Title XXIV — BUSINESS AND FINANCIAL INSTITUTIONS

376.1850. Exemption from insurance coverage for certain organization contracts — registration requirements — contract requirements — fee, amount — coverage. — 1. As used in this section, the following terms mean: (1) "Contract for health care benefits", a self-funded contractual …

376.190. Additional deposits required. — The director shall annually cause the registered policies and annuity bonds of each company outstanding and in force to be carefully valued, and whenever the total of the actual net value of such policies and annuity bonds exceeds the mark…

376.1900. Definitions — reimbursement for telehealth services, when. — 1. As used in this section, the following terms shall mean: (1) "Electronic visit", or "e-visit", an online electronic medical evaluation and management service completed using a secured web-based or similar e…

376.200. Definition of net value. — The term "net value" of any such registered policy or annuity bond as used in sections 376.010 to 376.670 shall be the total of the various reserve values thereof as defined by section 376.370, as same now is or as same may be subsequently amen…

376.2000. Citation of law — definitions. — 1. Sections 376.2000 to 376.2014 shall be known and may be cited as the "Health Insurance Marketplace Innovation Act of 2013". 2. As used in sections 376.2000 to 376.2014, the following terms mean: (1) "Department", the department of com…

376.2002. Navigators, license required — permitted acts — prohibited acts — exemptions. — 1. No individual or entity shall perform, offer to perform, or advertise any service as a navigator in this state, or receive navigator funding from the state or an exchange unless licensed …

376.2004. Application procedure. — 1. An individual applying for a navigator license shall make application to the department on a form developed by the director and declare under penalty of refusal, suspension, or revocation of the license that the statements made in the applica…

376.2006. Term of licensure — renewal — continuing education. — 1. A navigator license shall be valid for two years. 2. A navigator may file an application for renewal of a license and pay the renewal fee as prescribed by the director. Any navigator who fails to timely file for l…

376.2008. Consultation with licensed insurance producer, navigator to advise, when. — Upon contact with a person who acknowledges having existing health insurance coverage obtained through an insurance producer, a navigator shall advise the person to consult with a licensed insur…

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 dollar…

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 …

376.2012. 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 …

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 b…

*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 f…

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) "Hea…

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 utilizatio…

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 …

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)

376.2051. Definitions. — As used in sections 376.2050 to 376.2053, the following terms mean: (1) "Asymmetric conduct", an insurer's use of the death master file prior to January 1, 2018, in connection with searching for information regarding whether annuitants under the insurer's…

376.2052. Comparison of in-force policies to death master file — violation deemed an unfair trade practice. — 1. An insurer shall perform a comparison of its in-force life insurance policies, contracts, and retained asset accounts against a death master file on at least a semiann…

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 acc…

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…

376.210. Excess deposits. — Whenever the aggregate market value of the securities deposited by any company shall exceed the net reserve liability of the company on all of its registered policies and annuity bonds, the excess may be returned to the company, or, whenever the liabil…

376.220. May use realty to secure notes and bonds. — Should any company depositing under section 376.170 become the owner of real estate for its own use and accommodations, or become temporarily seized and possessed of real estate in satisfaction of debt for which such real estat…

376.230. Changing of securities on deposit. — Any company shall have the right at any time to change the securities on deposit with the director of the department of commerce and insurance by substituting a like amount of the character required in the first instance and to withdr…

376.240. Deposits to be held in trust by director. — The securities deposited under the provisions of section 376.170 shall be legally transferred to the director of the department of commerce and insurance, and so large an amount thereof as may be necessary to equal, at all time…

376.250. Deposits to be kept separate. — The securities deposited under section 376.170 shall be deposited and kept in the same manner, but separate from other deposits of the company. ­­-------- (RSMo 1939 § 5822) Prior revisions: 1929 § 5711; 1919 § 6122; 1909 § 6916

376.260. Fees collected by director of revenue. — The director of revenue, in addition to other fees allowed by law, shall be entitled to collect the following fees, including seal, from companies depositing under section 376.170: For issuing certificates of deposits, which he is…

376.270. Director may proceed against depositary companies. — If at any time the affairs of any life insurance company which has deposited securities under section 376.170 shall, in the opinion of the director, appear in such condition as to render the issuing of additional polic…

376.280. Capital necessary to do business — how invested. — 1. No joint stock or stock and mutual company formed under the provisions of sections 376.010 to 376.670, or the laws of this state, for any purpose mentioned in section 376.010, shall commence to do business or issue po…

