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6.6 - insurance department

6.6.101 licensing--general character and conduct requirements

6.6.102 familiarity with code and rules

6.6.103 examinations--waiting periods before re-examination

6.6.104 applicants for temporary agent's license--time period for passing examination

6.6.105 applicants for agent's or solicitor's license-- time period for passing examination

6.6.201 authority

6.6.202 purpose

6.6.203 scope

6.6.204 definitions

6.6.205 general rules

6.6.206 disclosure requirements

6.6.207 failure to comply

6.6.208 effective date

6.6.209 sample buyer's guide

6.6.210 funeral prearrangements

6.6.301 authority

6.6.302 purpose

6.6.303 definitions

6.6.304 exemptions

6.6.305 duties of producers

6.6.306 duties of replacing insurers that use producers

6.6.307 duties of insurers with respect to direct response solicitations

6.6.308 duties of the existing insurer

6.6.309 violations and penalties

6.6.310 sample forms (is hereby repealed)

6.6.311 duties of all insurers that use producers

6.6.312 severability

6.6.313 sample forms

6.6.401 applicability

6.6.402 submission and approval of sales materials (is herrby repealed)

6.6.403 representation of special title, policy, or company division

6.6.404 representations as to policy value and size

6.6.405 down payment required (is hereby repealed)

6.6.406 receipts (is hereby repealed)

6.6.407 allowable financing arrangements (is hereby repeated)

6.6.408 promissory notes

6.6.409 transfer of promissory notes

6.6.410 cancellation, release, and refund

6.6.501 disclosure statements in sale of medicare supplements information to be furnished prospective insured

6.6.502 purpose

6.6.502A purpose

6.6.503 applicability and scope

6.6.504 definitions

6.6.505 policy definitions and terms

6.6.506 prohibited policy provisions

6.6.507 benefit standards for medicare supplement benefit plan policies or certificates issued or delivered with an effective date for coverage prior to june 1, 2010

6.6.507A standard medicare supplement benefit plans for 1990 standardized medicare supplement benefit plan policies or certificates issued for delivery on or after july 1993, and with an effective date for coverage prior to june 1, 2010

6.6.507B open enrollment

6.6.507C guaranteed issue for eligible persons

6.6.507D benefit standards for 2010 standardized medicare supplement benefit plan policies or certificates issued for delivery with an effective date for coverage on or after june 1, 2010

6.6.507E standard medicare supplement benefit plans for 2010 standardized medicare supplement benefit plan policies or certificates issued with an effective date for coverage on or after june 1, 2010

6.6.507F standard medicare supplement benefit plans for 2020 standardized medicare supplement benefit plan policies or certificates issued for delivery to individuals newly eligible for medicare on or after january 1, 2020

6.6.508 loss ratio standards and refund or credit of premium

6.6.508A filing and approval of policies and certificates and premium rates

6.6.509 required disclosure provisions

6.6.510 requirements for application forms and replacement coverage

6.6.511 forms outlining coverage

6.6.511A forms outlining coverage

6.6.512 severability

6.6.513 effective date

6.6.514 benefit conversion requirements during transition

6.6.515 standards for claims payment

6.6.516 filing requirements for out-of-state group policies

6.6.517 permitted compensation arrangements

6.6.518 filing requirements for advertising

6.6.519 standards for marketing

6.6.520 appropriateness of recommended purchase and excessive insurance

6.6.521 reporting of multiple policies

6.6.522 prohibition against preexisting conditions, waiting periods, elimination periods, and probationary periods in replacement policies or certificates

6.6.523 separability

6.6.524 appendix a - medicare supplement refund calculation form

6.6.525 appendix b - form for reporting medicare supplement policies

6.6.526 appendix c disclosure statements

6.6.527 prohibition against use of genetic information and requests for genetic testing

6.6.601 application and scope

6.6.602 definitions

6.6.603 authorization of the commissioner

6.6.604 plan to be approved by commissioner before being issued

6.6.605 plan to be filed and the requirements

6.6.606 plan changes to be filed and approved

6.6.607 medicare select full coverage

6.6.608 disclosure requirements

6.6.609 acknowledgment of understanding by applicant

6.6.610 grievance and complaint procedure

6.6.611 availability to purchase any product

6.6.612 insured may purchase a comparable or lesser benefit policy or certificate without a restricted network provision

