L. 1989; amd. Sec. 5, Ch. 437, L. 1991; amd. Sec. 48, Ch. 380, L. 2003; amd. Sec. 36, Ch. 151, L. 2017.
MT Code § 33-31-213 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 2. Authorization of Health Maintenance Organizations|33-31-213. and 33-31-214 reserved

  33-31-213 and 33-31-214 reserved.
MT Code § 33-31-215 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 2. Authorization of Health Maintenance Organizations|33-31-215. Investment regulations

  33-31-215. Investment regulations. Except for a health maintenance organization operated as a plan by a health service corporation, a domestic health maintenance organization may invest its funds only as prescribed in chapter 12.   History: En. Sec. 12, Ch. 457, L. 1987; amd. Sec. 49, Ch. 304, L. 1999.
MT Code § 33-31-217 (2021)
2021 Montana Code Annotated|Title 33. Insurance and Insurance Companies|Chapter 31. Health Maintenance Organizations|Part 2. Authorization of Health Maintenance Organizations|33-31-217. through 33-31-220 reserved

  33-31-217 through 33-31-220 reserved.