376.290. Deposit and transfer of securities. — No existing company organized under any general or special law of this state, and transacting business of the character designated in section 376.010, nor any company organized under sections 376.010 to 376.670, shall commence, conti…

376.291. Applicability and inapplicability. — Sections 376.291 to 376.307 shall apply only to investments and investment practices of domestic insurers organized under the provisions of this chapter. Sections 376.291 to 376.307 shall not apply to separate accounts of an insurer e…

376.292. Definitions. — As used in sections 376.291 to 376.307, the following terms mean: (1) "Acceptable collateral", as to securities lending repurchase and reverse repurchase transactions, any financial assets of a type for which, when taken as collateral by an insurer in such…

376.293. Permissible investments — written plan for investments required. — 1. (1) Insurers may acquire, hold, or invest in investments or engage in investment practices as set forth in this chapter or section 375.345. Insurers may also acquire, hold, or invest in investments not…

376.294. Prohibited acts. — 1. An insurer shall not directly or indirectly: (1) Invest in an obligation or security or make a guarantee for the benefit of or in favor of an officer or director of the insurer except as provided in section 376.295; (2) Invest in an obligation or se…

376.295. Additional prohibited acts — authorized actions. — 1. (1) Except as provided in subsection 2 of this section, an insurer shall not without written approval of the director, directly or indirectly: (a) Make a loan to or other investment in an officer or director of the in…

376.296. Value of investments, how calculated. — The value or amount of an investment acquired or held or an investment practice engaged in under this chapter, unless otherwise specified in this code, shall be the value at which assets of an insurer are required to be reported fo…

376.297. Investment subsidiaries not permitted, when. — 1. (1) Except as otherwise specified in this chapter, an insurer shall not acquire an investment directly or indirectly through an investment subsidiary if, as a result of and after giving effect to the investment, the insur…

376.298. Acquisition of rate credit instruments, when. — 1. Subject to the limitations of subsection 6 of this section and subsection 2 of section 376.297, an insurer may acquire rated credit instruments issued, assumed, guaranteed or issued by: (1) The United States; or (2) A go…

376.300. Equity interests permitted, when. — 1. Subject to the limitations of section 376.297, an insurer may acquire equity interests in business entities organized under the laws of any domestic jurisdiction. 2. An insurer shall not acquire an investment under this section if a…

376.301. Tangible personal property interests permitted, when. — 1. (1) Subject to the limitations of section 376.297, an insurer may acquire tangible personal property or equity interest therein located or used wholly or in part within a domestic jurisdiction directly or indirec…

376.302. Mortgage interests, may be acquired, when — other real estate interests. — 1. (1) Subject to the limitations of section 376.297, an insurer may acquire directly or indirectly through limited partnership interests and general partnership interests not otherwise prohibited…

376.303. Lending and repurchase, permitted when. — An insurer may enter into securities lending, repurchase, reverse repurchase, and dollar-roll transactions with business entities subject to the following requirements: (1) The insurer's board of directors shall adopt a written p…

376.304. Acquisition of foreign investments, when. — 1. Subject to the limitations of section 376.297, an insurer may acquire foreign investments or engage in investment practices with persons of or in foreign jurisdictions of substantially the same types as those that an insurer…

376.305. Rulemaking authority. — The director may promulgate rules to implement the provisions of sections 376.291 to 376.307. 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 eff…

376.306. Cash surrender value, life insurer may lend to policyholder, when. — A life insurer may lend to a policyholder on the security of the cash surrender value of the policyholder's policy a sum not to exceed the legal reserve that the insurer is required to maintain on the p…

376.307. Limits on acquisition of certain investments. — 1. Solely for the purpose of acquiring investments that exceed the quantitative limitations of sections 376.297 to 376.304, an insurer may acquire under this subsection an investment, or engage in investment practices descr…

376.308. Secondary mortgage market act, not to preempt health insurer, when. — No requirement for the making of any investment or holding any asset by an insurer, health services corporation, health maintenance organization or other entity regulated by the department of commerce …

376.309. Separate account defined — establishment of account and special voting or control rights authorized — approved investments — approval of director required. — 1. As used in this section, "separate account" means an account established by an insurance company, into which a…

376.310. Investment of surplus and reserve funds by foreign companies. — Any life insurance company organized under the laws of another state, and admitted to do business in the state of Missouri, shall have power to invest its capital, reserve and surplus funds in the same manne…