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Session Laws, 1973
Volume 709, Page 1723   View pdf image
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Ch. 839                          MARVIN MANDEL, Governor                              1723

AFTER THE APPLICABLE DEDUCTIBLE, FOR COVERED EXPENSES
ARISING         FROM         PARTIAL         HOSPITALIZATION,         DAY

HOSPITALIZATION, OR OUT-PATIENT TREATMENT, SHALL BE AT A
RATE WHICH IS [[NOT]] NOT LESS THAN TWENTY-FIVE PERCENT
(25%) NOR MORE THAN [[FIFTY PERCENT (50%)]] EIGHTY PERCENT
(80%) OF THE BENEFITS WHICH THE POLICY PROVIDES FOR OTHER
TYPES OF ILLNESS [[, AND BENEFITS SHALL BE AVAILABLE FOR
THESE EXPENSES DURING ANY CALENDAR YEAR UP TO A
MINIMUM OF FIVE HUNDRED DOLLARS ($500.00).]].

(B) THE PROVISIONS OF THIS SECTION APPLY TO ALL POLICIES
ISSUED, RENEWED, MODIFIED, ALTERED, AMENDED, OR REISSUED
ON OR AFTER JULY 1, 1973.

470D.

(A)  EVERY INDIVIDUAL HEALTH INSURANCE POLICY DELIVERED
OR ISSUED FOR DELIVERANCE UNDER THIS SUBTITLE TO ANY
PERSON IN THIS STATE MUST INCLUDE BENEFITS FOR EXPENSES
ARISING FROM [[MENTAL OR NERVOUS CONDITIONS]]
TREATMENT OF ACUTE MENTAL ILLNESSES AND. EMOTIONAL
DISORDERS. WHICH IN THE PROFESSIONAL JUDGMENT OF
PRACTITIONERS ARE SUBJECT TO SIGNIFICANT IMPROVEMENT
THROUGH SHORT TERM THERAPY. THESE BENEFITS MUST BE AT
LEAST EQUAL TO THE FOLLOWING MINIMUM REQUIREMENTS: (1)
WITH RESPECT TO BENEFITS FOR CONFINEMENT AS AN
IN-PATIENT IN A HOSPITAL, THE PERIOD OF CONFINEMENT FOR
WHICH BENEFITS ARE PAYABLE SHALL BE AT LEAST THIRTY (30)
DAYS IN ANY CALENDAR YEAR; (2) WITH RESPECT TO MAJOR
MEDICAL EXPENSE COVERAGE, BENEFITS, AFTER THE APPLICABLE
DEDUCTIBLE, FOR COVERED EXPENSES ARISING FROM PARTIAL
HOSPITALIZATION, DAY HOSPITALIZATION, OR OUT-PATIENT
TREATMENT, SHALL BE AT A RATE WHICH IS NOT. LESS THAN
TWENTY-FIVE PERCENT]_(25%) NOR [[NOT]] MORE THAN [[FIFTY
PERCENT (50%) ]] EIGHTY PERCENT (80%) OF THE BENEFITS WHICH
THE POLICY PROVIDES FOR OTHER TYPES OF ILLNESS [[, AND
BENEFITS SHALL BE AVAILABLE FOR THESE EXPENSES DURING
ANY CALENDAR YEAR UP TO A MINIMUM OF FIVE HUNDRED
DOLLARS ($500.00).]]

(B)  THE PROVISIONS OF THIS SECTION APPLY TO ALL POLICIES
ISSUED, RENEWED, MODIFIED, ALTERED, AMENDED, OR REISSUED
ON OR AFTER JULY 1, 1973.

477D.

(A) EVERY [[INDIVIDUAL]] HEALTH INSURANCE POLICY
DELIVERED OR ISSUED FOR DELIVERANCE UNDER THIS SUBTITLE
TO ANY PERSON IN THIS STATE MUST INCLUDE BENEFITS FOR
EXPENSES ARISING FROM [[MENTAL OR NERVOUS CONDITIONS]]
TREATMENT OF ACUTE MENIAL ILLNESSES AND EMOTIONAL
DISORDERS WHICH IN THE PROFESSIONAL JUDGMENT OF
PRACTITIONERS ARE SUBJECT TO SIGNIFICANT IMPROVEMENT
THROUGH SHORT TERM THERAPY. THESE BENEFITS MUST BE AT
LEAST EQUAL TO THE FOLLOWING MINIMUM REQUIREMENTS: (1)
WITH RESPECT TO BENEFITS FOR CONFINEMENT AS AN
IN-PATIENT IN A HOSPITAL, THE PERIOD OF CONFINEMENT FOR
WHICH BENEFITS ARE PAYABLE SHALL BE AT LEAST THIRTY (30)

 

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Session Laws, 1973
Volume 709, Page 1723   View pdf image
 Jump to  
  << PREVIOUS  NEXT >>


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