6.6.613 provision for continued coverage

6.6.614 issuer shall comply with reasonable requests for data

6.6.701 purpose

6.6.702 authority

6.6.703 applicability and scope

6.6.704 definitions

6.6.705 policies to be illustrated

6.6.706 general rules and prohibitions

6.6.707 standards for basic illustrations - format

6.6.708 standards for basic illustrations - narrative summary

6.6.709 standards for basic illustrations - numeric summary

6.6.710 standards for basic illustrations - statements

6.6.711 standards for basic illustrations - tabular detail

6.6.712 standards for supplemental illustrations

6.6.713 delivery of illustrations and record retention

6.6.714 annual report; notice to policy owners

6.6.715 annual certifications

6.6.716 penalties

6.6.717 severability

6.6.718 effective date

6.6.801 purpose

6.6.802 authority

6.6.803 applicability and scope

6.6.804 definitions

6.6.805 standards for the disclosure document

6.6.806 annual notice to contract owners

6.6.807 penalties

6.6.810 purpose

6.6.811 model forms

6.6.812 guidelines for approval of training

6.6.813 standards for insurer verification

6.6.814 alternative satisfaction of training requirements

6.6.901 purpose

6.6.902 scope

6.6.903 authority

6.6.904 exemptions

6.6.905 definitions

6.6.906 practices declared false, misleading, deceptive, or unfair on a military installation

6.6.907 practices declared false, misleading, deceptive, or unfair regardless of location

6.6.908 severability

6.6.909 effective date

6.6.1001 purpose

6.6.1002 scope

6.6.1003 applicability of other rules

6.6.1004 definitions

6.6.1006 licensing of specialized funeral insurance producers

6.6.1008 reporting by issuer

6.6.1010 funeral insurance policy forms

6.6.1012 beneficiary designation

6.6.1014 right to return policy

6.6.1016 unintentional lapse

6.6.1018 required disclosures

6.6.1020 prohibitions

6.6.1101 credit life insurance -- acceptable rates

6.6.1102 limitation on presumption of reasonableness

6.6.1103 credit disability insurance--acceptable rates

6.6.1104 limitation of presumption of reasonableness

6.6.1105 allowable exclusions and restrictions

6.6.1106 filing--insurer's statement

6.6.1107 requests for higher rates--approval by commissioner

6.6.1108 refunds

6.6.1109 creditor--remittance of premiums to insurer

6.6.1110 determination of reasonableness of benefits in relation to premium charged

6.6.1111 compliance -- forms, contracts and rates

6.6.1201 unfair discrimination on the basis of blindness

6.6.1202 unfair discrimination on the basis of sex or marital status

6.6.1203 prohibited practices

6.6.1301 applicability

6.6.1302 definitions

6.6.1303 disclosure of equivalent information

6.6.1304 information to be furnished to stockholders

6.6.1305 proxy statements--revocability

6.6.1306 proxy statements--dissenters' rights of appraisal

6.6.1307 proxy statements--indentity of solicitors and cost of solicitation

6.6.1308 proxy statements--disclosure of interests

6.6.1309 proxy statements--stocks and stockholders entitled to vote

6.6.1310 proxy statements--election of directors

6.6.1311 proxy statements--schedule sis information

6.6.1312 proxy statements--bonus, profit-sharing, and other remuneration plans

6.6.1313 proxy statements--pension and retirement plans

6.6.1314 proxy statements--options, warrants, or rights

6.6.1315 proxy statements--authorization or issuance of stock

6.6.1316 proxy statements--mergers, consolidations, acquisitions, and similar matters

6.6.1317 proxy statements--restatement of assets and accounts

6.6.1318 proxy statements--amendment of charter, by-laws, or other documents

6.6.1319 proxy statements--submission when stockholder vote not required

6.6.1320 contents and form of proxies and proxy statements

6.6.1321 proxies--discretionary authority

6.6.1322 proxies--prohibited authority

6.6.1323 materials subject to filing requirements

6.6.1324 prohibited actions and solicitations

6.6.1325 prohibited statements

6.6.1326 undated or postdated proxies prohibited

6.6.1401 applicability

6.6.1402 definitions

6.6.1403 materials subject to filing requirements

6.6.1404 solicitations prior to furnishing required written proxy statement

6.6.1405 filing requirements for solicitations prior to proxy statements

6.6.1406 annual report commenting on solicitation--filing requirements

6.6.1407 statements filed in election contests--identity of insurer and solicitor of proxies

6.6.1408 statements filed in election contests--solicitor's stock interests

6.6.1409 statements filed in election contests--additional requirements and signature

6.6.1501 crop hail insurance rates

6.6.1502 crop hail insurance rate filings

6.6.1503 crop hail insurance rate deviation filings

6.6.1504 crop hail insurance rate modifications or changes--multiple peril coverage

