reglab/housing_qa huggingface dataset:
MO Rev Stat § 354.464 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.464 - Names not authorized for use, exceptions.

Effective - 28 Aug 2007   354.464. Names not authorized for use, exceptions. — No health maintenance organization, unless licensed as an insurer, may use in its name, contracts, or literature any of the words "insurance", "casualty", "surety", "mutual", or any other words descriptive of the insurance, casualty, or surety business or deceptively similar to the name or description of any insurance or surety corporation doing business in this state when such words are deceptive or misleading. No person, if not in possession of a valid certificate of authority issued pursuant to sections 354.400 to 354.636, may use the phrase "health maintenance organization" or "HMO" in the course of its operation. ­­-------- (L. 1983 H.B. 127 § 354.460 subsec. 3, A.L. 2007 S.B. 66)
MO Rev Stat § 354.465 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.465 - Examinations by division, when — costs, how paid.

Effective - 28 Aug 2014   354.465. Examinations by division, when — costs, how paid. — 1. The director, or any duly appointed representative, may make an examination of the affairs of any health maintenance organization as often as he deems it necessary for the protection of the interests of the people of this state, but not less frequently than once every five years.  2. All costs incurred by the state as a result of making examinations under this section shall be paid by the organization being examined and remitted as provided in section 374.160. ­­-------- (L. 1983 H.B. 127, A.L. 2014 H.B. 1968)
MO Rev Stat § 354.475 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.475 - Insurance companies or health service company may organize and operate a health maintenance organization.

Effective - 28 Aug 2007   354.475. Insurance companies or health service company may organize and operate a health maintenance organization. — 1. An insurance company licensed in this state, or a health services corporation authorized to do business in this state, may directly or through a subsidiary or affiliate organize and operate a health maintenance organization under the provisions of sections 354.400 to 354.636 so long as they comply with the provisions of section 354.410 as applicable thereto. Notwithstanding any other law to the contrary, any two or more such insurance companies, health services corporations, or subsidiaries or affiliates thereof, may jointly organize and operate a health maintenance organization.  2. Notwithstanding any other provision of law pertaining to insurance and health services corporations to the contrary, an insurer or a health services corporation may contract with a health maintenance organization to provide insurance or similar protection against the cost of care provided through health maintenance organizations and to provide coverage in the event of the failure of the health maintenance organization to meet its obligations. The enrollees of a health maintenance organization shall be deemed to constitute a permissible group under such laws. Among other things, under such contracts, the insurer or health services corporation may make benefit payments to health maintenance organizations for health care services rendered by providers. ­­-------- (L. 1983 H.B. 127, A.L. 2007 S.B. 66)
MO Rev Stat § 354.480 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.480 - Rehabilitation, liquidation, or conservation, grounds, procedure — enrollee's priorities — claims, priority.

Effective - 28 Aug 1983   354.480. Rehabilitation, liquidation, or conservation, grounds, procedure — enrollee's priorities — claims, priority. — 1. Any rehabilitation, liquidation, or conservation of a health maintenance organization shall be deemed to be the rehabilitation, liquidation, or conservation of an insurance company and shall be conducted under the supervision of the director pursuant to the laws governing the rehabilitation, liquidation, or conservation of an insurance company. The director may apply for an order directing him to rehabilitate, liquidate, or conserve a health maintenance organization upon any one or more grounds set out in section* 354.355, or section 375.560, or when, in his opinion, the continued operation of the health maintenance organization would be hazardous either to the enrollees or to the people of this state. Enrollees shall have the same priority in the event of liquidation or rehabilitation granted the policyholders of an insurer.  2. A claim by a health care provider for any uncovered expenditures has priority over claims of other health care providers, provided such provider of services agrees not to assert such claim against any enrollee of the health maintenance organization. ­­-------- (L. 1983 H.B. 127)  *Word "chapter" appears in original rolls.
MO Rev Stat § 354.485 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.485 - Rules and regulations authorized.

