Chapter 4. PARTICULAR TYPES OF INSURERS  


Article 1. Domestic Stock and Mutual Insurers
Sec 20-701. Scope of article
Sec 20-702. "Mutual" insurer defined
Sec 20-703. "Stock" insurer defined
Sec 20-704. Applicability of general corporation laws
Sec 20-705. Articles of incorporation
Sec 20-706. Filing and publication of articles; appointment of agent to receive process; issuance of certificate
Sec 20-707. Amendment of articles
Sec 20-708. Limited stock insurers
Sec 20-709. Formation of mutual insurer; applications for insurance
Sec 20-710. Formation of mutuals; trust deposit of premiums; issuance of policies
Sec 20-711. Initial qualification of domestic mutual insurers
Sec 20-712. Additional kinds of insurance authorized to be issued by mutual insurer
Sec 20-713. Bylaws of mutual insurer
Sec 20-714. Quorum of members of mutual insurer
Sec 20-715. Membership in mutual insurer
Sec 20-716. Rights of mutual insurer member
Sec 20-717. Contingent liability of mutual insurer members
Sec 20-718. Enforcement of contingent liability
Sec 20-719. Issuance of nonassessable policies by mutual insurers
Sec 20-720. Revocation of authority to issue nonassessable policies
Sec 20-721. Participating policies
Sec 20-722. Stock dividends
Sec 20-723. Dividends to mutual policyholders
Sec 20-724. Illegal dividends; classification
Sec 20-725. Borrowed surplus
Sec 20-726. Prohibited interests of officers and directors in certain transactions
Sec 20-726.01. Insider trading by officers, directors and principal stockholders
Sec 20-727. Management and exclusive agency contracts
Sec 20-728. Impairment of capital or assets
Sec 20-729. Conversion of stock insurer to mutual insurer
Sec 20-730. Conversion of mutual insurer to stock insurer
Sec 20-731. Merger or consolidation of stock insurers; hearings; notice
Sec 20-732. Acceptance of reinsurance by stock insurers; definition
Sec 20-733. Merger or consolidation of mutual insurers
Sec 20-734. Acceptance of reinsurance by mutual insurers
Sec 20-735. Distribution of assets of mutual insurer upon liquidation
Sec 20-736. Transfer of direct obligations; assignment; notice; findings; approval; applicability
Article 2. Reciprocal Insurers
Sec 20-761. "Reciprocal" insurance defined
Sec 20-762. "Reciprocal insurer" defined
Sec 20-763. Scope of article
Sec 20-764. Compliance by existing insurers
Sec 20-765. Powers of reciprocal insurers
Sec 20-766. Name of insurer; designation by name as party in action
Sec 20-767. Attorney-in-fact of reciprocal insurers
Sec 20-768. Required surplus funds
Sec 20-769. Organization of reciprocal insurer
Sec 20-770. Certificate of authority
Sec 20-771. Power of attorney
Sec 20-772. Modifications of agreement
Sec 20-773. Bond of attorney
Sec 20-774. Deposit in lieu of bond of attorney
Sec 20-775. Action on bond
Sec 20-776. Service of legal process; liabilities under judgment on such service
Sec 20-777. Annual statement
Sec 20-778. Contributions to insurer
Sec 20-779. Financial condition; determination
Sec 20-780. Subscribers
Sec 20-781. Subscribers' advisory committee
Sec 20-782. Subscriber's liability
Sec 20-783. Liability of subscriber on judgment against insurer
Sec 20-784. Assessments
Sec 20-785. Time limit for assessment
Sec 20-786. Limitation on liability
Sec 20-787. Nonassessable policies
Sec 20-788. Distribution of savings
Sec 20-789. Subscriber's share in assets
Sec 20-790. Merger or conversion
Sec 20-791. Impaired reciprocal insurers
Sec 20-792. Ownership of real property
Article 3. Hospital, Medical, Dental and Optometric Service Corporations
Sec 20-821. Scope of article; rules; authority of director
Sec 20-822. Definitions
Sec 20-823. Incorporation of hospital, medical, dental and optometric service corporations
Sec 20-824. Application for certificate; fee
Sec 20-825. Certificate of authority; requirements
Sec 20-825.01. Minimum capital or surplus required; application
Sec 20-826. Subscription contracts; definitions
Sec 20-826.01. Hospital or medical service corporations; clinical trials; cancer; definitions
Sec 20-826.02. Subscription contracts; varying copayments and deductibles allowed