6.6.1505 crop hail insurers--experience reporting

6.6.1506 premium deferral and cash discounts

6.6.1507 effective date of crop insurance policies

6.6.1508 insurer groups and managing general agents

6.6.1601 purpose

6.6.1602 definitions

6.6.1603 license required--penalty

6.6.1604 qualifications for a public adjuster's license

6.6.1605 separate licenses

6.6.1606 examination for public adjuster's license

6.6.1607 scope of examination

6.6.1608 examinations--form--time

6.6.1609 the commissioner shall prescribe the form of the adjuster's license

6.6.1610 the commissioner shall collect in advance the fees for a public adjuster's license

6.6.1611 public adjuster's bond

6.6.1612 place of business

6.6.1613 powers conferred by the public adjuster's license

6.6.1614 denial, suspension or revocation of license

6.6.1615 procedure for refusal, suspension or revocation

6.6.1616 nonresident public adjusters

6.6.1701 general business practice or general course of business practice

6.6.1801 purpose

6.6.1802 definitions

6.6.1803 adoption of tables alternate to the 1980 cso and 1980 cet for nonforfeiture purposes under an employer sponsored retirement benefit program

6.6.1804 unfair discrimination

6.6.1805 separability

6.6.1901 insurance arrangement reporting requirements

6.6.1902 applicability of insurance code

6.6.1903 general requirements of the montana comprehensive health care association

6.6.1904 general regulations for the board of directors

6.6.1905 assessments - association and board expenses

6.6.1906 operating rules for the association

6.6.1907 establishing the montana affordable care plan

6.6.1908 eligibility requirements for the macp high risk pool plan

6.6.1910 enrollment caps and other funding limitations

6.6.1911 macp benefit plan and rates

6.6.1913 lead carrier contract

6.6.1914 fraud, dumping and recission

6.6.2001 purpose and applicability

6.6.2002 definitions

6.6.2003 mid-term cancallation

6.6.2004 anniversary cancellation and anniversary rate increases

6.6.2005 non-renewal

6.6.2006 renewal with altered terms

6.6.2007 information about grounds

6.6.2008 homeowners insurance affected by day-care operations

6.6.2009 unfair trade practices

6.6.2010 severability

6.6.2101 definitions

6.6.2102 rates and premiums; property and casualty insurance

6.6.2103 payment or benefits

6.6.2104 jurisdiction and applicability date

6.6.2106 unfair discrimination on the basis of blindness

6.6.2201 liens, encumbrances, and standards of insurability

6.6.2202 escrow, closing, or settlement services

6.6.2203 rebates and inducements

6.6.2301 definitions (is hereby repealed)

6.6.2302 agent commission (is hereby repealed)

6.6.2303 applications and application fees (is hereby repealed)

6.6.2304 fiscal arrangement (is hereby repealed)

6.6.2305 unavailability (is hereby rrpealed)

6.6.2306 eligible applicants (is hereby repealed)

6.6.2307 lines of insurance (is hereby repealed)

6.6.2308 effective date of policy (is hereby repealed)

6.6.2309 severability

6.6.2401 purpose

6.6.2402 applicability and scope

6.6.2403 definitions

6.6.2404 use of model cob contract provision

6.6.2405 rules for coordination of benefits

6.6.2406 procedure to be followed by secondary plan to calculate benefits and pay a claim

6.6.2407 notice to covered persons

6.6.2408 miscellaneous provisions

6.6.2410 appendix "a" model cob contract provisions

6.6.2411 appendix "b" model cob consumer explanatory booklet

6.6.2501 purpose

6.6.2502 applicability and scope

6.6.2503 definitions

6.6.2504 filing exemption for health maintenance operated by insurer or health service corporation as a plan

6.6.2505 multidisciplinary advisory boards

6.6.2506 requirements for contracts and evidences of coverage

6.6.2507 prohibited practices

6.6.2508 services

6.6.2509 other requirements

6.6.2510 penalties

6.6.2601 purpose and applicability

6.6.2602 definitions

6.6.2603 registration of independent liability funds

6.6.2604 administration of independent liability funds

6.6.2605 oversight of independent liability fund

6.6.2606 penalties

6.6.2701 purpose

6.6.2702 applicability and scope

6.6.2703 effective date

6.6.2704 methods of calculation

6.6.2705 payment dates

6.6.2706 adjustments

6.6.2707 cessation of business

6.6.2708 application for refund

6.6.2709 penalty

6.6.2801 purpose and scope

6.6.2802 delegation of authority

6.6.2803 filing of submissions, examination of submissions and records retained

6.6.2804 collection of stamping fee

6.6.2805 organization and duties of surplus lines advisory organization

6.6.2806 operating expenses

6.6.2807 membership in surplus lines advisory organization

6.6.2808 eligible surplus lines insurers list

6.6.2809 approved risk list -- insurance presumed unobtainable from authorized insurers

