Del. Code tit. 18, § 7211. Health benefit plan committee: Small Employer Health Insurance – Delaware
Status: Enacted Year Enacted: 1992
Statutes create a Health Benefit Plan Committee which shall recommend benefit and cost sharing level and may also include cost containment features such as utilization review. The Committee shall analyze the effectiveness of the chapter …
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Del. Code tit. 18, § 7218. Factors for premium rates; premium rate variations; premium rate adjustments; “stop-loss” policies prohibited: Small Employer Health Insurance – Delaware
Status: Enacted Year Enacted: 2010
The only factors, other than plan design and family composition, that may be considered by a small employer carrier in setting premium rates for small employer health insurance are age, health status, and size of …
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Del. Code tit. 18, §§ 3401 through 3407: Medicare Supplement Insurance Minimum Standards – Delaware
Status: Enacted Year Enacted: 1982
Statutes state that a Medicare supplement policy shall not exclude or limit benefits for loss incurred more than 6 months from the effective date of coverage because it involved a preexisting condition. Statutes require Commissioner …
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Del. Code tit. 18, §§ 3501 through 3512: Group Health Insurance – Delaware
Status: Enacted Year Enacted: 1987
Statutes govern group health insurance, including eligibility and cost sharing.
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Del. Code tit. 18, §§ 3540 through 3543: Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 1968
Provides definitions and provisions for blanket health insurance
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Del. Code tit. 18, §§ 3572 through 3575: Large Employer Health Insurance Standards – Delaware
Status: Enacted Year Enacted: 1997
Statutes provide that a health benefit plan that covers a large group in Delaware shall not deny, exclude or limit benefits for a covered individual because of a preexisting condition. Statutes regulate rate setting and …
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Del. Code tit. 18, §§ 3601 through 3606, 3609 through 3613: Individual Health Insurance Minimum Standards – Delaware
Status: Enacted Year Enacted: 1983
Statutes purpose is to provide reasonable standardization and simplification of terms and coverages of individual health insurance policies and subscriber contracts of health service corporations to facilitate public understanding and comparison. Statutes also prevent a …
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Del. Code tit. 18, §§ 6301 through 6303, 6306, 6310: Health Service Corporations – Delaware
Status: Enacted Year Enacted: 1968
Statutes provide rules regulating premium and rate setting in health service corporations and the CHIP buy-in program.
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Del. Code tit. 18, §§ 7201 through 7205: Small Employer Health Insurance – Delaware
Status: Enacted Year Enacted: 1991
Statutes regulate rate setting and out of pocket costs for health benefit plans offered through small employer health insurances. Statutes include provisions that health benefit plans covering small employers must comply with, including a prohibition …
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Del. Code tit. 18, §§ 7301 through 7303: Pharmacy Access Act – Delaware
Status: Enacted Year Enacted: 1994
The General Assembly finds that pharmaceutical services and prescription drugs are an essential service to the people of this State and that the broadest possible access to such services should be mandated and therefore finds …
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Del. Code tit. 24, §§ 2601, 2602, 2612, 2621: Physical Therapy and Athletic Training – Delaware
Status: Enacted Year Enacted: 1955
Statutes lay out the purpose of the Examining Board of Physical Therapists and Athletic Trainers, which is to protect the general public from unsafe practices and from occupational practices that tend to reduce competition or …
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Del. Code tit. 29, §§ 5201 through 5203: Health Care Insurance– Public Officers and Employees – Delaware
Status: Enacted Year Enacted: 1970
Statutes regulate and set amounts of premium or subscription charges that the state must pay for a regular employee or officer and their eligible dependents. Statutes set provider reimbursement rates for chronic care management and …
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Del. Code tit. 31, §§ 501 through 503: State Public Assistance Code – Delaware
Status: Enacted Year Enacted: 1931
Statutes address medicaid medical assistance. Eligibility standards, recipient copay and provider reimbursement shall be set in accordance with state and federal mandates, funding levels, and approved waivers and rules and regulations established by the Department.
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Fla. Stat. § 395.107. Facilities; publishing and posting schedule of charges; penalties: Hospitals and Other Licensed Facilities – Florida
Status: Enacted Year Enacted: 2011
Provides a facility must publish and post a schedule of charges for the medical services offered to patients. The schedule of charges must describe the medical services in language comprehensible to a layperson. The schedule …
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Fla. Stat. § 395.301. Price transparency; itemized patient statement or bill; patient admission status notification:Hospitals and Other Licensed Facilities – Florida
Status: Enacted Year Enacted: 1982
A facility licensed under this chapter shall provide timely and accurate financial information and quality of service measures to patients and prospective patients of the facility, or to patients’ survivors or legal guardians, as appropriate. …
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Fla. Stat. § 409.815. Health benefits coverage; limitations: Florida Kidcare Act – Florida
Status: Enacted Year Enacted: 1998
Establishes provisions related to benefits and payments in the Florida Kidcare program.
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