Sec 20-826.03. Eosinophilic gastrointestinal disorder; formula
Sec 20-826.04. Subscription contracts; autism spectrum disorder; coverage; exceptions; definitions
Sec 20-827. Participating health care professionals; definition
Sec 20-828. Deposit for protection of members
Sec 20-829. Directors
Sec 20-830. Expenses and investments
Sec 20-831. Annual statement; examination
Sec 20-832. Limitation on salaries
Sec 20-833. Relationship of health care professional and patient; financial incentives; definition
Sec 20-834. Dissolution; unfair practices
Sec 20-835. Judicial review of decisions of director
Sec 20-836. Limitation on liability
Sec 20-837. Tax exemption; exceptions
Sec 20-838. Subscribers and employees exempt from corporate indebtedness
Sec 20-839. Exemption of certain hospital plans
Sec 20-840. Continuation of existing certificates, licenses and rights
Sec 20-841. Prohibiting denial of certain contract benefits
Sec 20-841.01. Prohibiting denial of chiropractic contract benefits; direct reimbursement
Sec 20-841.02. Prohibiting denial of psychologist contract benefits
Sec 20-841.03. Prohibiting denial of contract benefits; nurses; reimbursement
Sec 20-841.04. Standing referrals to network health care professionals; definition
Sec 20-841.05. Prescription drug formulary; definitions
Sec 20-841.06. Continuity of care; definition
Sec 20-841.07. Medical supplies
Sec 20-841.08. Prohibiting denial of occupational or physical therapist contract benefits
Sec 20-841.09. Telemedicine; coverage of health care services; definitions
Sec 20-841.10. Cancer treatment medications; cost sharing; definition
Sec 20-842. Prohibition against excluding coverage because of previous tests for a condition
Sec 20-843. Eligibility; prohibiting cancellation because of eligibility for certain benefits
Sec 20-844. Right to open enrollment period; subscribers; definition
Sec 20-845. Suspension or revocation of certificate of authority; civil penalties
Sec 20-846. Individual health insurance policies; mandatory coverage exemption; definitions
Sec 20-847. Contracts; dentists; covered services; definition
Sec 20-848. Prescriptions; cost sharing; refills; dispensing fees; definition
Article 4. Fraternal Benefit Societies
Sec 20-861. Definitions
Sec 20-862. Lodge system
Sec 20-863. Representative form of government
Sec 20-864. Purposes and powers
Sec 20-865. Qualifications for membership
Sec 20-866. Location of office; publications; grievance procedure
Sec 20-867. Exemption from liability
Sec 20-868. Waiver
Sec 20-869. Organization
Sec 20-870. Amendment to society laws
Sec 20-871. Authority to maintain institutions
Sec 20-872. Reinsurance
Sec 20-873. Consolidation or merger
Sec 20-874. Conversion of fraternal benefit society to mutual life insurance company
Sec 20-875. Benefits
Sec 20-876. Beneficiaries
Sec 20-877. Benefits not attachable
Sec 20-878. Benefit contract
Sec 20-879. Nonforfeiture benefits, cash surrender value, certificate loans and other options
Sec 20-880. Investments
Sec 20-881. Funds
Sec 20-882. Applicable insurance provisions
Sec 20-883. Tax exemption; exception
Sec 20-884. Valuation
Sec 20-885. Reports
Sec 20-886. Certificate of authority; termination
Sec 20-887. Examination of societies; limitation on disclosure
Sec 20-888. Admission of foreign or alien societies
Sec 20-889. Injunction; delinquency or dissolution proceedings
Sec 20-890. Licensing of insurance producers
Sec 20-891. Unfair acts and practices
Sec 20-892. Violation; classification
Sec 20-893. Exemption of societies and associations and orders from insurance laws
Article 7. Prepaid Dental Plan Organizations
Sec 20-1001. Definitions
Sec 20-1002. Establishment of prepaid dental plan organizations
Sec 20-1003. Application for certificate of authority
Sec 20-1004. Issuance of certificate of authority
Sec 20-1005. Deposit requirement; exception
Sec 20-1006. Reserve requirement; exception
Sec 20-1006.01. Risk-based capital requirements; minimum capital and surplus
Sec 20-1007. Membership coverage by prepaid dental plan organizations
Sec 20-1008. Examination of prepaid dental plan organization
