reglab/housing_qa huggingface dataset:
MO Rev Stat § 354.627 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.627 - Liability of a health carrier, when.

Effective - 28 Aug 1997   354.627. Liability of a health carrier, when. — 1. The executing of a contract by a health carrier shall not relieve the health carrier of its liability to any person with whom it has contracted for the provision of services, or of its responsibility for compliance with the law or applicable regulations.  2. All contracts shall be in writing and may be subject to review by the department of commerce and insurance.  3. All contracts shall comply with applicable requirements of the law and applicable regulations. ­­-------- (L. 1997 H.B. 335)
MO Rev Stat § 354.636 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.636 - Contract requirements after January 1, 1998.

Effective - 28 Aug 1997   354.636. Contract requirements after January 1, 1998. — All provider and intermediary contracts delivered, issued for delivery, continued or renewed on or after January 1, 1998, shall comply with sections 354.600 to 354.636 unless otherwise provided by sections 354.600 to 354.636. ­­-------- (L. 1997 H.B. 335)
MO Rev Stat § 354.650 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.650 - Definitions.

Effective - 28 Aug 1998   354.650. Definitions. — As used in sections 354.650 to 354.658, the following terms mean:  (1) "Department", the department of health and senior services;  (2) "Essential community provider", an individual physician, licensed pursuant to the provisions of chapter 334, who meets the requirements set forth in section 354.652;  (3) "Health care insurer", any health maintenance organization licensed in the state of Missouri;  (4) "Health professional shortage area", an area designated by the Secretary of Health and Human Services as such pursuant to the guidelines established in Section 332(a)(1)(A) of the Public Service Act;  (5) "Medically underserved area", an area designated by the Secretary of Health and Human Services as such pursuant to the guidelines established in Section 42 U.S.C. 254c(b)(3);  (6) "Medically underserved population", eligible persons designated by the Secretary of Health and Human Services as such pursuant to the guidelines established in 42 U.S.C. 254c(b)(3);  (7) "National committee for quality assurance", a private not-for-profit organization created to promote improvements in the quality of patient care provided through managed care plans. The committee's primary function is to develop and provide oversight processes, performance measurement and accreditation for health plans, and to provide information on quality to the public, consumers, purchasers, health plans and other relevant parties;  (8) "Principal site", the private office of a primary care or specialist physician located within a medically underserved area or health professional shortage area in which initial patient care appointments, routine patient care examinations, routine patient treatments and patient care follow-up occur. The term "principal site" shall not include hospitals, laboratories, nursing homes, hospice centers, surgical centers and federally funded clinics. ­­-------- (L. 1998 H.B. 1302 § 1)
MO Rev Stat § 354.652 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.652 - Designation as essential community provider, procedure, qualifications.

Effective - 28 Aug 1998   354.652. Designation as essential community provider, procedure, qualifications. — Any physician seeking a designation as an essential community provider shall:  (1) Apply to the director of the department;  (2) Document to the department that at least forty percent of the physician's practice is comprised of:  (a) Medicaid or uninsured patients, or both; or  (b) A combination of paragraph (a) and Medicare or underinsured patients, or both;  (3) Serve a medically underserved area or a health professional shortage area;  (4) Serve a medically underserved population;  (5) Spend at least twenty hours per week at a principal site;  (6) Be available to a medically underserved population on evenings and weekends at a principal site;  (7) Hold hospital staff privileges with a participating network hospital of the health care insurer;  (8) Not be a direct employee of a health care insurer, a for-profit or a not-for-profit hospital or health services corporation; and  (9) Meet the following quality standards in accordance with guidelines established by the National Committee for Quality Assurance:  (a) A current valid license to practice;  (b) Clinical privileges in good standing at the hospital designated by the physician as the primary admitting facility;  (c) A valid Drug Enforcement Agency or Controlled Dangerous Substances certificate, if applicable;  (d) Graduation from medical school, and completion of a residency or board certification if applicable;  (e) Work history;  (f) Current adequate malpractice insurance according to the managed care organization's policy; and  (g) Professional liability claims history. ­­-------- (L. 1998 H.B. 1302 § 2)
MO Rev Stat § 354.654 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.654 - Department of health and senior services, duties — rulemaking authority.

