reglab/housing_qa huggingface dataset:
MO Rev Stat § 376.805 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.805 - Elective abortion to be by optional rider and requires additional premium — elective abortion defined — health insurance exchanges not to offer coverage for elective abortions.

Effective - 28 Aug 2010   376.805. Elective abortion to be by optional rider and requires additional premium — elective abortion defined — health insurance exchanges not to offer coverage for elective abortions. — 1. No health insurance contracts, plans, or policies delivered or issued for delivery in the state shall provide coverage for elective abortions except by an optional rider for which there must be paid an additional premium. For purposes of this section, an "elective abortion" means an abortion for any reason other than a spontaneous abortion or to prevent the death of the female upon whom the abortion is performed.  2. Subsection 1 of this section shall be applicable to all contracts, plans or policies of:  (1) All health insurers subject to this chapter; and  (2) All nonprofit hospital, medical, surgical, dental, and health service corporations subject to chapter 354; and  (3) All health maintenance organizations.  3. No health insurance exchange established within this state or any health insurance exchange administered by the federal government or its agencies within this state shall offer health insurance contracts, plans, or policies that provide coverage for elective abortions, nor shall any health insurance exchange operating within this state offer coverage for elective abortions through the purchase of an optional rider.  4. This section shall be applicable only to contracts, plans or policies written, issued, renewed or revised after September 28, 1983. For the purposes of this subsection, if new premiums are charged for a contract, plan or policy, it shall be determined to be a new contract, plan or policy. ­­-------- (L. 1983 S.B. 222 § 1, A.L. 2010 S.B. 793)   (1992) Where statute prohibits insurance coverage for elective abortion unless coverage is provided in optional rider with separate premium, it does not impose an undue burden on a woman's abortion decision and it is rationally related to Missouri's interest in protecting the interest of citizens who object to subsidizing abortions through payment of their insurance premiums. Coe v. Melahn, 958 F.2d 223 (8th Cir.).
MO Rev Stat § 376.806 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.806 - Refund of health insurance unearned premium on notice of death of insured — refunded to whom — definitions — exception — failure to notify within one year.

Effective - 28 Aug 1991   376.806. Refund of health insurance unearned premium on notice of death of insured — refunded to whom — definitions — exception — failure to notify within one year. — 1. As used in this section, the following terms mean:  (1) "Health insurance contract", any one of the following when providing coverage to a resident of this state:  (a) Individual insurance policies providing coverage on an expense incurred basis;  (b) Individual indemnity type contracts issued by a health services corporation;  (c) Any individual contract issued by a health maintenance organization;  (d) Any self-insured health benefit plan, except to the extent preempted by federal law;  (e) Group health insurance in which the insured pays the full premium directly to the insurer, health services corporation or health maintenance corporation;  (2) "Health insurer", any entity issuing a health insurance contract.  2. A health insurer shall refund promptly any premium which it did not earn, upon notification of the death of any person covered under the health insurer's health insurance contract. The health insurer shall earn only that part of the premiums paid on behalf of the decedent which the period of coverage during which the decedent was alive bears to the whole period for which premiums were paid.  3. The refund of premiums shall be made directly to:  (1) The decedent's spouse at the time of the decedent's death;  (2) The primary insured person under the health insurance contract, if the decedent was not married at the time of death and was covered under the health insurance contract as a dependent;  (3) The decedent's estate, if neither subdivision (1) nor (2) of this subsection is applicable.  4. This section does not apply if the notification of the death of an insured person is given to the health insurer more than one year after the death of the decedent. ­­-------- (L. 1991 H.B. 561 § 1)
MO Rev Stat § 376.807 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.807 - Policies not to reduce or deny benefits to persons eligible for medical assistance — deemed primary contract.

Effective - 28 Aug 1988   376.807. Policies not to reduce or deny benefits to persons eligible for medical assistance — deemed primary contract. — 1. No contract of medical expense insurance, delivered or issued for delivery, amended or renewed in this state after August 13, 1988, by a self-insured or self-funded plan, prepaid health plan, health maintenance organization plan, health services corporation plan or insurance company licensed to issue policies in this state, shall contain any provision denying or reducing benefits because services are rendered to an insured or dependent who is eligible for or receiving medical assistance pursuant to chapter 208.  2. All such contracts shall be deemed to be the primary coverage of an insured or dependent who is eligible for or receiving medical assistance pursuant to chapter 208. ­­-------- (L. 1988 S.B. 430 § 38)
MO Rev Stat § 376.814 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.814 - Rules and regulations authorized, department of mental health to advise department — procedure.

