Missouri Administrative Code

Techniques is of a form or size that it cannot be dispensed reasonably in these containers. PURPOSE: This rule defines the minimum standards for the deliv- (E) All drugs dispensed shall be labeled in compliance with ery of various services. all state and federal laws and as a min…

subjects prepared or sponsored by any of the organizations Education for Veterinarians defined in section (8) below. The licensee must obtain written PURPOSE: This rule defines the minimum standards for continu- certification of course completion from the sponsor; ing education f…

Technicians. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 20 CSR 2270-4.060 Minimum Standards for Supervision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Denny Hoskins (1/29/26) CODE OF STATE …

PURPOSE: This rule defines the minimum standards for supervi- sion. (1) Duties of the Supervising Veterinarian— (A) The supervising veterinarian shall be responsible for determining the competency of the veterinary technician, veterinary medical candidate, temporary licensee, pro…

ble for notifying the board and returning the permit within thirty (30) days of the change in in Chapter 4 of these rules. PURPOSE: This rule outlines the procedures required to secure a permit for all veterinary ownership. The veterinarian in charge must (4) Pursuant to 340.210,…

copy of the articles of incorporation, partner- Authority: sections 340.210, RSMo Supp. Self-Inspection Procedures ship agreement, or business organization doc- 1993 and 340.264, RSMo Supp. 1992.* This uments that clearly state that the licensed vet- PURPOSE: This rule outlines t…

ance of Veterinary Practice Upon Death of Owner PURPOSE: This rule establishes a way for an individually owned veterinary practice to be continued when the owner dies. (1) Upon the demise of the licensed owner of an individually owned veterinary practice, an unlicensed spouse or …

Conduct medicine. the board, court order, or any other state or federal law, or regulation. However, this sec- PURPOSE: This rule establishes a profes- (6) Licensees shall not initiate or knowingly tion shall not apply to cases in which the vet- sional code of conduct for veterin…

dling and Disposition Procedure CSR 2270-7.030, effective Aug. 28, 2006. *Original authority: 340.210, RSMo 1992, amended 1993, 1995, 1999; 340.282, RSMo 1992; and *Original authority: 340.210, RSMo 1992, amended PURPOSE: This rule establishes a procedure 620.010.15., RSMo 1973, …

(1) All complaints shall be made in writing rary or Provisional License on an official complaint form available from the board office and shall fully identify the PURPOSE: This rule sets forth the procedure complainant by name and address. Oral or to be used for revocation of tem…

ment Rates (Rescinded January 30, 2009) AUTHORITY: sections 374.045, RSMo Supp. 1996 and 375.1000–375.1018, RSMo 1994. This rule was previously filed as 4 CSR 190-10.060(1), (8), and (9). Original rule filed Aug. 5, 1974, effective Aug. 15, 1974. Rescinded and readopted: Filed Au…

Conduct Rules (Rescinded January 30, 2009) AUTHORITY: section 374.045, RSMo Supp. 1996. This rule was previously filed as 4 CSR 190-10.080. Original rule filed Aug. 4, 1986, effective Jan. 1, 1987. Amended: Filed Oct. 1, 1996, effective June 30, 1997. Emergency rescission filed J…

mentation for Claims (Rescinded January 30, 2009) AUTHORITY: sections 374.045 and 375.930–375.948, RSMo 1986. This rule was previously filed as 4 CSR 190-10.060(2). Original rule filed Aug. 5, 1974, effective Aug. 15, 1974. Rescinded and readopted: Filed Aug. 16, 1978, effective …

(Rescinded January 30, 2009) ..............................................................3 ROBIN CARNAHAN (12/31/08) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 2—Record Retention for Market Conduct Examinations 20 CSR 300-2 Title 20—DEPARTMENT OF Oct. 30, 2005. Emer…

Replacement Vehicle (Rescinded January 30, 2009) AUTHORITY: sections 374.045, RSMo Supp. 1993 and 379.201, RSMo 1986. Original rule filed Jan. 10, 1994, effective Aug. 28, 1994. Rule declared void June 20, 1995. Rescinded: Filed June 23, 2008, effective Jan. 30, 2009. ROBIN CARNA…

for Life Insurance and Annuity Contracts 3. Single premium short duration trip or through external, violent, and accidental travel-type coverage; or means. Any benefit for accidental death or PURPOSE: This rule is intended to outline 4. Graded benefit life insurance cover- dismem…

sumption to that effect. of the state of domicile of a foreign or alien PURPOSE: This rule was adopted pursuant (G) Flexible premium policy means any insurer. to the provisions of section 374.045, RSMo variable life insurance policy other than a and implements and defines section…

Payment RSMo 1959; 377.200, RSMo 1939, amended 1949, 1967; (1) Any policy of life insurance issued in this (Rescinded November 30, 2008) 377.210, RSMo 1939; 377.220, RSMo 1939, amended 1963; 377.230–377.300, RSMo 1939; 377.310, RSMo state containing any special war risk and avi- …

cy loan made under paragraph (2)(A)2. shall Rate Provisions interest rate charged on reinstatement of pol- not exceed the higher of the following: icy loans for the period during and after any 1. The Published Monthly Average for PURPOSE: This rule establishes the terms lapse of …

