reglab/housing_qa huggingface dataset:
MO Rev Stat § 376.2010 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.2010 - Sanction of license, when — restitution required, when — examination and investigation of records.

Effective - 12 Jul 2013   376.2010. Sanction of license, when — restitution required, when — examination and investigation of records. — 1. The director may place on probation, suspend, revoke, or refuse to issue, renew, or reinstate a navigator license or may levy a fine not to exceed one thousand dollars for each violation, or any combination of actions, for any one or more of the causes listed in section 375.141, 375.936 or for other good cause. In the event that the action by the director is not to renew or to deny an application for a license, the director shall notify the applicant or licensee in writing and shall advise the applicant or licensee of the reason for the denial or nonrenewal. Appeal of the nonrenewal or denial of the application for a navigator license shall be made under the provisions of chapter 621.  2. In addition to imposing the penalties authorized by subsection 1 of this section, the director may require that restitution be made to any person who has suffered financial injury because of a violation of this section.  3. The director shall have the power to examine and investigate the business affairs and records of any navigator to determine whether the individual or entity has engaged or is engaging in any violation of this section.  4. The navigator license held by an entity may be suspended or revoked, renewal or reinstatement thereof may be refused, or a fine may be levied, with or without a suspension, revocation, or refusal to renew a license, if the director finds that an individual licensee's violation was known or should have been known by the employing or supervising entity and the violation was not reported to the director and no corrective action was undertaken on a timely basis. ­­-------- (L. 2013 S.B. 262)  Effective 7-12-13
MO Rev Stat § 376.2011 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.2011 - Violations, administrative orders, civil actions — penalty.

Effective - 12 Jul 2013   376.2011. Violations, administrative orders, civil actions — penalty. — 1. If the director determines that a person has engaged, is engaging, or has taken a substantial step toward engaging in an act, practice, omission, or course of business constituting a violation of sections 376.2000 to 376.2014 or a rule adopted or order issued pursuant thereto, or a person has materially aided or is materially aiding an act, practice, omission, or course of business constituting a violation in sections 376.2000 to 376.2014 or a rule adopted or order issued pursuant thereto, the director may issue such administrative orders as authorized under section 374.046.  2. If the director believes that a person has engaged, is engaging, or has taken a substantial step toward engaging in an act, practice, omission, or course of business constituting a violation of sections 376.2000 to 376.2014 or a rule adopted or order issued pursuant thereto, or that a person has materially aided or is materially aiding an act, practice, omission, or course of business constituting a violation in sections 376.2000 to 376.2014 or a rule adopted or order issued pursuant thereto, the director may maintain a civil action for relief authorized under section 374.048.  3. A violation of sections 376.2000 to 376.2014 is a level two violation under section 374.049. ­­-------- (L. 2013 S.B. 262)  Effective 7-12-13
MO Rev Stat § 376.2012 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.2012 - Navigators duty to report, when.

Effective - 12 Jul 2013   376.2012. Navigators duty to report, when. — 1. Each licensed navigator shall report to the director within thirty calendar days of the final disposition of the matter of any administrative action taken against him or her in another jurisdiction or by another governmental agency in this state. This report shall include a copy of the order, consent to order, or other relevant legal documents.  2. Within thirty days of the initial pretrial hearing date, a navigator shall report to the director any criminal prosecution of the navigator in any jurisdiction. The report shall include a copy of the initial complaint filed, the order resulting from the hearing, and any other relevant legal documents.  3. An entity that acts as a navigator that terminates the employment, engagement, affiliation, or other relationship with an individual navigator shall notify the director within twenty days following the effective date of the termination, using a format prescribed by the director if the reason for termination is one of the reasons set forth in section 375.141 or 375.936 or if the entity has knowledge that the navigator was found by a court or governmental body to have engaged in any such activities. Upon the written request of the director, the entity shall provide additional information, documents, records, or other data pertaining to the termination or activity of the individual. ­­-------- (L. 2013 S.B. 262)  Effective 7-12-13
MO Rev Stat § 376.2014 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.2014 - Applicability — severability — rulemaking authority.