Effective - 28 Aug 1998   354.654. Department of health and senior services, duties — rulemaking authority. — 1. The department of health and senior services shall issue a letter of designation as an essential community provider to any physician who makes a written request and application to the department if such physician meets the qualifications of an essential community provider pursuant to the provisions of section 354.652.  2. The department shall keep the names and addresses of all essential community providers on record and shall release such information upon request.  3. The department shall promulgate rules and regulations for the administration of this section. Any rule or portion of a rule, as that term is defined in section 536.010, that is promulgated under the authority of this section, shall become effective only if the agency has fully complied with all of the requirements of chapter 536 including but not limited to, section 536.028, if applicable, after August 28, 1998. All rulemaking authority delegated prior to August 28, 1998, is of no force and effect and repealed as of August 28, 1998, however nothing in this act* shall be interpreted to repeal or affect the validity of any rule adopted and promulgated prior to August 28, 1998. If the provisions of section 536.028 apply, the provisions of this section are nonseverable and if any of the powers vested with the general assembly pursuant to section 536.028 to review, to delay the effective date, or to disapprove and annul a rule or portion of a rule are held unconstitutional or invalid, the purported grant of rulemaking authority and any rule so proposed and contained in the order of rulemaking shall be invalid and void, except that nothing in this act* shall affect the validity of any rule adopted and promulgated prior to August 28, 1998. ­­-------- (L. 1998 H.B. 1302 § 3)   *"This act" (H.B. 1302, 1998) contained numerous sections. Consult Disposition of Sections table for a definitive listing.
MO Rev Stat § 354.656 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.656 - Inclusion of essential community providers in health care network, exceptions.

Effective - 28 Aug 1998   354.656. Inclusion of essential community providers in health care network, exceptions. — 1. Any health care insurer offering or marketing a group policy, plan or contract for health care services in an area designated pursuant to subdivision (4) or (5) of section 354.650 shall allow each essential community provider in such designated area to submit an application to such health care insurer and provide a copy of the letter of designation as provided in section 354.654. No health care insurer shall be required to offer a provider contract to an essential community provider. The department of health and senior services shall receive any application submitted and certify, if qualified; except that the department shall only issue the first one thousand certificates for application to health maintenance organizations.  2. The name of each essential community provider shall appear in publications distributed to consumers or enrollees of the policy, plan or contract of all network model managed care plans if the essential community provider is a participating primary care physician.  3. Nothing in this section shall be construed to limit the ability of a health care insurer to terminate the contract of any physician for cause.  4. The requirements of this section shall not apply to a health care insurer that is a medical group/staff model health maintenance organization that provides services to its enrollees through facilities that are owned or operated by the health maintenance organization. ­­-------- (L. 1998 H.B. 1302 § 4)
MO Rev Stat § 354.658 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.658 - Designation nontransferable, site specific — annual affidavit required — notice of certain changes, required when.

Effective - 28 Aug 1998   354.658. Designation nontransferable, site specific — annual affidavit required — notice of certain changes, required when. — 1. The designation of essential community provider shall not be transferable to another physician, health care provider or entity.  2. The designation of essential community provider shall be physician and site specific and shall not be effective at a site that has not been so designated pursuant to subdivision (8) of section 354.650.  3. The essential community provider shall submit an annual affidavit to the department stating that such community provider continues to meet the qualifications for which the provider was certified. The essential community provider shall notify the department of health and senior services within thirty days of any changes which may affect the certification requirements of the essential community provider. ­­-------- (L. 1998 H.B. 1302 § 5)
MO Rev Stat § 354.700 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.700 - Definitions.