6.6.2810 annual reporting period - tax and fee statement

6.6.2901 purpose and scope (is hereby repealed)

6.6.2902 definitions (is hereby repealed)

6.6.2903 qualifications for program directors and instructors (is hereby repealed)

6.6.2904 educational requirements for life and disability insurance prelicensing education courses (is hereby repealed)

6.6.2905 educational requirements for property and casualty insurance prelicensing education courses (is hereby repealed)

6.6.2906 requirements for course completion certificates (is hereby repealed)

6.6.2907 submissions and certificates (is hereby repealed)

6.6.3001 purpose and scope

6.6.3002 authority

6.6.3003 definitions

6.6.3004 rating organization reference filings of advisory prospective loss costs

6.6.3005 required filing documents

6.6.3006 rating organization filings of advisory supplementary rating information

6.6.3007 existing rates and deviations remain in effect until disapproved, replaced, or modified

6.6.3101 purpose, scope, and authority

6.6.3102 definitions

6.6.3103 policy definitions

6.6.3104 policy practices and provisions

6.6.3104A unintentional lapse

6.6.3105 required disclosure provisions

6.6.3106 prohibition against post-claims underwriting

6.6.3107 minimum standards for home health care benefits in long-term care insurance policies

6.6.3108 requirement to offer inflation protection

6.6.3109 requirements for application forms and replacement coverage

6.6.3109A reporting requirements

6.6.3109B licensing

6.6.3110 discretionary powers of commissioner of insurance

6.6.3111 reserve standards

6.6.3112 loss ratio

6.6.3113 filing requirement

6.6.3113A filing requirements for advertising

6.6.3114 standard format outline of coverage

6.6.3115 requirement to deliver shopper's guide

6.6.3116 effective date

6.6.3117 standards for marketing

6.6.3118 suitability standards

6.6.3119 nonforfeiture benefit requirement

6.6.3120 adoption of forms

6.6.3121 required disclosure of rating practices to consumers

6.6.3122 initial filing requirements

6.6.3123 recouping past losses

6.6.3124 premium rate schedule increases

6.6.3125 premium rate increase -- asset yield rates

6.6.3126 prohibition against preexisting conditions and probationary periods in replacement policies

6.6.3128 availability of new services or providers

6.6.3129 right to reduce coverage and lower premiums

6.6.3130 appealing an insurer's determination that the benefit trigger is not met

6.6.3131 long-term care independent review organizations

6.6.3201 purpose and scope (is hereby repealed)

6.6.3202 definitions (is hereby repealed)

6.6.3203 evaluation of a line - noncompetitive (is hereby repealed)

6.6.3204 evaluation of a line - volatile (is hereby repealed)

6.6.3205 data reporting requirements (is hereby repealed)

6.6.3206 filing requirements (is hereby repealed)

6.6.3301 purpose and application

6.6.3302 definitions

6.6.3303 discrimination in determining eligibility for insurance prohibited

6.6.3304 discrimination in pricing prohibited

6.6.3401 standards for evaluating financial condition of regulated companies

6.6.3402 scope of commissioner's discretion

6.6.3403 possible administrative sanctions against companies in hazardous condition

6.6.3404 administrative remedies available to insurers

6.6.3405 judicial review

6.6.3501 definitions

6.6.3502 purpose and scope

6.6.3503 general requirements related to filing and extensions for filing of annual audited financial reports and audit committee appointment

6.6.3504 contents of annual audited financial report

6.6.3505 designation of independent certified public accountant

6.6.3506 qualifications of independent certified public accountant

6.6.3507 consolidated or combined audits

6.6.3508 scope of audit and report of independent certified public accountant

6.6.3509 notification of adverse financial condition

6.6.3510 communication of internal controls related matters noted in an audit

6.6.3511 accountant's letter of qualifications

6.6.3512 definition, availability, and maintenance of independent certified public accountants' workpapers

6.6.3513 exemptions and effective dates

6.6.3514 canadian and british companies

6.6.3515 requirements for audit committees

6.6.3516 conduct of insurer in connection with the preparation of required reports and documents

6.6.3517 management's report of internal control over financial reporting

6.6.3518 internal audit function requirements

6.6.3520 exemptions and effective dates

6.6.3521 canadian and british companies

6.6.3601 scope of rules

6.6.3602 accounting requirements

6.6.3603 written agreement

6.6.3604 existing agreements

6.6.3701 definitions

6.6.3702 forms--general requirements

6.6.3703 forms--incorporation by reference, summaries, and omissions

6.6.3704 forms--information unknown or unavailable and extension of time to furnish