Effective - 28 Aug 1993   376.814. Rules and regulations authorized, department of mental health to advise department — procedure. — 1. The department of commerce and insurance shall promulgate rules and regulations, pursuant to section 376.982 and chapter 536, and the department of mental health shall advise the department of commerce and insurance on the promulgation of said rules and regulations as they pertain to the development and implementation of all standards and guidelines for managed care as set out in sections 376.810 to 376.814, to ensure that all mental health services provided pursuant to sections 376.810 to 376.814 are provided in accordance with chapters 197, 334, 337, and section 630.655, provided however, that nothing in this act* shall prohibit department of mental health licensed or certified facilities or programs from using qualified mental health professionals or other specialty staff persons.  2. Any person who serves or served on a quality assessment and assurance committee required under 42 U.S.C. Sec. 1396r(b)(1)(B) and 42 CFR Sec. 483.75(r), or as amended, shall be immune from civil liability only for acts done directly as a member of such committee so long as the acts are performed in good faith, without malice and are required by the activities of such committee as defined in 42 CFR Sec. 483.75(r). ­­-------- (L. 1991 S.B. 352 § 7 subsecs. 5, 6, 7, A.L. 1993 S.B. 52)  *"This act" (S.B. 351, 1991) contained numerous sections. Consult Disposition of Sections table for a definitive listing.
MO Rev Stat § 376.816 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.816 - Adopted children to be provided health care coverage on the same basis as other dependents — effective from date of birth or on placement — placement defined.

Effective - 28 Aug 2010   376.816. Adopted children to be provided health care coverage on the same basis as other dependents — effective from date of birth or on placement — placement defined. — 1. No health carrier or health benefit plan that offers or issues health benefit plans, other than Medicaid health benefit plans, shall deliver, issue for delivery, continue, or renew a health benefit plan to a Missouri resident on or after January 1, 2011, unless the health benefit plan covers adopted children of the insured, subscriber or enrollee on the same basis as other dependents.  2. The coverage required by subsection 1 of this section is effective:  (1) From the date of birth if a petition for adoption is filed within thirty days of the birth of such child; or  (2) From the date of placement for the purpose of adoption if a petition for adoption is filed within thirty days of placement of such child. ­­Such coverage shall continue unless the placement is disrupted prior to legal adoption and the child is removed from placement. Coverage shall include the necessary care and treatment of medical conditions existing prior to the date of placement.  3. As used in this section, the following terms shall mean:  (1) "Health benefit plan", the same meaning as such term is defined in section 376.1350;  (2) "Health carrier", the same meaning as such term is defined in section 376.1350;  (3) "Placement", in the physical custody of the adoptive parent. ­­-------- (L. 1991 S.B. 352 § 8, A.L. 1998 S.B. 674, A.L. 2010 S.B. 583)
MO Rev Stat § 376.818 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.818 - Eligibility for Medicaid may not be considered by insurers.

Effective - 01 Jul 1994   376.818. Eligibility for Medicaid may not be considered by insurers. — No individual or group insurance policy providing coverage on an expense-incurred basis, no individual or group service or indemnity contract issued by a not-for-profit health services corporation, no health maintenance organization nor any self-insured group health benefit plan of any type or description shall be offered, issued or renewed in this state by any insurer on or after July 1, 1994, if any insurer, including a group health plan, as defined in section 607(1) of the federal Employee Retirement Income Security Act of 1974, takes into account that an individual is eligible for or is provided medical assistance under Medicaid (Title XIX) when enrolling an individual or in making payment for benefits to the individual or on the individual's behalf. ­­-------- (L. 1994 H.B. 1491 & 1134 merged with S.B. 508)  Effective 7-01-94
MO Rev Stat § 376.819 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.819 - MO HealthNet division to have right to payment for health care services provided.

Effective - 28 Aug 2014   376.819. MO HealthNet division to have right to payment for health care services provided. — To the extent that payment has been made by the MO HealthNet division for health care items or services furnished to a Medicaid-eligible individual, the MO HealthNet division is considered to have acquired the rights of the Medicaid-eligible individual to payment by any insurer or other party obligated to cover such health care items or services. ­­-------- (L. 1994 H.B. 1491 & 1134 merged with S.B. 508, A.L. 2014 H.B. 1299 Revision)  CROSS REFERENCE:  Subrogation rights of department of social services, liens, recovery of medical expenses, 208.215
MO Rev Stat § 376.820 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.820 - Insurers may not deny coverage of child because of marital status of parents, residence or income tax dependency claim.