Effective - 12 Jul 2013   376.2014. Applicability — severability — rulemaking authority. — 1. The requirements of sections 379.930 to 379.952 and chapters 375, 376, 407 and any related rules shall apply to navigators. The activities and duties of a navigator shall be deemed to constitute transacting the business of insurance.  2. If any provision of sections 376.2000 to 376.2014 or its application to any person or circumstance is held invalid by a court of competent jurisdiction or by federal law, the invalidity does not affect other provisions or applications of sections 376.2000 to 376.2014 that can be given effect without the invalid provision or application. The provisions of sections 376.2000 to 376.2014 are severable, and the valid provisions or applications shall remain in full force and effect.  3. The director may promulgate rules and regulations to implement and administer the provisions of sections 376.2000 to 376.2014. Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in sections 376.2000 to 376.2014 shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028. Sections 376.2000 to 376.2014 and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536 to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 2013, shall be invalid and void. ­­-------- (L. 2013 S.B. 262)  Effective 7-12-13
MO Rev Stat § 376.2020 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.2020 - Contracts prohibiting disclosure of certain payments and costs are unenforceable.

Effective - 14 Oct 2016   *376.2020. Contracts prohibiting disclosure of certain payments and costs are unenforceable. — 1. For purposes of this section, the following terms shall mean:  (1) "Contractual payment amount" or "payment amount", shall mean the total amount a health care provider is to be paid for providing a given health care service pursuant to a contract with a health carrier, and includes both the portions to be paid by the patient and by the health carrier. It is commonly referred to as the allowable amount;  (2) "Enrollee", shall have the same meaning ascribed to it in section 376.1350;  (3) "Health care provider", shall have the same meaning ascribed to it in section 376.1350;  (4) "Health care service", shall have the same meaning ascribed to it in section 376.1350;  (5) "Health carrier", shall have the same meaning ascribed to it in section 376.1350.  2. No provision in a contract in existence or entered into, amended, or renewed on or after August 28, 2016, between a health carrier and a health care provider shall be enforceable if such contractual provision prohibits, conditions, or in any way restricts any party to such contract from disclosing to an enrollee, or such person's parent or legal guardian, the contractual payment amount for a health care service if such payment amount is less than the health care provider's usual charge for the health care service, and if such contractual provision prevents the determination of the potential out-of-pocket cost for the health care service by the enrollee, parent, or legal guardian. ­­-------- (L. 2016 S.B. 608)  *Effective 10-14-16, see § 21.250. S.B. 608 was vetoed July 5, 2016. The veto was overridden on September 14, 2016.
MO Rev Stat § 376.2030 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.2030 - Definitions.

Effective - 28 Aug 2016   376.2030. Definitions. — As used in sections 376.2030 to 376.2036, the following terms mean:  (1) "Health benefit plan", the same meaning as such term is defined in section 376.1350;  (2) "Health care provider", the same meaning as such term is defined in section 376.1350;  (3) "Health carrier", the same meaning as such term is defined in section 376.1350;  (4) "Step therapy override exception determination", a determination as to whether a step therapy protocol should apply in a particular situation, or whether the step therapy protocol should be overridden in favor of immediate coverage of the health care provider's preferred prescription drug. This determination is based on a review of the patient's health care provider's request for an override, along with supporting rationale and documentation;  (5) "Step therapy override exception request", a written request from the patient's health care provider for the step therapy protocol to be overridden in favor of immediate coverage of the health care provider's preferred prescription drug. The manner and form of the written request shall be disclosed to the patient and the health care provider as described in subsection 1 of section 376.2034;  (6) "Step therapy protocol", a protocol or program that establishes the specific sequence in which prescription drugs for a specified medical condition and medically appropriate for a particular patient are to be prescribed and covered by a health carrier or health benefit plan;  (7) "Utilization review organization", an entity that conducts utilization review other than an insurer or health carrier performing utilization review for its own health benefit plans. ­­-------- (L. 2016 H.B. 2029)
MO Rev Stat § 376.2034 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.2034 - Restriction on step therapy protocol, patient to have access to override exception determination — procedure.

