376.1510. Prohibited acts. - Missouri Statutes

Prohibited acts.

376.1510. A discount medical plan organization shall not:

(1) Use in its advertisements, marketing material, brochures, anddiscount cards the terms "health plan", "coverage", "co-pay","co-payments", "preexisting conditions", "guaranteed issue", "premium","PPO", "preferred provider organization", or other terms in a manner thatcould reasonably mislead a person to believe that the discount medical planis health insurance;

(2) Except for hospital services, have restrictions on free access toplan providers including waiting periods and notification periods;

(3) Pay providers any fees for medical services;

(4) Collect or accept money from a member for payment to a providerfor specific medical services furnished or to be furnished to the member,unless the organization is licensed by the director to act as anadministrator; or

(5) Except as otherwise provided in sections 376.1500 to 376.1532, asa disclaimer of any relationship between discount medical plan benefits andinsurance, or as a description of an insurance product connected with adiscount medical plan, use in its advertisements, marketing material,brochures, and discount cards the term "insurance".

(L. 2007 H.B. 818 merged with S.B. 66)

Effective 8-28-07 (S.B. 66)

1-01-08 (H.B. 818)