Effective - 01 Jul 1994   376.820. Insurers may not deny coverage of child because of marital status of parents, residence or income tax dependency claim. — No individual or group insurance policy providing coverage on an expense-incurred basis, no individual or group service or indemnity contract issued by a not-for-profit health services corporation, no health maintenance organization nor any self-insured group health benefit plan of any type or description shall be offered, issued or renewed in this state on or after July 1, 1994, by an insurer, including a group health plan, as defined in section 607(1) of the federal Employee Retirement Income Security Act of 1974, that denies enrollment of a child under the health coverage of the child's parent on the grounds that:  (1) The child was born out of wedlock; or  (2) The child is not claimed as a dependent on the parent's federal income tax return; or  (3) The child does not reside with the parent or in the insurer's service area. ­­-------- (L. 1994 H.B. 1491 & 1134 merged with S.B. 508)  Effective 7-01-94
MO Rev Stat § 376.821 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.821 - Insurers may not cancel health or dental insurance solely because the insured is incarcerated — insurer, defined.

Effective - 28 Aug 1995   376.821. Insurers may not cancel health or dental insurance solely because the insured is incarcerated — insurer, defined. — 1. As used in this section, the term "insurer" means any person, reciprocal exchange, interinsurer, Lloyds insurer, fraternal benefit society, and any other legal entity engaged in the business of insurance, including agents, brokers, adjusters and third-party administrators. "Insurer" also includes health services corporations, health maintenance organizations, prepaid limited health care service plans, dental, optometric and other similar health service plans. For purposes of sections 375.930 to 375.948, such entities shall be deemed to be engaged in the business of insurance. "Insurer" shall also include all companies organized, incorporated or doing business under the provisions of chapters 325, 375, 376, 377, 378, 379, 381, and 383.  2. No insurer shall cancel or deny coverage on a contract or policy of health insurance or dental insurance to any person solely on the grounds that the person is incarcerated under authority of law. ­­-------- (L. 1995 H.B. 424 § 5)
MO Rev Stat § 376.823 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.823 - Prohibition on kickbacks not applicable for rebates for certain chronic illnesses.

Effective - 28 Aug 2005   376.823. Prohibition on kickbacks not applicable for rebates for certain chronic illnesses. — Section 191.905 shall not apply to programs established by pharmaceutical companies for the purposes of providing a partial rebate of private health insurance co-payments and coinsurance to patients with multiple sclerosis or other chronic, potentially disabling, or life-threatening conditions who have been prescribed disease-managing medicines for which there are no generic equivalents. ­­-------- (L. 2005 H.B. 56)
MO Rev Stat § 376.850 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.850 - Law, how cited.

Effective - 28 Aug 1989   376.850. Law, how cited. — Sections 376.850 to 376.890 may be cited as the "Missouri Medicare Supplement Insurance Act". ­­-------- (L. 1981 S.B. 347 § 1, A.L. 1989 H.B. 615 & 563)
MO Rev Stat § 376.854 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.854 - Definitions.

Effective - 26 Apr 1996   376.854. Definitions. — As used in sections 376.850 to 376.890, the following terms mean:  (1) "Applicant":  (a) In the case of an individual Medicare supplement policy, the person who seeks to contract for insurance benefits; and  (b) In the case of a group Medicare supplement policy, the proposed certificate holder;  (2) "Certificate", any certificate delivered or issued for delivery in this state under a group Medicare supplement policy;  (3) "Certificate form", the form on which the certificate is delivered or issued for delivery by the issuer;  (4) "Director", the director of the department of commerce and insurance;  (5) "Issuer" includes insurance companies, fraternal benefit societies, health care service plans, health maintenance organizations, and any other entity delivering or issuing for delivery in this state Medicare supplement policies or certificates;  (6) "Medicare", the Health Insurance for the Aged Act, Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended;  (7) "Medicare supplement policy", a group or individual policy of insurance or a subscriber contract, other than a policy issued pursuant to a contract under section 1876 of the federal Social Security Act, 42 U.S.C. section 1395, et seq., or an issued policy under a demonstration project specified in 42 U.S.C. section 1395ss(g)(1), which is advertised, marketed or designed primarily as a supplement to reimbursements under Medicare for the hospital, medical or surgical expenses of persons eligible for Medicare;  (8) "Policy form", the form on which the policy is delivered or issued for delivery by the issuer. ­­-------- (L. 1989 H.B. 615 & 563, A.L. 1992 H.B. 1574, A.L. 1996 S.B. 883)  Effective 4-26-96
MO Rev Stat § 376.859 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.859 - Medicare supplement law applicable to what policies — policies not included.