6.6.3705 forms--additional information and exhibits

6.6.3706 filing of form a, regarding acquisition or control

6.6.3707 amendments to form a

6.6.3708 reporting acquisition of domestic insurers

6.6.3709 filing of form b--annual registration of insurers

6.6.3710 amendments to form b

6.6.3711 summary of changes to registration--statement filing

6.6.3712 alternative and consolidated registrations

6.6.3713 disclaimers and termination of registration

6.6.3714 filing of form d--transactions subject to prior notice

6.6.3715 extraordinary dividends and other distributions

6.6.3716 adequacy of surplus

6.6.3717 forms

6.6.3718 enterprise risk report

6.6.3719 group capital calculation

6.6.3801 definitions

6.6.3802 trust agreement conditions

6.6.3803 conditions applicable to reinsurance agreements

6.6.3804 restrictions on amendment of trust agreements

6.6.3805 financial reporting

6.6.3806 effect of failure to identify beneficiary

6.6.3807 effect of loss of accreditation by assuming reinsurer

6.6.3808 surplus determination of a group of incorporated insurers under common administration

6.6.3809 the period for payment of trust funds subject to claims

6.6.3810 methods of allowing credit for reinsurance

6.6.3811 definitions

6.6.3812 reinsurance transactions affected

6.6.3813 requirements for reinsurance contracts or agreements

6.6.3814 forms

6.6.3815 credit for unencumbered funds

6.6.3821 assuming insurer that maintains a trust fund - period for payment of trust funds subject to claims

6.6.3822 assuming insurer that maintains a trust fund - definition of liabilities

6.6.3823 assuming insurer that maintains a trust fund - insufficient trust funds or trust fund grantor declared insolvent or placed into receivership, rehabilitation, liquidation, or similar proceedings

6.6.3824 assuming insurer that maintains a trust fund - valuation of trust assets

6.6.3825 assuming insurer that maintains a trust fund - restriction on percentage of trust investment shared by grantor or beneficiary

6.6.3826 assuming insurer that maintains a trust fund - allowable government obligations

6.6.3827 assuming insurer that maintains a trust fund - allowable nongovernment obligations

6.6.3828 assuming insurer that maintains a trust fund - additional restrictions on government obligations and nongovernment obligations

6.6.3829 assuming insurer that maintains a trust fund - allowable equity interests

6.6.3830 assuming insurer that maintains a trust fund - allowable obligations issued, assumed, or guaranteed by multinational development bank

6.6.3831 assuming insurer that maintains a trust fund - allowable investment companies

6.6.3832 assuming insurer that maintains a trust fund - letters of credit

6.6.3833 assuming insurer that maintains a trust fund - application of specific security

6.6.3841 certification of assuming insurers - eligibility for certification

6.6.3842 certification of assuming insurers - initial certification procedure

6.6.3843 certification of assuming insurers - filing requirements

6.6.3844 certification of assuming insurers - recognition of certification issued by an naic-accredited jurisdiction

6.6.3845 certification of assuming insurers - notice of certification

6.6.3846 certified assuming insurers - change in certification

6.6.3847 certification of assuming insurers - mandatory funding clause in reinsurance contracts or agreements

6.6.3848 certified reinsurers - effective date of credit

6.6.3849 certified reinsurers - security rating for credit

6.6.3850 certified assuming insurers - legal entity security rating

6.6.3851 credit for reinsurance – reciprocal jurisdictions

6.6.3860 assuming insurer - definition of obligations

6.6.3861 assuming insurer - valuation of assets

6.6.3862 assuming insurer - financial reporting

6.6.3863 assuming insurer - trust agreement conditions - mandatory

6.6.3864 assuming insurer - risks other than life, annuities, accident and health or disability - trust agreement provisions - permissive

6.6.3865 assuming insurer - risks associated with life, annuities, accident and health or disability - trust agreement provisions - permissive

6.6.3866 assuming insurer - trust agreement provisions - permissive

6.6.3867 reinsurance agreement provisions relating to 1217 trust agreements - permissive

6.6.3868 terms and conditions of letters of credit

6.6.3869 reinsurance agreement provisions relating to 1217 letters of credit

6.6.3901 definitions

6.6.3902 terms and conditions of letters of credit

6.6.3903 limits on use of letter of credit to reduce liability

6.6.3904 other security for payment of obligations under contract

6.6.3905 reinsurance contracts as security

6.6.3906 contracts affected

6.6.3907 form for submitting to state authority and jurisdiction

6.6.4001 valuation of securities other than those specifically referred to in statutes

