Insurance - 40 Pa. Cons. Stat.

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PART I. PRELIMINARY PROVISIONS
Chapter 1. General Provisions

• § 101.  Definitions.
  Subject to additional definitions contained in subsequent provisions of this title which are applicable to specific parts, articles, chapters or other provisions of this title, ...

PART II. REGULATION OF INSURERS AND RELATED
PERSONS GENERALLY
(Reserved)
PART III. SPECIAL PROVISIONS RELATING TO
PARTICULAR CLASSES OF INSURERS
ARTICLE A. HEALTH PLAN CORPORATIONS
Chapter 61. Hospital Plan Corporations
Subchapter A. Preliminary Provisions and Certification

• § 6101.  Definitions.
  The following words and phrases when used in this chapter shall have, unless the context clearly indicates otherwise, the meanings given to them in this ...
• § 6102.  Certification of hospital plan corporations.
  (a) General rule.--A corporation not-for-profit incorporated for the purpose of establishing, maintaining and operating a nonprofit hospital plan shall not commence business until it shall ...
• § 6103.  Exemptions applicable to certified hospital plan corporations.
  § 6103. Exemptions applicable to certified hospital plan corporations. (a) General insurance laws.--A hospital plan corporation holding a certificate of authority under this chapter shall ...
• § 6104.  Uncertified plans prohibited.
  It shall be unlawful for any person, other than a hospital plan corporation holding a certificate of authority under this chapter, to establish, maintain or ...
• § 6105.  Penalties.
  Any person who violates any of the provisions of this chapter, or any regulation or order of the department made pursuant thereto, any person who ...

Subchapter B. Regulation Generally

• § 6121.  Eligible hospitals.
  Any hospital plan corporation may enter into contracts for the rendering of hospitalization to any of its subscribers only with hospitals operated by the Commonwealth, ...
• § 6122.  Action as agent under Federal and other programs.
  (a) General rule.--Any hospital plan corporation may, with the approval of the department, act as a contracting agency or organization under section 1841 of Title ...
• § 6123.  Investment of funds.
  Any statute to the contrary notwithstanding, funds of any hospital plan corporation, equal to its reserves, shall be invested in compliance with the requirements of ...
• § 6124.  Rates and contracts.
  (a) General rule.--The rates charged to subscribers by hospital plan corporations, all rates of payments to hospitals made by such corporations pursuant to the contracts ...
• § 6125.  Reports and examinations.
  (a) Annual report.--Every hospital plan corporation shall on or before March 1 of each year, file with the department a statement, verified by at least ...
• § 6126.  Solicitors and agents.
  Solicitors and agents for every hospital plan corporation shall meet the prerequisites provided by law for agents of insurance companies. ...
• § 6127.  Dissolution or liquidation.
  No hospital plan corporation shall be dissolved under the provisions of Title 15 (relating to corporations and unincorporated associations) or under any other provision of ...

Chapter 63. Professional Health Services Plan Corporations
Subchapter A. Preliminary Provisions and Certification

• § 6301.  Application of chapter.
  (a) General rule.--This chapter shall apply to every person engaged in the business of maintaining and operating a nonprofit health service plan and to every ...
• § 6302.  Definitions.
  (a) General rule.--The following words and phrases when used in this chapter shall have, unless the context clearly indicates otherwise, the meanings given to them ...
• § 6303.  Statement of legislative findings and policy.
  (a) Declaration of necessity.--It is hereby declared that adequate professional health services are essential for the maintenance of the physical and mental health of the ...
• § 6304.  Certification of professional health service corporations.
  § 6304. Certification of professional health service corporations. (a) General rule.--A corporation not-for-profit incorporated for the purpose of establishing, maintaining and operating a nonprofit professional ...
• § 6305.  Initial reserves.
  No professional health service corporation shall receive a certificate of authority under this chapter unless it has set up a minimum reserve of $25,000 for ...
• § 6306.  Standards concerning incorporators.
  No certificate of authority shall be issued to a professional health service corporation unless all of its incorporators were residents of this Commonwealth and citizens ...
• § 6307.  Exemptions applicable to certificated professional health service corporations.
  § 6307. Exemptions applicable to certificated professional health service corporations. (a) General insurance laws.--A professional health service corporation shall be subject to regulation and supervision ...
• § 6308.  Uncertificated plans prohibited.
  (a) General rule.--It shall be unlawful for any person, other than a professional health service corporation holding a certificate of authority under this chapter relating ...
• § 6309.  Penalties.
  Any person who violates any provision of this chapter or of any regulation or order of the Department of Health or of the Insurance Department ...
• § 6310.  Enforcement.
  When necessary to effect the purposes of this chapter, in addition to all other remedies in law or equity, the Insurance Department or the Department ...

