Title 18 — Insurance Code
83 chapters · 1,008 sections in this title.
18 Del. C. § 7601. Definitions.
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§ 7601. Definitions. For purposes of this chapter: (1) The terms “affiliate,” “control,” and “subsidiary” shall have the meanings ascribed to them in § 5001 of this title. (2) “Ancillary services” includes, but is not limited to, audiology, dental, vision, mental health, substanc…
18 Del. C. § 7602. Applicability and scope.
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§ 7602. Applicability and scope. (a) This chapter applies to all discount medical plan organizations doing business in Delaware. (b) A discount medical plan organization that is a health carrier licensed pursuant to Chapter 5 of this title, a health service corporation subject to…
18 Del. C. § 7603. Licensing requirements.
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§ 7603. Licensing requirements. (a) Before doing business in this State as a discount medical plan organization, a person shall obtain a license from the Commissioner to operate as a discount medical plan organization. (b) Each application for a license to operate as a discount m…
18 Del. C. § 7604. Surety bond or deposit requirements.
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§ 7604. Surety bond or deposit requirements. (a) Each licensed discount medical plan organization shall maintain in force a surety bond in its own name in an amount not less than $50,000 to be used in the discretion of the Commissioner to protect the financial interest of members…
18 Del. C. § 7605. Examinations and investigations.
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§ 7605. Examinations and investigations. (a) The Commissioner may examine or investigate the business and affairs of any discount medical plan organization to protect the interests of the residents of Delaware. (b) An examination or investigation conducted as provided in subsecti…
18 Del. C. § 7606. Fees; refund requirements; bundling of services.
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§ 7606. Fees; refund requirements; bundling of services. (a) A discount medical plan organization may charge a periodic charge as well as a reasonable 1-time processing fee for a discount medical plan. (b) If a member cancels his or her membership in the discount medical plan org…
18 Del. C. § 7607. Form filing requirements.
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§ 7607. Form filing requirements. A discount medical plan organization shall file the initial written materials sent to new members, as described under § 7610(d) of this title, with the Delaware Insurance Commissioner prior to use. If a discount medical plan organization uses a f…
18 Del. C. § 7608. Provider agreements; provider listing requirements.
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§ 7608. Provider agreements; provider listing requirements. (a) A discount medical plan organization shall have a written provider agreement with all providers offering medical or ancillary services to its members. The written provider agreement may be entered into directly with …
18 Del. C. § 7609. Marketing requirements.
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§ 7609. Marketing requirements. (a) A discount medical plan organization may market directly or contract with other marketers for the distribution of its product. (b) The discount medical plan organization shall have an executed written agreement with a marketer prior to the mark…
18 Del. C. § 7610. Marketing restrictions and disclosure requirements.
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§ 7610. Marketing restrictions and disclosure requirements. (a) All advertisements, marketing materials, brochures, discount medical plan cards and any other communications of a discount medical plan organization provided to purchasers, prospective purchasers and members shall be…
18 Del. C. § 7611. Notice of change in name or address.
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§ 7611. Notice of change in name or address. Each discount medical plan organization shall provide the Commissioner at least 30 days notice of any change in the discount medical plan organization’s name, address, principal business address or mailing address or Internet website a…
18 Del. C. § 7612. Annual reports.
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§ 7612. Annual reports. (a) If the information required in subsection (b) of this section is not provided at the time of renewal of a license under § 7603(e) of this title, a discount medical plan organization shall file an annual report with the Commissioner in the form prescrib…
18 Del. C. § 7613. Penalties.
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§ 7613. Penalties. Section 329 and Chapter 24 of this title, relating to administrative penalties and fraud, shall apply to discount medical plan organizations.77 Del. Laws, c. 470, § 1;
18 Del. C. § 7614. Injunctions.
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§ 7614. Injunctions. (a) In addition to the penalties and other enforcement provisions of this chapter, the Commissioner may seek both temporary and permanent injunctive relief when: (1) A discount medical plan is being operated by a person or entity that is not licensed pursuant…