Title 26 — Title 26 — Insurance Code
56 chapters · 1,242 sections in this title.
W.S. § 26-43-101 (a) Definitions
4.3K chars
(a) Definitions. As used in this act: (i) 26-43-112; "Account" means the account provided by W.S. (ii) "Administrator" means the insurer, insurers or third party administrator or administrators selected pursuant to W.S. 26-43-104(a) to administer the pool; (iii) "Board" means the…
W.S. § 26-43-102 Operation of the pool; board membership; board powers and duties
5.1K chars
Operation of the pool; board membership; board powers and duties. (a) There is created a nonprofit entity known as the Wyoming health insurance pool. All insurers issuing health insurance in this state and to the extent not preempted by federal law, insurance arrangements providi…
W.S. § 26-43-103 Eligibility
3.6K chars
Eligibility. (a) Except as provided in subsections (b) and (e) of this section, any individual person who is a resident of this state is eligible for pool coverage under eligibility level one (1) or eligibility level two (2) if evidence of the following is provided: (i) Rejection…
W.S. § 26-43-104 Administrator
2.3K chars
Administrator. (a) The board shall select an insurer, insurers or a third party administrator or administrators through a competitive bidding process to administer the pool. The board shall evaluate bids based on criteria established by the board which shall include but are not l…
W.S. § 26-43-105 Assessments; premium tax credit
5.2K chars
Assessments; premium tax credit. (a) After each calendar year, the administrator shall determine the pool net premiums which are premiums less administrative expense allowances, the pool administrative expenses and the pool incurred losses for the calendar year considering invest…
W.S. § 26-43-106 Minimum benefits; limitations
2.1K chars
Minimum benefits; limitations. (a) Pool coverage shall be offered to eligible persons subject to the termination and disenrollment provisions of W.S 26-43-103(e). The commissioner shall establish by rule and regulation the pool coverage, its schedule of benefits, exclusions and o…
W.S. § 26-43-107 Premiums; standard risk rate
2.2K chars
Premiums; standard risk rate. (a) Separate schedules of premium rates based on plan coverage under the pool, age, sex and geographical location may apply for individual risks. (b) The board shall determine the standard risk rate by calculating the average individual standard rate…
W.S. § 26-43-108 Preexisting conditions
0.9K chars
Preexisting conditions. (a) Pool coverage shall not exclude charges or expenses incurred for longer than the first twelve (12) months following the effective date of coverage as to any condition for which during the six (6) month period immediately preceding the effective date of…
W.S. § 26-43-109 Benefit payments reduction
0.8K chars
Benefit payments reduction. (a) Benefits otherwise payable under pool coverage are reduced by: (i) All amounts paid or payable through any other health insurance or insurance arrangement; (ii) All hospital and medical expense benefits paid or payable under any workers' compensati…
W.S. § 26-43-110 Immunity
0.3K chars
Immunity. The participation in the pool as members, the establishment of rates, forms or procedures or any other joint or collective action required by this act shall not be the basis of any legal action, criminal or civil liability or penalty against the board, the pool or pool …
W.S. § 26-43-111 Tax exemption
0.1K chars
Tax exemption. The pool established pursuant to this act is exempt from insurance premium taxes.
W.S. § 26-43-112 Account created; payments; investment
0.6K chars
Account created; payments; investment. There is created an account within the trust and agency fund in which all money received, earned or collected pursuant to this act shall be credited and continuously appropriated for the purposes of this act. All claims, costs of administrat…
W.S. § 26-43-113 Termination of provisions
0.1K chars
Termination of provisions. This act is not effective after June 30, 2030.
W.S. § 26-43-114 Enrollment capacity planning
0.7K chars
Enrollment capacity planning. The board shall annually estimate the funds available to the plan through premiums, assessments and legislative appropriations for the subsequent fiscal year and shall determine the maximum number of individuals who may be enrolled for that year with…
W.S. § 26-43-201 Repealed by Laws 2010, ch
0.0K chars
Repealed by Laws 2010, ch. 96, § 1.
W.S. § 26-43-202 Repealed by Laws 2010, ch
0.0K chars
Repealed by Laws 2010, ch. 96, § 1.
W.S. § 26-43-203 Repealed by Laws 2010, ch
0.0K chars
Repealed by Laws 2010, ch. 96, § 1.
W.S. § 26-43-204 Repealed by Laws 2010, ch
0.0K chars
Repealed by Laws 2010, ch. 96, § 1.
W.S. § 26-43-205 Repealed by Laws 2010, ch
0.0K chars
Repealed by Laws 2010, ch. 96, § 1.
W.S. § 26-43-206 Repealed by Laws 2010, ch
0.0K chars
Repealed by Laws 2010, ch. 96, § 1.
W.S. § 26-43-207 Repealed by Laws 2021, ch
0.0K chars
Repealed by Laws 2021, ch. 149, § 3.
W.S. § 26-43-301 Definitions; applicability
1.1K chars
Definitions; applicability. (a) As used in this article, "air ambulance membership organization" means an entity that, in exchange for fees, dues, charges or other consideration, provides: (i) Discounts to members for the cost of services the organization provides as an air ambul…
W.S. § 26-43-302 Air ambulance membership organizations; certificate of registration; application
2.3K chars
Air ambulance membership organizations; certificate of registration; application. (a) An air ambulance membership organization shall obtain a certificate of registration from the commissioner before operating as an air ambulance membership organization in Wyoming. (b) An air ambu…
W.S. § 26-43-303 Certificate of registration; renewal; suspension; revocation
4.3K chars
Certificate of registration; renewal; suspension; revocation. (a) Not less than ninety (90) days before a certificate of registration expires, an air ambulance membership organization seeking to maintain its registration shall submit a renewal application on a form prescribed by …
W.S. § 26-43-304 Air ambulance membership organizations; powers and duties of the commissioner; rulemaking; costs
1.1K chars
Air ambulance membership organizations; powers and duties of the commissioner; rulemaking; costs. (a) The commissioner is authorized to: (i) Examine or investigate the affairs of an air ambulance membership organization to ensure compliance with the provisions of this article; (i…
W.S. § 26-43-305 Charges authorized; written agreements required; cancellation of memberships; duties
3.1K chars
Charges authorized; written agreements required; cancellation of memberships; duties. (a) An air ambulance membership organization may assess a periodic charge and a reasonable one-time application processing fee to its members. (b) All terms and conditions for memberships of an …
W.S. § 26-43-306 Violations; unfair trade practices; penalties
0.3K chars
Violations; unfair trade practices; penalties. In addition to any penalties and other enforcement of this article, any person who willfully violates any provision of this article may be subject to a civil penalty not to exceed one thousand dollars ($1,000.00) for each willful vio…
W.S. § 26-43-307 penalties
2.2K chars
penalties. Reporting requirements; notice to commissioner; (a) Not less than ninety (90) days before expiration of a certificate of registration, an air ambulance membership organization seeking renewal of its certificate of registration shall submit an annual report to the commi…
W.S. § 26-43-308 disclosures
4.4K chars
disclosures. Advertisements; marketing; required (a) All advertisements, marketing materials, brochures, air ambulance membership cards, presentations and any other communications of an air ambulance membership organization shall be truthful and not misleading in fact or in impli…