Minimum Reserve Liabilities and Nonforfeiture Benefits ............................22

for Annuities .................................................................................36

Requirements .................................................................................41 20 CSR 400-1.150 Modified Guaranty Annuity ................................................................41

Determining Minimum Reserve Liabilities and Nonforfeiture Benefits............47

Reserve Liabilities and Nonforfeiture Benefits .........................................48 JOHN R. ASHCROFT (10/31/19) CODE OF STATE REGULATIONS 1 Secretary of State

Values for Life Insurance Sold with a Preneed Contract .............................49 2 CODE OF STATE REGULATIONS (10/31/19) JOHN R. ASHCROFT Secretary of State Chapter 1—Life Insurance and Annuity Standards 20 CSR 400-1 Title 20—DEPARTMENT OF a sponsoring organization or throug…

lization Review Program Documents (First Regular Session of the 89th General (J) All policies and procedures addressing Assembly 1997); the failure or inability of a provider or an PURPOSE: This rule defines the contents of 2. The health carrier obtains all infor- enrollee to pro…

Utilization Review Activities ..............................................................3 20 CSR 400-10.100 Minimum Time Allowed for a Consumer to File a Grievance .......................4

Allowed for a Consumer to File a AUTHORITY: sections 374.045 and AUTHORITY: section 374.045.1, RSMo Grievance 376.1399, RSMo 2000.* Original rule filed Supp. 1997.* Original rule filed Jan. 6, May 2, 2005, effective Dec. 30, 2005. 1998, effective July 30, 1998. PURPOSE: This rule…

After the Services Have Been Provided, Exceptions..................................4

Deemed Made When .......................................................................5 ROBIN CARNAHAN (11/30/05) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 10—Health Carrier Utilization Review Activities 20 CSR 400-10 Title 20—DEPARTMENT OF (E) The utilization revi…

and Licensing Procedures and Standards PURPOSE: This rule prescribes the applica- tion process, fees, examination, and initial training for navigators. (1) Application and Fees. Application for a navigator license shall include the following, as applicable: (A) Initial Licensure.…

for Individual Navigators tion Requirements. (A) Any individual licensed as a navigator PURPOSE: This rule establishes the contin- shall complete courses or programs of uing education requirements for individual instruction equivalent to a total of at least navigators. All forms …

Entity Navigators ..........................................................................14 JOHN R. ASHCROFT (10/31/19) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 11—Navigators 20 CSR 400-11 Title 20—DEPARTMENT OF COMMERCE AND INSURANCE Division 400—Life, Annuities…

ance Pool Transitional Plan of Operations 376.964, RSMo 1990, amended 2007, 2013; 376.965, RSMo 1991; 376.966, RSMo 1990, amended 2007, 2009, 2013; 376.968, RSMo 1990, amended 2013; 376.970, PURPOSE: This rule prescribes the transi- RSMo 1990, amended 2013; and 376.973, RSMo 1990…

subsection (5)(A), which shall not include adjustments that PURPOSE: This rule prescribes the form and content of the rate account for the morbidity of the population expected to information required to be submitted to the Missouri Department enroll in the plan. Such component fa…

ment may submit such a request in writing to PURPOSE: This rule outlines the procedures the director, outlining its qualifications. The by which the department will ensure access to director has sole discretion to determine binding arbitration when there is a dispute whether or n…

and Sickness Coverage from hospitalization, with cash benefits derived being payable daily, weekly or monthly or in any other manner. PURPOSE: This rule allows persons ten days following the date of delivery in which to examine accident or health insurance (2) No policy, rider en…

by Government Hospital hearing-aid programs, may be excluded from the definition of allowable expense. A plan which provides benefits only for any PURPOSE: This rule prohibits insurers from refusing to pay of these items of expense may limit its definition of allowable benefits u…

(Rescinded July 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

(Rescinded September 30, 2019). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 20 CSR 400-2.060 Policy Approval Criteria. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 20 CSR 400-2.065 Actual Payment as Basis …

(D) No hospital reimbursement policy may exclude payment PURPOSE: This rule specifies the criteria that must be found in for services rendered in a government or state hospital if the policies of accident and health insurance before the director insured is legally required to pay…

property and casualty insurance policy; (Rescinded September 30, 2019) (E) “Health services,” any service or product for which provision for benefits has been made under a health plan, AUTHORITY: sections 354.120, 374.045, 376.395, 376.397, 376.398, including but not limited to, …

(Rescinded September 30, 2019) to the following: John R. Ashcroft (4/30/24) CODE OF STATE REGULATIONS 13 Secretary of State DIVISION 400—LIFE, ANNUITIES 20 CSR 400-2—DEPARTMENT OF COMMERCE AND HEALTH AND INSURANCE (A) Any coverage solicited or sold in this state, whether by direc…

(Rescinded September 30, 2019). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Infection (Rescinded September 30, 2019) . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 20 CSR 400-2.130 Group Health Filings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Employers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 20 CSR 400-2.140 Speech and Hearing Disorders—Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . 23 John R. Ashcroft (4/30/24) CODE OF STATE REGUL…

(Voided: December 27, 1995) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 20 CSR 400-2.160 Mental Health Services Allowed Out-of-Network . . . . . . . . . . . . . . . . . . . . . 24 20 CSR 400-2.165 Access to Providers for Treatment of Mental He…