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27-1-11
Section 27-1-11 Dentists and dental hygienists as "physicians" under health or accident
insurance policies. Whenever the terms "physician" and/or "doctor" are
used in any policy of health or accident insurance issued in this state or in any contract
for the provision of health care, services, or benefits issued by any health, medical or other
service corporation existing under, and by virtue of any laws of this state, said terms shall
include within their meaning those persons licensed under and in accordance with Chapter 9
of Title 34 in respect to any care, services, procedures, or benefits covered by said policy
of insurance or health care contract which the said persons are licensed to perform, any provisions
in any such policy of insurance or health care contract to the contrary notwithstanding. This
section shall be applicable to all policies in this state, regardless of date of issue, on
October 10, 1975. (Acts 1975, No. 1241, p. 2607, §1.)...
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22-6-150
Section 22-6-150 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) ALTERNATE CARE PROVIDER. A contractor, other than a regional care
organization, that agrees to provide a comprehensive package of Medicaid benefits to Medicaid
beneficiaries in a defined region of the state pursuant to a risk contract. (2) CAPITATION
PAYMENT. A payment the state Medicaid Agency makes periodically to a contractor on behalf
of each recipient enrolled under a contract for the provision of medical services. (3) CARE
DELIVERY SYSTEM. The manner in which the benefits and services set forth in the state Medicaid
plan are provided to Medicaid beneficiaries. (4) COLLABORATOR. A private health carrier, third
party purchaser, provider, health care center, health care facility, state and local governmental
entity, or other public payers, corporations, individuals, and consumers who are expecting
to collectively cooperate, negotiate, or contract with another...
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27-17-16
Section 27-17-16 Valuation of life insurance reserve liabilities for burial insurance policies;
increase in amount of insurance; minimum standards for valuation; notice to commissioner as
to change in valuation standards; increase in retail value, nonforfeiture value, and cash
surrender value; construction with other laws. (a) Except as hereinafter provided, any authorized
insurer who issues or has heretofore issued "burial insurance" in this state shall
value the life insurance reserve liabilities for such policies (hereinafter "burial reserves")
in accordance with the provisions of Section 27-36-7. (b) An insurer shall increase the amount
of insurance on which its burial reserves are based, not to exceed the retail value of such
benefits as stated in the policies, when appropriate to reflect an increase in the costs to
the insurer of providing the policy benefits. When an insurer shall increase the amount of
insurance for this purpose, it shall be permitted to change the assumed...
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27-22A-6
Section 27-22A-6 Termination of portable electronics insurance. Notwithstanding any other provision
of law: (1) An insurer may terminate or otherwise change the terms and conditions of a policy
of portable electronics insurance only upon providing the policyholder and enrolled customers
with at least 30 days' notice. (2) If the insurer changes the terms and conditions, then the
insurer shall provide the vendor policyholder with a revised policy or endorsement and each
enrolled customer with a revised certificate, endorsement, updated brochure, or other evidence
indicating a change in the terms and conditions has occurred and a summary of material changes.
(3) Notwithstanding subdivision (1) of this section, an insurer may terminate an enrolled
customer's enrollment under a portable electronics insurance policy upon 15 days' notice for
discovery of fraud or material misrepresentation in obtaining coverage or in the presentation
of a claim thereunder. (4) Notwithstanding subdivision (1)...
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32-7-22
Section 32-7-22 Motor vehicle liability policy defined; policy provisions. (a) A motor vehicle
liability policy, as the term is used in this chapter, means an owner's or an operator's policy
of liability insurance, certified as provided in Section 32-7-20 or Section 32-7-21 as proof
of financial responsibility, and issued, except as otherwise provided in Section 32-7-21,
by an insurance carrier duly authorized to transact business in this state, to or for the
benefit of the person named in the policy as insured. (b) The owner's policy of liability
insurance: (1) Shall designate by explicit description or by appropriate reference all motor
vehicles to be insured; and (2) Shall insure the person named in the policy and any other
person, as insured, using any motor vehicle or motor vehicles designated in the policy with
the express or implied permission of the named insured, against loss from the liability imposed
by law for damages arising out of the ownership, maintenance, or use of...
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22-5A-3
Section 22-5A-3 Duties of State Ombudsman and department. The State Ombudsman and the department
are hereby authorized to investigate complaints concerning health care, domiciliary and residential
care facilities. The State Ombudsman shall promote the well-being and quality of life of long-term
residential health care recipients and encourage the development of community ombudsman activities
at the local level. After appropriate training and approval by the department, community ombudsmen
shall be certified by the department and shall have the powers and responsibilities set forth
in Sections 22-5A-4 and 22-5A-6, subject to the procedures established by the State Ombudsman
pursuant to Section 22-5A-5. The State Ombudsman shall submit to the department an annual
written report documenting the kinds of complaints and problems reported so that the department
can make recommendations concerning needed policy, regulatory, and legislative changes. (Acts
1985, No. 85-657, p. 1029, §3.)...
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22-6-220
Section 22-6-220 Definitions. For the purposes of this article, the following words shall have
the following meanings: (1) CAPITATION PAYMENT. A payment the state Medicaid Agency makes
periodically to the integrated care network on behalf of each recipient enrolled under a contract
for the provision of medical services pursuant to this article. (2) COLLABORATOR. A private
health carrier, third party purchaser, provider, health care center, health care facility,
state and local governmental entity, or other public payers, corporations, individuals, and
consumers who are expecting to collectively cooperate, negotiate, or contract with another
collaborator, or integrated care network in the health care system. (3) INTEGRATED CARE NETWORK.
One or more statewide organizations of health care providers, with offices in each regional
care organization region, that contracts with the Medicaid Agency to provide Medicaid benefits
to certain Medicaid beneficiaries as defined in subdivision (4) and...
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27-18-10
Section 27-18-10 Policy provisions - Individual certificates. The group life insurance policy
shall contain a provision that the insurer will issue to the policyholder for delivery to
each person insured an individual certificate setting forth a statement as to the insurance
protection to which he is entitled, to whom the insurance benefits are payable and the rights
and conditions set forth in Sections 27-18-11, 27-18-12, and 27-18-13. (Acts 1971, No. 407,
p. 707, §416.)...
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27-19-52
Section 27-19-52 Definitions. For purposes of this article, the following terms shall have
the meaning indicated herein: (1) APPLICANT. Includes either of the following: a. In the case
of an individual Medicare supplement policy or subscriber contract, the person who seeks to
contract for insurance benefits. b. In the case of a group Medicare supplement policy or subscriber
contract, the proposed certificate holder. (2) CERTIFICATE. Any certificate issued under a
group Medicare supplement policy, which policy has been delivered or issued for delivery in
this state. (3) CERTIFICATE FORM. The form on which the certificate is delivered or issued
for delivery by the issuer. (4) ISSUER. Insurance companies, fraternal benefit societies,
health care service plans, health maintenance organizations, and any other entity delivering
or issuing for delivery in this state Medicare supplement policies or certificates. (5) MEDICARE.
The "Health Insurance for the Aged Act," Title XVIII of the Social...
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27-19A-6
Section 27-19A-6 Dental benefits not required. The provisions of this chapter do not mandate
that any type of benefits for dental care expenses be provided by a health insurance policy
or an employee benefit plan. (Acts 1984, No. 84-411, p. 960, §5.)...
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