6.6.4002 definitions of money market funds

6.6.4020 purpose

6.6.4021 definitions

6.6.4022 guidelines and internal control procedures

6.6.4023 commissioner approval

6.6.4025 insurer documentation requirements

6.6.4027 trading requirements

6.6.4101 accreditation fees

6.6.4102 continuing education fees

6.6.4201 scope of rules

6.6.4202 definitions

6.6.4203 course submissions

6.6.4204 qualifications for instructors

6.6.4205 examinations

6.6.4206 limit on credit for courses repeated and timing of earning credits

6.6.4207 extensions of time for course completions

6.6.4208 nonresident requirements

6.6.4209 course audit

6.6.4210 sanctions against courses and sponsoring organization suspension

6.6.4211 requests for reconsideration of credit hour assignment

6.6.4212 requests for reconsideration of course disapproval

6.6.4213 conditions of nonresident sponsoring organizations

6.6.4214 extensions of time for course completion

6.6.4301 definitions

6.6.4302 allowable methods of electronic filing

6.6.4303 procedures for electronic filing of appointments

6.6.4401 purpose and scope

6.6.4402 definitions

6.6.4403 referral for recovery and offset

6.6.4404 uncollectible debt

6.6.4501 adoption by reference of the naic valuation manual

6.6.4601 adoption of notice

6.6.4602 delivery of notice

6.6.4603 appendix "a" - form and content of notice

6.6.4701 definitions

6.6.4702 purpose

6.6.4703 group disability income uniform standards opt out

6.6.4801 definitions

6.6.4802 fire premium allocation procedure

6.6.4803 presumptively reasonable allocations

6.6.4901 purpose

6.6.4902 patient-centered medical home qualification

6.6.4903 national accreditation

6.6.4905 establishment and duties of the patient-centered medical homes stakeholder council

6.6.4906 timelines for required reporting

6.6.4907 patient-centered medical home reporting—specific quality measures required

6.6.4908 standards for payment methods

6.6.4909 measures related to cost and medical usage—utilization measures

6.6.5001 definitions

6.6.5004 applicability, scope, and transition

6.6.5008 covered services of policies under standard plan

6.6.5012 covered preventive care and health maintenance service of policies under standard plan (is hereby repealed)

6.6.5016 services that may be excluded from coverage under the standard plan (is hereby repealed)

6.6.5020 deductible charges, coinsurance, maximum allowable out-of-pocket charges, and lifetime maximum benefit level under the standard plan

6.6.5024 hmo cost sharing schedule and exception to standard plan provisions

6.6.5028 contract language

6.6.5032 criteria of policies offered under basic plan

6.6.5036 calculation of benefit values

6.6.5040 cost containment features of basic and standard plans

6.6.5044 filing and approval of basic and standard plans

6.6.5050 status of carriers as small employer carriers - permission to reenter - annual reporting requirements

6.6.5054 application to reenter state

6.6.5058 requirement to insure entire groups

6.6.5060 coverage through associations

6.6.5062 restoration of coverage

6.6.5066 qualifying previous and qualifying existing coverages

6.6.5070 consideration of trade, occupation, or industry in deciding whether to offer coverage

6.6.5074 restrictive riders

6.6.5078 fair marketing standards

6.6.5079 opportunities for individuals to enroll in small group plans

6.6.5079A guaranteed availability of coverage in the small group market - guaranteed issue requirements - exceptions

6.6.5079B disclosure of information

6.6.5079C preexisting conditions - permissible restrictions in small groups

6.6.5079D small employer health insurance subject to general health insurance and group rules

6.6.5079E transition in large and small group health plans to changes under health insurance portability accountability act (hipaa) in montana law

6.6.5079F creditable coverage and methods of counting

6.6.5079G certification of creditable coverage - groups and individuals

6.6.5079H preexisting conditions - permissible restrictions in group plans other than small employer plans

6.6.5079I special enrollment periods

6.6.5079J opportunities for individuals to enroll in group plans other than small employer plans

6.6.5079K transition in individual market to changes under health insurance portability and accountability act (hipaa) under montana law

6.6.5079L preexisting conditions in the individual, market - disclosure

6.6.5079M certification of creditable coverage issued by insurers in the individual market

6.6.5082 establishment of classes of business

6.6.5086 transition for assumptions of business from another carrier

6.6.5090 rate manual and rate restriction guidelines

6.6.5094 calculations relating to premium rate restrictions (is hereby repealed)

6.6.5098 annual filing of actuarial certification (is hereby repealed)