Effective - 28 Aug 2021, 2 histories   376.2034. Restriction on step therapy protocol, patient to have access to override exception determination — procedure. — 1. If coverage of a prescription drug for the treatment of any medical condition is restricted for use by a health carrier, health benefit plan, or utilization review organization via a step therapy protocol, a patient, through his or her health care provider, shall have access to a clear, convenient, and readily accessible process to request a step therapy override exception determination. A health carrier, health benefit plan, or utilization review organization may use its existing medical exceptions process to satisfy this requirement. The process shall be disclosed to the patient and health care provider, which shall include the necessary documentation needed to process such request and be made available on the health carrier plan or health benefit plan website.  2. A step therapy override exception determination shall be granted if the patient has tried the step therapy required prescription drugs while under his or her current or previous health insurance or health benefit plan, and such prescription drugs were discontinued due to lack of efficacy or effectiveness, diminished effect, or an adverse event, or if the patient's treating health care provider attests that coverage of the prescribed prescription drug is necessary to save the life of the patient. Pharmacy drug samples shall not be considered trial and failure of a preferred prescription drug in lieu of trying the step therapy required prescription drug.  3. The health carrier, health benefit plan, or utilization review organization may request relevant documentation from the patient or provider to support the override exception request.  4. Upon the granting of a step therapy override exception request, the health carrier, health benefit plan, or utilization review organization shall authorize dispensation of and coverage for the prescription drug prescribed by the patient's treating health care provider, provided such drug is a covered drug under such policy or contract.  5. This section shall not be construed to prevent:  (1) A health carrier, health benefit plan, or utilization review organization from requiring a patient to try a generic equivalent or other brand name drug prior to providing coverage for the requested prescription drug; or  (2) A health care provider from prescribing a prescription drug he or she determines is medically appropriate. ­­-------- (L. 2016 H.B. 2029, A.L. 2021 H.B. 432)
MO Rev Stat § 376.2036 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.2036 - Enforcement — applicability to health insurance plans, when.

Effective - 28 Aug 2016   376.2036. Enforcement — applicability to health insurance plans, when. — Notwithstanding any law to the contrary, the department of commerce and insurance shall enforce sections 376.2030 to 376.2036. The provisions of sections 376.2030 to 376.2036 shall apply to health insurance and health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2018. ­­-------- (L. 2016 H.B. 2029)
MO Rev Stat § 376.2050 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.2050 - Citation of act.

Effective - 28 Aug 2016   376.2050. Citation of act. — Sections 376.2050 to 376.2053 shall be known and may be cited as the "Unclaimed Life Insurance Benefits Act". ­­-------- (L. 2016 H.B. 2150)
MO Rev Stat § 376.2053 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.2053 - Exemption from requirements, when.

Effective - 28 Aug 2016   376.2053. Exemption from requirements, when. — An insurer that has not engaged in any asymmetric conduct prior to January 1, 2018, shall not be required to comply with the requirements of sections 376.2050 to 376.2053 with respect to any policies, contracts, or retained asset accounts that are issued and delivered in this state and that are issued or entered into prior to January 1, 2018; provided, however, that an insurer, regardless of whether it has engaged in asymmetric conduct, shall comply with the requirements of sections 376.2050 to 376.2053 for all policies, annuities, or retained asset accounts that are issued and delivered in this state and that are issued or entered into on or after January 1, 2018. ­­-------- (L. 2016 H.B. 2150)
MO Rev Stat § 376.2080 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 376 - Life, Health and Accident Insurance|Section 376.2080 - Funding agreement defined — authority to issue — rulemaking authority.

Effective - 28 Aug 2021   376.2080. Funding agreement defined — authority to issue — rulemaking authority. — 1. As used in this chapter and chapter 375, the term "funding agreement" means an agreement for an insurer to accept and accumulate funds and to make one or more payments at future dates in amounts that are not based on mortality or morbidity contingencies of the person to whom the funding agreement is issued. A funding agreement shall not be deemed to constitute a security, as such term is defined in section 409.1-102.  2. A life insurance company formed under this chapter may issue funding agreements. The issuance of a funding agreement shall be deemed to be doing insurance business.  3. The director may promulgate rules as necessary for the implementation of this section. Any rule or portion of a rule, as that term is defined in section 536.010, that is created under the authority delegated in this section shall become effective only if it complies with and is subject to all of the provisions of chapter 536 and, if applicable, section 536.028. This section and chapter 536 are nonseverable and if any of the powers vested with the general assembly pursuant to chapter 536 to review, to delay the effective date, or to disapprove and annul a rule are subsequently held unconstitutional, then the grant of rulemaking authority and any rule proposed or adopted after August 28, 2021, shall be invalid and void. ­­-------- (L. 2021 H.B. 604 merged with S.B. 6)
MO Rev Stat § 377.005 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 377 - Assessment Plan and Stipulated Premium Plan Life Insurance|Section 377.005 - Definitions.

