56 chapters · 1,242 sections in this title.
W.S. § 26-22-101 Reimbursement for health services provided by licensed practitioner or registered dietitian not to be denied
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Reimbursement for health services provided by licensed practitioner or registered dietitian not to be denied. (a) Notwithstanding any provision of any medical service contract or policy of disability insurance or certificate to the contrary if a medical service contract or insura…
W.S. § 26-22-102 Requirements of accident and sickness insurance to tax supported institutions
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Requirements of accident and sickness insurance to tax supported institutions. (a) No individual or group policy of accident and sickness insurance delivered or issued for delivery to any person in this state which provides coverage for mental illness or intellectual disability o…
W.S. § 26-22-103 Applicability; compliance by use of endorsements or riders
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Applicability; compliance by use of endorsements or riders. W.S. 26-22-102 and this section apply to all accident and sickness policies issued and delivered in the state or issued for delivery in the state after January 1, 1976, but do not apply to any policies issued and deliver…
W.S. § 26-22-104 Reimbursement for health care; includes health care by psychologists
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Reimbursement for health care; includes health care by psychologists. Notwithstanding any provisions in policies or contracts or certificates issued as evidence thereof which might be construed to the contrary, from and after July 1, 1985, all individual and group or blanket poli…
W.S. § 26-22-201 Group health insurance conversion
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Group health insurance conversion. A group policy or certificate delivered or issued for delivery in this state which provides hospital, surgical or major medical expense insurance, or any combination of these coverages, on an expense incurred basis, but not a policy which provid…
W.S. § 26-22-202 Issuance of a converted policy; conditions
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Issuance of a converted policy; conditions. (a) Issuance of a converted policy is subject to the following conditions: (i) Written application for the converted policy shall be made and the first premium paid to the insurer not later than thirty-one (31) days after termination of…
W.S. § 26-22-301 Prepaid hospital, medical-surgical or other health service plans subject to provisions of code; exceptions
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Prepaid hospital, medical-surgical or other health service plans subject to provisions of code; exceptions. (a) Any corporation which establishes, maintains or operates prepaid hospital, medical-surgical or other health service plans, or combination thereof, in which hospital, me…
W.S. § 26-22-401 Required provision of individual or group policy or contract
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Required provision of individual or group policy or contract. (a) Any individual or group hospital or medical expense insurance policy or hospital service plan contract or medical service plan contract, delivered or issued for delivery in this state which provides that coverage o…
W.S. § 26-22-501 Short title
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Short title. This article is known and may be cited as the "Health Care Reimbursement Reform Act of 1985".
W.S. § 26-22-502 (a) Definitions
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(a) Definitions. As used in this article: (i) "Group" means any individual, partnership or corporation employing individuals in any occupation, or any labor union or other association representing such individuals if those individuals would qualify as an eligible group under W.S.…
W.S. § 26-22-503 Policies with incentives or limits on reimbursement authorized; conditions
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Policies with incentives or limits on reimbursement authorized; conditions. (a) Notwithstanding any other provision of law to the contrary: (i) Any provider may enter into a written agreement with any group or insurer relating to health care services which may be rendered to insu…
W.S. § 26-22-504 services
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services. Refusal to contract or compensate for covered An insurer shall not refuse to contract with or compensate for covered services an otherwise eligible health care provider solely because that provider has in good faith communicated with one (1) or more of his current, form…
W.S. § 26-22-505 Dental insurance; limitation on fee schedules for noncovered services; definition; applicability
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Dental insurance; limitation on fee schedules for noncovered services; definition; applicability. (a) No person or entity contracting with dentists to provide coverage or reimbursement for dental services shall require a dentist to provide services at a fee set by the contract, a…
W.S. § 26-22-506 Third party access to network contracts; dental care service plans; waiver prohibited; definitions
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Third party access to network contracts; dental care service plans; waiver prohibited; definitions. (a) As used in this section: (i) "Contracting entity" means any person that enters into a contract with a dental care provider for the delivery of dental care services; (ii) "Cover…