Effective - 28 Aug 1992   354.700. Definitions. — As used in sections 354.700 to 354.723, the following terms mean:  (1) "Dental care services", services included in the practice of dentistry as defined in section 332.071;  (2) "Director", the director of the department of commerce and insurance;  (3) "Enrollee", an individual who is enrolled in a prepaid dental plan as a principal subscriber together with such individual's dependents who are entitled to dental care benefits under the plan solely because of their status as dependents of the principal subscriber;  (4) "Prepaid dental plan", any contractual arrangement to provide, either directly or through arrangement with others, specified dental benefits to enrollees on a fixed prepayment basis or as a benefit of such enrollees' participation or membership in any other contract, agreement, or group or any corporation, partnership or other entity which undertakes to provide or arrange specified dental benefits on a prepayment or other basis or to indemnify for specified dental benefits;  (5) "Prepaid dental plan corporation", a corporation operating a prepaid dental plan;  (6) "Provider", any person licensed as a dentist pursuant to chapter 332. ­­-------- (L. 1987 S.B. 272 § 1, A.L. 1992 S.B. 698)
MO Rev Stat § 354.702 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.702 - Prepaid dental plans, who may offer — certificate of authority required — certain state laws not to apply.

Effective - 28 Aug 1987   354.702. Prepaid dental plans, who may offer — certificate of authority required — certain state laws not to apply. — 1. A prepaid dental plan may not be established or operated in this state, nor may membership be solicited in such a plan unless the plan is offered by a prepaid dental plan corporation licensed under sections 354.700 to 354.723. The provisions of sections 354.700 to 354.723 shall not apply to an insurance company, or health services corporation or health maintenance organization licensed to do business pursuant to the laws of the state of Missouri.  2. By January 1, 1988, any person or other legal entity that is operating a prepaid dental plan in this state must submit an application for a certificate of authority to the director. Each such applicant may continue to operate until the director acts upon the application.  3. A prepaid dental plan corporation shall not be subject to the laws of this state relating to insurance or insurance companies except as herein provided. ­­-------- (L. 1987 S.B. 272 § 2)
MO Rev Stat § 354.703 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.703 - Director may order violators to cease and desist, hearing — noncompliance, director's remedies.

Effective - 28 Aug 1989   354.703. Director may order violators to cease and desist, hearing — noncompliance, director's remedies. — 1. The director of the department of commerce and insurance may issue an order directing any person or entity to cease and desist from engaging in any act or practice in violation of sections 354.700 to 354.723. Within twenty days after service of the order to cease and desist, the respondent may request a hearing on the question of whether acts or practices in violation of sections 354.700 to 354.723, have occurred. Such hearing shall be conducted, and judicial review shall be available, as provided in chapter 536.  2. In the case of noncompliance with a cease and desist order issued pursuant to subsection 1 of this section, the director may institute a proceeding to obtain injunctive or other appropriate relief in the circuit court. ­­-------- (L. 1989 S.B. 333)
MO Rev Stat § 354.704 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.704 - Application for certificate of authority, content.

Effective - 28 Aug 1987   354.704. Application for certificate of authority, content. — An application for a certificate of authority to operate a prepaid dental plan corporation in this state shall be filed with the director on a form prescribed by the director. Such application shall be verified by an officer or authorized representative of the applicant and shall set forth, or be accompanied by, the following:  (1) A duly certified copy of the corporation's articles of incorporation or articles of association with all amendments;  (2) A copy of the corporation's bylaws or regulations governing the conduct of the internal affairs of the corporation;  (3) A list of the names, addresses, and official positions of the persons who are responsible for the conduct of the affairs of the corporation, including all members of the board of directors;  (4) A copy of any contract made or to be made between any providers and the applicant;  (5) A statement generally describing the prepaid dental plan to be offered and the corporation's facilities and personnel;  (6) A copy of contracts and contract certificates to be issued to the enrollees;  (7) A copy of any group enrollee contract which is to be issued;  (8) Financial statements showing the applicant's assets, liabilities, and sources of financial support. If the applicant's financial affairs are audited by independent certified public accountants, a copy of the applicant's most recent regular certified financial statement shall satisfy this requirement unless the director determines that additional or more recent financial information is required;  (9) A description of the proposed method of marketing the prepaid dental plan, a financial plan which includes a three-year projection of the initial operating results anticipated, and a statement as to the sources of funding;  (10) A description of the procedures to provide emergency dental benefits;  (11) A statement reasonably describing the geographic area to be served;  (12) A fee of two hundred dollars for issuance of a certificate of authority; and  (13) Such other information as the director may require. ­­-------- (L. 1987 S.B. 272 § 3)
MO Rev Stat § 354.705 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.705 - Certificate of authority granted, when.