6.6.5101 plan of operation

6.6.5103 definitions

6.6.5105 board of directors of program

6.6.5107 support committees

6.6.5109 selection, powers and duties of administering carrier

6.6.5111 reinsurance with the program

6.6.5113 audit functions

6.6.5115 assessments

6.6.5117 reports of reinsured risks is hereby repealed

6.6.5119 financial record keeping and administration

6.6.5121 errors, adjustments, penalties, and submission of disputes

6.6.5123 proposals for amendments to plan

6.6.5125 standards for producer compensation levels and fair marketing of plans

6.6.5201 definitions

6.6.5202 small business health insurance purchasing pool--premium assistance and incentive payments--small business health insurance tax credits

6.6.5203 registration required--eligibility

6.6.5204 fiscal year

6.6.5207 meetings of the purchasing pool board

6.6.5208 program manager--administrator for the purchasing pool

6.6.5210 officers

6.6.5211 duties of the officers

6.6.5212 parliamentary authority

6.6.5215 timeline for the plan of operation

6.6.5216 timeline for audits of the board

6.6.5219 payment of premium assistance and premium incentive payments to employers

6.6.5220 qualified associations

6.6.5221 waiting list

6.6.5224 insurers required to report cancellations

6.6.5301 purpose

6.6.5302 definitions

6.6.5303 individual annuity and pure endowment contracts

6.6.5304 application of the 2012 iar mortality table

6.6.5306 group annuity and pure endowment contracts

6.6.5307 application of the 1994 gar table

6.6.5308 incorporation by reference of the 1983 table "a," the 2012 iar mortality table, and the 1994 gar table

6.6.5309 effective date

6.6.5501 purpose of rules

6.6.5503 definitions

6.6.5505 applicability and scope

6.6.5507 requirements for use of hcfa form 1500

6.6.5509 requirements for use of hcfa form 1450 (ub-92)

6.6.5511 requirements for use of j512 form

6.6.5513 general provisions

6.6.5515 mandatory electronic format

6.6.5601 standards for marketing

6.6.5602 appropriate sale criteria

6.6.5603 nonforfeiture benefit requirement

6.6.5604 adoption of forms

6.6.5701 supervision, rehabilitation, and liquidation

6.6.5702 authority is limited to insolvency

6.6.5703 inapplicability of the life and health guaranty provisions

6.6.5704 application of these rules are to be consistent with erisa

6.6.5705 definitions

6.6.5706 commissioner's summary orders and supervision proceedings

6.6.5707 termination of policy coverage

6.6.5708 priority of distribution

6.6.5801 managed care community networks: definitions

6.6.5802 criteria for assessing the financial soundness of a network

6.6.5803 protection against insolvency

6.6.5804 reduction or elimination of requirements

6.6.5805 application review fee

6.6.5901 applicability and identification of different levels of adequacy

6.6.5902 network adequacy

6.6.5903 filing provider lists

6.6.5905 choice of primary care physician

6.6.5906 required disclosures regarding network adequacy

6.6.5907 geographic services areas

6.6.5908 continuity of care

6.6.6001 definitions

6.6.6002 bond instruments

6.6.6003 collateral, trust accounts, records of arrest and surrender, list of forfeitures, costs, notice of incarceration

6.6.6004 prohibited practices

6.6.6005 portion of bond premium payments deferred

6.6.6006 bail bond documents

6.6.6501 purpose

6.6.6502 authority

6.6.6503 scope

6.6.6504 definitions

6.6.6505 general requirements

6.6.6506 required opinions

6.6.6507 statement of actuarial opinion not including an asset adequacy analysis

6.6.6508 statement of actuarial opinion based on an asset adequacy analysis

6.6.6509 description of actuarial memorandum including an asset adequacy analysis and regulatory asset adequacy issues summary

6.6.6510 additional considerations for analysis

6.6.6601 fidelity bond

6.6.6701 purpose

6.6.6703 applicability

6.6.6705 definitions

6.6.6707 general calculation requirements for basic reserves and premium deficiency reserves

6.6.6709 calculation of minimum valuation standard for policies with guaranteed nonlevel gross premiums or guaranteed nonlevel benefits (other than universal life policies)

6.6.6711 calculation of minimum valuation standard for flexible premium and fixed premium universal life insurance policies that contain provisions resulting in the ability of a policyowner to keep a policy

6.6.6713 select mortality factors

6.6.6720 purpose and intent

6.6.6721 applicability

6.6.6722 exemptions

6.6.6723 definitions

6.6.6724 the actuarial method

6.6.6725 requirements applicable to covered policies to obtain credit for reinsurance; opportunity for remediation