Effective - 28 Aug 2008   377.005. Definitions. — As used in this chapter, unless otherwise clearly indicated by the context, the following words mean:  (1) "Department", the department of commerce and insurance; and  (2) "Director", the director of the department of commerce and insurance. ­­-------- (L. 2008 S.B. 788)
MO Rev Stat § 377.010 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 377 - Assessment Plan and Stipulated Premium Plan Life Insurance|Section 377.010 - Assessment plan insurance defined.

Effective - 28 Aug 1939   377.010. Assessment plan insurance defined. — Every contract whereby a benefit is to accrue to a person or persons named therein, upon the death or physical disability of a person also named therein, the payment of which said benefit is in any manner or degree dependent upon the collection of an assessment upon persons holding similar contracts, shall be deemed a contract of insurance upon the assessment plan, and the business involving the issuance of such contracts shall be carried on in this state only by duly organized corporations which shall be subject to the provisions and requirements of sections 377.010 to 377.190. ­­-------- (RSMo 1939 § 5856)  Prior revisions: 1929 § 5745; 1919 § 6155; 1909 § 6950
MO Rev Stat § 377.030 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 377 - Assessment Plan and Stipulated Premium Plan Life Insurance|Section 377.030 - Release of beneficiary fund — replacement — exemptions.

Effective - 28 Aug 1939   377.030. Release of beneficiary fund — replacement — exemptions. — 1. On written application by the board of directors, the director of the department of commerce and insurance shall release to said company from the beneficiary fund the amount herein stated for the purpose of paying policy beneficiaries as provided later herein.  2. The board of directors shall certify the names of the beneficiaries and amounts in claims to the director of the department of commerce and insurance and that the money so released is for no other purpose than to pay the claims so certified.  3. However, the amount released from this fund by the said director shall not exceed twelve thousand dollars, which shall be used solely for the purpose of paying beneficiaries.  4. Such funds so released shall be replaced on deposit by the company within twelve months in four equal installments, in three, six, nine and twelve months from the date of release. The director of the department of commerce and insurance at his own discretion may extend time of replacement of said funds, if, in his judgment it is to the best interest of the policyholders.  5. This section and section 377.020 shall not apply to companies already incorporated and existing under the laws of the state of Missouri. Nothing in sections 377.010 to 377.190 shall prevent any such company or association from engaging in both life and casualty insurance and placing both a life and casualty clause in the same policy. ­­-------- (RSMo 1939 § 5857)  Prior revisions: 1929 § 5746; 1919 § 6156; 1909 § 6951
MO Rev Stat § 377.040 (2021)
2021 Missouri Revised Statutes|Title XXIV - Business and Financial Institutions|Chapter 377 - Assessment Plan and Stipulated Premium Plan Life Insurance|Section 377.040 - Qualifications to do business.

Effective - 28 Aug 1939   377.040. Qualifications to do business. — 1. Any association, society or company duly incorporated under the laws of this state, having a bona fide membership of not less than five hundred persons in good standing, and who hold policies or certificates of insurance therein in the aggregate of not less than five hundred thousand dollars, may either reincorporate, as herein provided for incorporation, or become entitled to do business in this state under the provisions of sections 377.010 to 377.190 in the manner following: A declaration duly authorized by such corporation, attested by its president and secretary, and with its corporate seal attached, accompanied by a copy of its charter, bylaws, rules and regulations, shall be filed in the office of the director of the department of commerce and insurance showing the number of its members in good standing, the aggregate amount of insurance held by them, and that it has the amount of one full assessment upon its members paid in and deposited to its credit in bank, and that it accepts fully and unconditionally the provisions and requirements of sections 377.010 to 377.190, and will conform to and abide by the same in good faith.  2. The said director shall thereupon issue his certificate to such corporation, setting out the fact that, having complied with the provisions of sections 377.010 to 377.190 in all respects, it is then permitted and authorized to do business in this state under the supervision and control of said department, and subject to the provisions of sections 377.010 to 377.190. ­­-------- (RSMo 1939 § 5866)  Prior revisions: 1929 § 5755; 1919 § 6165; 1909 § 6960