Subchapter B. Regulation Generally

• § 6321.  Required reserves.
  A professional health service corporation shall at all times while engaged in business maintain reserves, in such form and amount as the department may determine, ...
• § 6322.  Scope of service.
  (a) Territory of service.--The certificate of authority of a professional health service corporation shall define the limits of the area in which it may operate. ...
• § 6323.  Action as agent under Federal and other programs.
  (a) General rule.--Any professional health service corporation may, with the approval of the department, act as a contracting agency or organization under section 1842 of ...
• § 6324.  Rights of health service doctors.
  (a) Admission to plan.--Every health service doctor practicing within the area covered by any professional health service corporation shall have the right, on complying with ...
• § 6325.  Income status; effect.
  (a) Income standards.-- (1) Every professional health service corporation shall from time to time, by action of its members, fix the requisites for persons of ...
• § 6326.  Specifically authorized contract provisions.
  A professional health service corporation may, as a condition precedent to entering into a contract with an applicant or group of applicants for professional health ...
• § 6327.  Subscriptions provided for persons on relief.
  Every government agency which is charged by law with the duty of providing professional health services for persons unable to provide it at their own ...
• § 6328.  Board of directors.
  (a) Professional health service corporations generally.--The business of every professional health service corporation, except a general medical service corporation, shall be managed by a board ...
• § 6329.  Rates and contracts.
  (a) General rule.--All rates charged subscribers or groups of subscribers by any professional health service corporation, and the form and content of all contracts between ...
• § 6330.  Investment of funds.
  Any statute to the contrary notwithstanding, funds of any professional health service corporation, equal to its reserves, shall be invested in compliance with the requirements ...
• § 6331.  Reports and examinations.
  (a) Annual report.--Every professional health service corporation shall, on or before March 1 of each year, file with the department a statement, verified by at ...
• § 6332.  Regulation by Department of Health.
  (a) Annual reports.--Every professional health service corporation shall, on or before March 1 of each year, file with the Department of Health a report of ...
• § 6333.  Dental service agents.
  Any dental service corporation may select any person to act as its agent in the performance of any of its functions. ...
• § 6334.  Dissolution or liquidation.
  No professional health service corporation shall be dissolved under the provisions of Title 15 (relating to corporations and unincorporated associations) or under any other provision ...
• § 6335.  Ancillary health services.
  Anything in this chapter to the contrary notwithstanding, a professional health service corporation may provide ancillary health services through ancillary health service providers. An ancillary ...

ARTICLE B. FRATERNAL AND BENEFICIAL SOCIETIES
Chapter 65. Fraternal Benefit Societies (Repealed)
Subchapter A. Preliminary Provisions (Repealed)
§ 6501 - § 6503 (Repealed).
Subchapter B. Certification and General Regulation
(Repealed)
§ 6511 - § 6517 (Repealed).
Subchapter C. Organization and Operation (Repealed)
§ 6521 - § 6535 (Repealed).
Subchapter D. Financial Matters (Repealed)
§ 6541 - § 6545 (Repealed).
Subchapter E. Conversion to Mutual Life Insurance
Company (Repealed)
§ 6551 - § 6554 (Repealed).
Subchapter F. Foreign Societies (Repealed)
§ 6561 - § 6567 (Repealed).
Subchapter G. Crimes and Penalties (Repealed)
§ 6571 - § 6576 (Repealed).
Chapter 67. Beneficial Societies

• § 6701.  Regulation.
  All beneficial societies or associations not subject to regulation under Chapter 65 of this title (relating to fraternal benefit societies), transacting any class of insurance, ...

Last modified: November 22, 2007