Effective - 28 Aug 1987   354.705. Certificate of authority granted, when. — 1. Issuance of a certificate of authority shall be granted by the director if the director is satisfied that the following conditions are met:  (1) The financial requirements of sections 354.700 to 354.723 have been fulfilled;  (2) The prepaid dental plan corporation is financially responsible and may reasonably be expected to meet its obligations to enrollees and prospective enrollees;  (3) The persons responsible for conducting the affairs of the prepaid dental plan corporation are competent and trustworthy and are professionally capable of providing or arranging for the provision of services offered;  (4) The arrangement with dentists for the provision of prepaid dental care services has been deemed sufficient; and  (5) Each officer responsible for conducting the affairs of the prepaid dental plan corporation has filed with the director, subject to the director's approval, a fidelity bond in the amount of fifty thousand dollars.  2. A certificate of authority shall expire at twelve midnight on June thirtieth next following the date of issuance or renewal. If the prepaid dental plan corporation remains in compliance with sections 354.700 to 354.723 and has paid a renewal fee of fifty dollars, its certificate shall be renewed for a period of time to the next June thirtieth. ­­-------- (L. 1987 S.B. 272 § 4)
MO Rev Stat § 354.710 (2021)
2021 Missouri Revised Statutes|Title XXIII - Corporations, Associations and Partnerships|Chapter 354 - Health Services Corporations — Health Maintenance Organizations — Prepaid Dental Plans|Section 354.710 - Reserve requirements — reserve not required for prepaid dental plans funded by government — surplus requirement for prepaid dental plans in existence January 1, 1987, additional time.

Effective - 28 Aug 1997   354.710. Reserve requirements — reserve not required for prepaid dental plans funded by government — surplus requirement for prepaid dental plans in existence January 1, 1987, additional time. — 1. Every prepaid dental plan organization shall, not later than January 1, 1994, have accumulated reserves in the amount of two percent of its subscription income up to a maximum amount of one hundred fifty thousand dollars. One-third of such reserves shall be accumulated not later than January 1, 1990. Two-thirds of such reserves shall be accumulated not later than January 1, 1992. Such reserves shall constitute restricted surplus on the books of the company and shall be in addition to the deposit requirement of section 354.707. A prepaid dental plan organization shall maintain as a claim or loss reserve in cash or securities, assets sufficient to discharge all liabilities on all uncovered expenses arising under policies issued. Such liabilities on uncovered expenses shall be determined in accordance with generally accepted accounting principles for the actual contractual obligations with providers and shall not be recorded as unearned premium or deferred revenue.  2. The reserve prescribed by subsection 1 of this section shall not apply with respect to a prepaid dental plan corporation which is funded by a federal, state, or municipal government or by any political subdivision thereof and which meets the requirements of subdivision (4) of subsection 2 of section 354.707.  3. Any prepaid dental plan in existence prior to January 1, 1987, will have five years to meet the surplus requirements of subsection 1 of section 354.707. However, at no time shall the liabilities of a prepaid plan exceed its assets.  4. The reserve prescribed by subsection 1 of this section, and the fidelity bond prescribed by section 354.705, shall not be required of any prepaid dental plan operated and offered by any provider prior to August 28, 1987, which primarily serves low-income patients. ­­-------- (L. 1987 S.B. 272 § 6, A.L. 1990 H.B. 998, A.L. 1992 S.B. 698, A.L. 1997 S.B. 150)