Sec 20-1009. Annual report to director
Sec 20-1010. Taxes
Sec 20-1011. Operational expenses
Sec 20-1012. Prohibited practices
Sec 20-1013. Regulation of agents
Sec 20-1014. Examination
Sec 20-1015. Suspension or revocation of certificate of authority; civil penalties
Sec 20-1016. Rehabilitation, liquidation or conservation of prepaid dental plan organization
Sec 20-1018. Advertising matter or sales materials
Sec 20-1019. Order of benefit determination for dental care
Article 8. Lloyd's Associations
Sec 20-1021. Lloyd's association defined
Sec 20-1022. Forms of insurance authorized
Sec 20-1023. "Attorney" defined; office
Sec 20-1024. Application for license; contents
Sec 20-1025. Surplus required
Sec 20-1026. Reserves for liabilities and losses
Sec 20-1027. Liability of underwriters; limitation
Sec 20-1028. Liability of additional or substituted underwriters; authority of deputy, substitute or successor attorney
Sec 20-1029. Division of profits
Sec 20-1030. Actions on policies or insurance contracts; process; judgments; costs
Sec 20-1031. Deposit required of Lloyd's association
Sec 20-1032. Revocation of license
Sec 20-1033. Laws applicable to Lloyd's association
Article 9. Health Care Services Organizations
Sec 20-1051. Definitions
Sec 20-1052. Establishment of health care services organizations
Sec 20-1052.01. Establishment of provider sponsored health care services organizations; rules; limitations
Sec 20-1053. Application for certificate of authority
Sec 20-1054. Issuance of certificate of authority
Sec 20-1055. Deposit requirement
Sec 20-1056. Reserve requirement; exception
Sec 20-1057. Evidence of coverage by health care services organizations; renewability; definitions
Sec 20-1057.01. Standing referrals to network health care professionals; definition
Sec 20-1057.02. Prescription drug formulary; definitions
Sec 20-1057.03. Chiropractic care; definitions
Sec 20-1057.04. Continuity of care; definition
Sec 20-1057.05. Medical supplies
Sec 20-1057.06. Prior authorization
Sec 20-1057.07. Health care services organizations; clinical trials; cancer; definitions
Sec 20-1057.08. Prescription contraceptive drugs and devices; definition
Sec 20-1057.09. Health care services organizations; varying copayments and deductibles allowed
Sec 20-1057.10. Eosinophilic gastrointestinal disorder; formula
Sec 20-1057.11. Health care services organizations; autism spectrum disorder; coverage; exceptions; definitions
Sec 20-1057.12. Contracts; dentists; covered services; definition
Sec 20-1057.13. Telemedicine; coverage of health care services; definitions
Sec 20-1057.14. Cancer treatment medications; cost sharing; definition
Sec 20-1057.15. Prescriptions; cost sharing; refills; dispensing fees; definition
Sec 20-1058. Examination of health care services organizations
Sec 20-1059. Annual report to director
Sec 20-1059.01. Admitted assets; health care delivery assets
Sec 20-1060. Taxes; exemption
Sec 20-1061. Prohibited practices; definition
Sec 20-1062. Regulation of agents
Sec 20-1063. Powers of insurers and hospital and medical service corporations
Sec 20-1064. Examination
Sec 20-1065. Suspension or revocation of certificate of authority; civil penalties
Sec 20-1066. Rehabilitation, liquidation or conservation of health maintenance organization
Sec 20-1068. Statutory construction and relationship to other laws
Sec 20-1069. Contingency for insolvency; plan; contents; definition
Sec 20-1069.01. Right to open enrollment period; enrollees; definitions
Sec 20-1070. Acquisitions and mergers
Sec 20-1071. Prohibition against excluding coverage because of previous tests for a condition
Sec 20-1072. Nonliability of enrollees for provider or hospital charges; penalty
Sec 20-1073. Eligibility; prohibiting cancellation because of eligibility for certain benefits
Sec 20-1074. Contract termination; duty to report; provision for continued services during insolvency; definitions
Sec 20-1075. Transactions with affiliates
Sec 20-1077. Use of freestanding urgent care centers; policies
Sec 20-1078. Rules
Sec 20-1079. Individual health insurance policies; mandatory coverage exemption; definitions