Effective - 28 Aug 2007   354.485. Rules and regulations authorized. — The director may promulgate such reasonable rules and regulations in accordance with chapter 536 as are necessary or proper to carry out the provisions of sections 354.400 to 354.636. ­­-------- (L. 1983 H.B. 127, A.L. 2007 S.B. 66)
MO Rev Stat § 354.490 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.490 - Certificate of authority, denial, suspension or revocation, grounds — procedure.

Effective - 28 Aug 1997   354.490. Certificate of authority, denial, suspension or revocation, grounds — procedure. — 1. When the director has cause to believe that grounds for the denial of an application for a certificate of authority exist, that grounds for the suspension or revocation of a certificate of authority exist, or that grounds for the imposition of restrictions or conditions on a certificate of authority exist, the director shall notify the health maintenance organization in writing, specifically stating the grounds for denial, suspension, revocation, or conditions or restrictions and fixing a time of at least twenty days thereafter for a hearing on the matter.  2. After such hearing, or upon the failure of the health maintenance organization to appear at such hearing, the director shall take action as is deemed advisable, on the basis of written findings, which shall be mailed to the health maintenance organization. The action of the director shall be subject to review by the circuit court having jurisdiction. The court may, in disposing of the issue before it, modify, affirm, or reverse the order of the director in whole or in part.  3. The provisions of chapter 536 shall apply to proceedings pursuant to this section to the extent they are not in conflict with subsections 1 and 2 of this section. ­­-------- (L. 1983 H.B. 127, A.L. 1997 H.B. 335)
MO Rev Stat § 354.495 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.495 - Fees to be paid to director.

Effective - 01 Jan 2019, 2 histories   354.495. Fees to be paid to director. — Every health maintenance organization subject to sections 354.400 to 354.636 shall pay to the director the fees specified in section 374.230. ­­-------- (L. 1983 H.B. 127, A.L. 2007 S.B. 66, A.L. 2018 S.B. 982)  Effective 1-01-19
MO Rev Stat § 354.500 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.500 - Conferences called by director as to suspected or potential violations.

Effective - 28 Aug 2007   354.500. Conferences called by director as to suspected or potential violations. — If the director shall for any reason have cause to believe that any violation of sections 354.400 to 354.636 has occurred or is about to occur, the director may give notice to the health maintenance organization and to the representatives, or other persons who appear to be involved in such suspected violation, to arrange a conference with the alleged violators, or potential violators, or their authorized representatives, for the purpose of attempting to ascertain the facts relating to such suspected or potential violation, and, in the event it appears that any violation has occurred or is about to occur, to arrive at an adequate and effective means of correcting or preventing such violation. Proceedings under this subsection shall not be governed by any formal procedural requirements, and may be conducted in such manner as the director may deem appropriate under the circumstances. ­­-------- (L. 1983 H.B. 127, A.L. 2007 S.B. 66)
MO Rev Stat § 354.505 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.505 - Laws regulating insurance or health service corporations not to apply, exceptions.

Effective - 28 Aug 1997   354.505. Laws regulating insurance or health service corporations not to apply, exceptions. — 1. Provisions of the insurance law and provisions of health services corporation laws shall not be applicable to any health maintenance organization granted a certificate of authority under sections 354.400 to 354.636 unless made specifically applicable by statute. This provision shall not apply to an insurer or health services corporation licensed and regulated pursuant to the insurance laws of the health services corporation laws of this state except with respect to its health maintenance organization activities authorized and regulated pursuant to sections 354.400 to 354.636.  2. Solicitation of enrollees by a health maintenance organization granted a certificate of authority, or its duly authorized representatives, shall not be construed to violate any provision of law relating to solicitation or advertising by health professionals. ­­-------- (L. 1983 H.B. 127, A.L. 1997 H.B. 335)
MO Rev Stat § 354.510 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.510 - Public documents, all filings and required reports.