Effective - 26 Apr 1996   376.859. Medicare supplement law applicable to what policies — policies not included. — 1. Except as otherwise specifically provided, sections 376.850 to 376.890 shall apply to:  (1) All Medicare supplement policies delivered or issued for delivery in this state on or after August 28, 1992; and  (2) All certificates issued under group Medicare supplement policies, when certificates have been delivered or issued for delivery in this state.  2. Medicare supplement policies do not include a policy of one or more employers or labor organizations, or of the trustees of a fund established by one or more employers or labor organizations, or combination thereof, for employees or former employees or a combination thereof or for members or former members, or a combination thereof, of the labor organizations.  3. The provisions of sections 376.850 to 376.890 are not intended to prohibit or apply to insurance policies or health care benefit plans, including group conversion policies, provided to Medicare eligible persons when policies are not marketed or held to be Medicare supplement policies or benefit plans. ­­-------- (L. 1989 H.B. 615 & 563, A.L. 1992 H.B. 1574, A.L. 1996 S.B. 883)  Effective 4-26-96
MO Rev Stat § 376.869 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.869 - Standards for policies, minimum, director to adopt.

Effective - 26 Apr 1996   376.869. Standards for policies, minimum, director to adopt. — The director shall adopt reasonable regulations to establish minimum standards for benefits, claims payment, marketing practices, compensation arrangements and reporting practices for Medicare supplement policies. ­­-------- (L. 1989 H.B. 615 & 563, A.L. 1990 H.B. 1630, A.L. 1992 H.B. 1574, A.L. 1996 S.B. 883)  Effective 4-26-96
MO Rev Stat § 376.874 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.874 - Requirements of policy, return to policyholders.

Effective - 06 Jul 1992   376.874. Requirements of policy, return to policyholders. — Medicare supplement policies shall return to policyholders benefits which are reasonable in relation to the premium charged. The director shall issue reasonable regulations to establish minimum standards for loss ratios of Medicare supplement policies on the basis of incurred claims experience, or incurred health care expenses where coverage is provided by a health maintenance organization on a service rather than reimbursement basis, and earned premiums in accordance with accepted actuarial principles and practices. ­­-------- (L. 1989 H.B. 615 & 563, A.L. 1990 H.B. 1630, A.L. 1992 H.B. 1574)  Effective 7-06-92
MO Rev Stat § 376.879 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.879 - Outline of coverage for fair disclosure — furnished to each applicant — format and content — rules and standards.

Effective - 26 Apr 1996   376.879. Outline of coverage for fair disclosure — furnished to each applicant — format and content — rules and standards. — 1. In order to provide for full and fair disclosure in the sale of Medicare supplement policies, no Medicare supplement policy or certificate shall be delivered in this state unless an outline of coverage is delivered to the applicant at the time application is made.  2. The director shall prescribe the format and content of the outline of coverage required by subsection 1 of this section. For purposes of this section, "format" means style, arrangements and overall appearance, including such items as the size, color and prominence of type and arrangement of text and captions. Such outline of coverage shall include:  (1) A description of the principal benefits and coverage provided in the policy;  (2) A statement of the renewal provisions, including any reservation by the issuer of a right to change premiums; and disclosure of the existence of any automatic renewal premium increases based on the policyholder's age;  (3) A statement that the outline of coverage is a summary of the policy issued or applied for and that the policy should be consulted to determine governing contractual provisions.  3. The director may prescribe by regulation a standard form and the contents of an informational brochure for persons eligible for Medicare, which is intended to improve the buyer's ability to select the most appropriate coverage and improve the buyer's understanding of Medicare. Except in the case of direct response insurance policies, the director may require by regulation that the information brochure be provided to any prospective insureds eligible for Medicare concurrently with delivery of the outline of coverage. With respect to direct response insurance policies, the director may require by regulation that the prescribed brochure be provided upon request to any prospective insureds eligible for Medicare, but in no event later than the time of policy delivery.  4. The director may adopt regulations for captions or notice requirements, determined to be in the public interest and designed to inform prospective insureds that particular insurance coverages are not Medicare supplement coverages, for all accident and sickness insurance policies sold to persons eligible for Medicare, other than:  (1) Medicare supplement policies;  (2) Disability income policies.  5. The director may adopt reasonable regulations to govern the full and fair disclosure of the information in connection with the replacement of accident and sickness policies, subscriber contracts or certificates by persons eligible for Medicare. ­­-------- (L. 1989 H.B. 615 & 563, A.L. 1992 H.B. 1574, A.L. 1996 S.B. 883)  Effective 4-26-96