6.6.6726 prohibition against avoidance

6.6.6727 severability

6.6.6801 purpose

6.6.6802 definitions

6.6.6803 organizational examination

6.6.6804 additional security

6.6.6805 permitted reinsurance

6.6.6806 insurance managers and intermediaries

6.6.6807 changes in directors - restrictions on fees and gifts

6.6.6808 conflict of interest

6.6.6809 acquisition of control of or merger with a domestic company

6.6.6810 change in business and other information

6.6.6811 annual audit

6.6.6812 the opinion of the certified public accountant

6.6.6813 report of evaluation of internal controls

6.6.6814 accountant's letter

6.6.6815 financial statements

6.6.6816 certification of loss reserves and loss expense reserves

6.6.6817 designation of independent certified public accountant

6.6.6818 notification of adverse financial condition

6.6.6819 availability and maintenance of working papers of the independent certified public accountant

6.6.6820 revocation of the company's license

6.6.6821 limit of risk -- captive risk retention groups

6.6.6901 purpose

6.6.6902 notice exceptions for certificate holders

6.6.6903 notice requirements

6.6.6904 deidentification for group policyholder audits

6.6.7001 purpose

6.6.7002 definitions

6.6.7003 exemption based on federal standards for privacy and security of individually identifiable health information

6.6.7007 information security program

6.6.7008 objective of information security program

6.6.7009 examples of methods of development and implementation

6.6.7010 assess risk

6.6.7011 manage and control risk

6.6.7012 oversee service provider arrangements

6.6.7013 adjust the program

6.6.7018 determined violation

6.6.7019 implementation date

6.6.7101 authority

6.6.7102 purpose

6.6.7103 definitions

6.6.7105 2001 cso preferred class structure table

6.6.7107 conditions

6.6.7109 separability

6.6.7901 network adequacy definitions

6.6.7902 network adequacy

6.6.7903 network adequacy reporting

6.6.7904 network adequacy directories

6.6.8001 agency organization

6.6.8101 adoption of model rules

6.6.8201 definitions

6.6.8202 administrative appeal of classification decision

6.6.8202A informal advisory hearing procedure

6.6.8203 informal contested case proceeding

6.6.8204 notice of hearing

6.6.8205 pre-hearing exchange of information

6.6.8206 audio, video, or other telecommunications technology hearings

6.6.8301 establishment of classification for compensation plan no. 2 and plan no. 3

6.6.8401 public participation guidelines

6.6.8501 definitions

6.6.8502 license requirements

6.6.8503 annual fee and reporting forms

6.6.8504 forms and materials filings, approvals and revisions

6.6.8505 disclosure

6.6.8506 trade practice standards for regulating advertising and solicitation

6.6.8507 standards for evaluation of reasonable payments

6.6.8508 general rules

6.6.8509 regulation as a security

6.6.8510 reporting requirement

6.6.8511 prohibited practices

6.6.8512 insurance company practices

6.6.8601 purpose and scope

6.6.8602 mapa inapplicable

6.6.8603 confidentiality

6.6.8604 notice of dispute – content

6.6.8605 independent reviewer selection–substitution

6.6.8606 preliminary conference

6.6.8607 discovery

6.6.8608 evidence and procedure

6.6.8609 preparation for hearing

6.6.8610 hearing

6.6.8611 non-compliance with order

6.6.8612 final determination

6.6.8701 purpose

6.6.8702 definitions

6.6.8703 filing procedures

6.6.8704 contents of corporate governance annual disclosure

6.6.8705 adoption of naic financial analysis handbook

6.6.8801 definitions

6.6.8805 access plan filing and review guidelines

6.6.8806 access plan updates

6.6.8807 access plan specifications

6.6.8808 access criteria

6.6.8814 mandatory coverage

6.6.8815 provider-enrollee ratio requirements

6.6.8816 verification of provider credentials

6.6.8819 geographic access criteria

6.6.8820 exceptions to geographic access criteria

6.6.8821 service areas

6.6.8827 maximum wait times for appointments

6.6.8828 referral and specialty care requirements

6.6.8829 continuity of care and transitional care

6.6.8835 selecting and changing providers

6.6.8836 removal of barriers to access

6.6.8840 monitoring the network

6.6.8841 letters of intent

6.6.8842 responsibility for contracted services

6.6.8850 corrective action

6.6.8851 appeal from department decision

6.6.8901 purpose

6.6.8902 definitions

6.6.8905 quality assurance structure and accreditation

6.6.8906 written description of quality assessment plan

6.6.8907 components of quality assessment activities

6.6.8910 quality improvement

6.6.8911 clinical focused study

6.6.8915 enrollee complaint system

6.6.8916 recording consumer satisfaction

6.6.8920 corrective action

6.6.8921 informal reconsideration of department decision

6.6.9001 application requirements

6.6.9002 waiver monitoring

6.6.9003 waiver revocation

6.6.9004 waiver extension

6.6.9005 expedited waiver applications