Effective - 28 Aug 2007   354.510. Public documents, all filings and required reports. — Unless otherwise provided, all applications, filings, and reports required under sections 354.400 to 354.636 shall be treated as public documents. ­­-------- (L. 1983 H.B. 127, A.L. 2007 S.B. 66)
MO Rev Stat § 354.515 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.515 - Confidential information, diagnosis, treatment, health of enrollees or applicants, exceptions.

Effective - 28 Aug 1997   354.515. Confidential information, diagnosis, treatment, health of enrollees or applicants, exceptions. — 1. Any data or information pertaining to the diagnosis, treatment, or health of any enrollee or applicant obtained from such person, or from any provider, by any health maintenance organization shall be held in confidence and shall not be disclosed to any person except as follows:  (1) To the extent that it may be necessary to carry out the purposes of sections 354.400 to 354.636;  (2) Upon the express consent of the enrollee or applicant;  (3) Pursuant to statute or court order for the production of evidence or the discovery thereof;  (4) In the event of a claim or litigation between such person and the health maintenance organization wherein such data or information is pertinent. A health maintenance organization shall be entitled to claim any statutory privileges against such disclosure which the provider who furnishes such information to the health maintenance organization is entitled to claim, but no such claim or privilege against disclosure may be made against the director by such health maintenance organization.  2. Every health maintenance organization shall establish and maintain procedures to ensure that all mental health records of enrollees remain confidential. Such procedures and any subsequent amendments thereto shall be filed annually with the director. ­­-------- (L. 1983 H.B. 127, A.L. 1997 H.B. 335)
MO Rev Stat § 354.520 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.520 - Mergers, consolidations, control of organization, requirements.

Effective - 28 Aug 1983   354.520. Mergers, consolidations, control of organization, requirements. — No person may take a tender for, or a request or invitation for 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, nor enter into any other agreement which if, after the consummation thereof, 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. No person may enter into an agreement to merge or consolidate with, or to otherwise 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 person has filed with the director, and has sent to the health maintenance organization, information required by chapter 382, and the offer, request, invitation, agreement, or acquisition has been approved by the director. Such approval by the director shall be governed by the provisions of chapter 382. ­­-------- (L. 1983 H.B. 127)
MO Rev Stat § 354.525 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.525 - Health provision collective bargaining agreements or contracts — charge for coverage, how determined.

Effective - 28 Aug 1983   354.525. Health provision collective bargaining agreements or contracts — charge for coverage, how determined. — No employer in this state shall be required to pay more for health benefits as a result of the application of this section than would otherwise be required by any prevailing collective bargaining agreement, or other contract, for the provision of health benefits to its employees; provided, that the employer or benefits fund shall pay to the health maintenance organization chosen by each employee or member an amount equal to the lesser of (a) the amount paid on behalf of its other employees or members for health benefits; or (b) the health maintenance organization's charge for coverage approved by the director pursuant to section 354.435. ­­-------- (L. 1983 H.B. 127)
MO Rev Stat § 354.530 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.530 - Severability clause.

Effective - 28 Aug 2007   354.530. Severability clause. — If any section, term, or provision of sections 354.400 to 354.636 shall be adjudged invalid for any reason, such judgment shall not affect, impair, or invalidate any other section, term, or provision of sections 354.400 to 354.636, but the remaining sections, terms, and provisions shall be and remain in full force and effect. ­­-------- (L. 1983 H.B. 127, A.L. 2007 S.B. 66)
MO Rev Stat § 354.536 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.536 - Continuation of dependent child coverage, when — dependent child defined.