Article 10. Domestic Life and Disability Reinsurer
Sec 20-1081. Domestic life and disability reinsurer
Sec 20-1082. Definitions
Sec 20-1083. Law applicable to domestic life and disability reinsurers
Sec 20-1084. Articles of incorporation
Sec 20-1085. Capital
Sec 20-1086. Surplus
Sec 20-1087. Deposits
Sec 20-1088. Limit of risk
Sec 20-1089. Certificates of authority
Sec 20-1090. Reorganization; limitation
Sec 20-1091. Transfers to this article
Sec 20-1092. Control of assets; definition
Sec 20-1093. Reciprocity
Sec 20-1094. Approval of reinsurance agreements
Sec 20-1094.01. Reserve requirements
Article 11. Service Companies
Sec 20-1095. Definitions
Sec 20-1095.01. Service companies; permits; rules and regulations; application of laws
Sec 20-1095.02. Exemptions; definition
Sec 20-1095.03. Qualifications for permit
Sec 20-1095.04. Filing of cash, alternatives to cash or surety bond
Sec 20-1095.05. Contracts not in compliance; validity
Sec 20-1095.06. Approval of motor vehicle service contract program; requirements for approval
Sec 20-1095.07. Notification to director of intent to sell contract; sale of unapproved contract; violation; classification
Sec 20-1095.08. Nonrenewal, revocation or suspension of permit
Sec 20-1095.09. Unfair trade practices; violation of article; cease and desist order
Sec 20-1095.10. Scope and limitations of article
Article 12. Mechanical Reimbursement Reinsurers
Sec 20-1096. Definitions
Sec 20-1096.01. Formation of mechanical reimbursement reinsurer; articles of incorporation
Sec 20-1096.02. Capital
Sec 20-1096.03. Surplus
Sec 20-1096.04. Qualifications
Sec 20-1096.05. Annual reports; renewal of certificate of authority
Sec 20-1096.06. Filing of cash or alternatives to cash
Sec 20-1096.07. Reserves
Sec 20-1096.08. Nonrenewal, revocation or suspension of certificate of authority
Sec 20-1096.09. Cease and desist order; violation of article
Sec 20-1096.10. Rules and regulations
Sec 20-1096.11. Scope and limitations of article
Article 13. Prepaid Legal Insurance
Sec 20-1097. Definitions
Sec 20-1097.01. Exceptions
Sec 20-1097.02. Certificate of authority; requirements; issuance
Sec 20-1097.03. Deposit required
Sec 20-1097.04. Prepaid legal insurance contract provisions
Sec 20-1097.05. Prepaid legal insurance contracts; rates
Sec 20-1097.06. Contracts for underwriting
Sec 20-1097.07. Fees and taxes
Sec 20-1097.08. Advertising and solicitation of legal services
Sec 20-1097.09. Liability of corporation; civil penalty
Sec 20-1097.10. Capital, surplus and reserve requirements
Sec 20-1097.11. Assets; valuation; reporting
Sec 20-1097.12. Annual statement and information; penalty
Sec 20-1097.13. Suspension or revocation of authorization or registration; appeal; civil penalty; rules
Article 14. Captive Insurers
Sec 20-1098. Definitions
Sec 20-1098.01. Licensing; authority
Sec 20-1098.02. Names of companies
Sec 20-1098.03. Minimum capital and surplus; letter of credit; borrowed surplus
Sec 20-1098.04. Formation of captive insurers; redomestication
Sec 20-1098.05. Protected cell captive insurers
Sec 20-1098.06. Protected cell captive insurers; sponsors; participants
Sec 20-1098.07. Annual report
Sec 20-1098.08. Examinations
Sec 20-1098.09. Grounds and procedures for license suspension or revocation
Sec 20-1098.10. Legal investments
Sec 20-1098.11. Reinsurance
Sec 20-1098.12. Rating organization; exemption
Sec 20-1098.13. Associations; benefits; prohibitions
Sec 20-1098.14. Rules
Sec 20-1098.15. Applicability
Sec 20-1098.16. Captive manager
Sec 20-1098.17. Effect of fees payment
Sec 20-1098.18. Captive insurance regulatory and supervision fund; purpose
Sec 20-1098.19. Establishment of branch captive insurer
Sec 20-1098.20. Security for branch business and branch operations
Sec 20-1098.21. Branch captive insurer reports
Sec 20-1098.22. Change in plan of operations
Sec 20-1098.23. Confidentiality of information; exceptions
Article 15. Vehicle Protection Products
Sec 20-1099. Definitions
Sec 20-1099.01. Vehicle protection products; exemption from insurance code
Sec 20-1099.02. Exemption from insurance code; requirements