Effective - 01 Jan 2008   354.536. Continuation of dependent child coverage, when — dependent child defined. — 1. If a health maintenance organization plan provides that coverage of a dependent child terminates upon attainment of the limiting age for dependent children, such coverage shall continue while the child is and continues to be both incapable of self-sustaining employment by reason of mental or physical handicap and chiefly dependent upon the enrollee for support and maintenance. Proof of such incapacity and dependency must be furnished to the health maintenance organization by the enrollee at least thirty-one days after the child's attainment of the limiting age. The health maintenance organization may require at reasonable intervals during the two years following the child's attainment of the limiting age subsequent proof of the child's disability and dependency. After such two-year period, the health maintenance organization may require subsequent proof not more than once each year.  2. If a health maintenance organization plan provides that coverage of a dependent child terminates upon attainment of the limiting age for dependent children, such plan, so long as it remains in force, until the dependent child attains the limiting age, shall remain in force at the option of the enrollee. The enrollee's election for continued coverage under this section shall be furnished to the health maintenance organization within thirty-one days after the child's attainment of the limiting age. As used in this subsection, a dependent child is a person who is:  (1) Unmarried and no more than twenty-five years of age; and  (2) A resident of this state; and  (3) Not provided coverage as a named subscriber, insured, enrollee, or covered person under any group or individual health benefit plan, or entitled to benefits under Title XVIII of the Social Security Act, P.L. 89-97, 42 U.S.C. Section 1395, et seq. ­­-------- (L. 2007 H.B. 818)  Effective 1-01-08
MO Rev Stat § 354.540 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.540 - Health maintenance organization of bordering states may be admitted to do business — procedure.

Effective - 28 Aug 2007   354.540. Health maintenance organization of bordering states may be admitted to do business — procedure. — A health maintenance organization approved and regulated under the laws of another bordering state may be admitted to do business in this state by satisfying the director that it is fully and legally organized under the laws of its state, and that it complies with all requirements for health maintenance organizations organized within Missouri. The director may waive or modify the provisions of sections 354.400 to 354.636 if he determines that the same are not appropriate or necessary to a particular health maintenance organization of another state. ­­-------- (L. 1983 H.B. 127, A.L. 2007 S.B. 66)
MO Rev Stat § 354.545 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.545 - Exempt plans and companies.

Effective - 28 Aug 2007   354.545. Exempt plans and companies. — The provisions of sections 354.400 to 354.636 shall not apply to any labor organization's health plan providing services established and maintained solely for its members and their dependents, and facilities of not-for-profit corporations in existence on October 1, 1980, subject either to the provisions and regulations of Section 302 of the Labor-Management Relations Act, 29 U.S.C. 186 or the Labor-Management Reporting and Disclosure Act, 29 U.S.C. 401-538. ­­-------- (L. 1983 H.B. 127, A.L. 2007 S.B. 66)
MO Rev Stat § 354.546 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.546 - Second medical opinion to be allowed by health maintenance organizations, procedure, costs.

Effective - 28 Aug 1998   354.546. Second medical opinion to be allowed by health maintenance organizations, procedure, costs. — 1. A health maintenance organization shall allow enrollees to seek a second medical opinion or consultation from the health maintenance organization's choice of other primary care physicians and specialty physicians at no additional cost to the enrollee beyond what the enrollee would otherwise pay for an initial medical opinion or consultation.  2. If an enrollee chooses to seek a second medical opinion, and if the health maintenance organization does not employ or contract with another physician with the expertise necessary to provide a second medical opinion, then the health maintenance organization shall arrange for a referral to a physician with the necessary expertise to provide a second opinion or consultation and ensure that the enrollee obtains the covered benefit at no greater cost to the enrollee than if the benefit were obtained from participating physicians. ­­-------- (L. 1998 S.B. 754)  CROSS REFERENCE:  Second medical opinions covered, when, 354.207
MO Rev Stat § 354.550 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.550 - Laws not applicable to community health companies.

Effective - 28 Aug 2007   354.550. Laws not applicable to community health companies. — The provisions of sections 354.400 to 354.636 shall not apply to community health corporations as defined by Public Law 94-63 so long as such corporations limit their activities to those described in Public Law 94-63. ­­-------- (L. 1983 H.B. 127, A.L. 2007 S.B. 66)