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Table of Contents
Title 37
Insurance
Table of Contents
Table of Contents
Part I. Risk Management
Subpart 1. Insurance and Related Matters
1Chapter 1.Underwriting
1101.Underwriting
1Chapter 3.Auditing and Statistics
1301.Auditing and Statistics
2Chapter 5.Billing
2501.Billing and Collection of Insurance Premiums
2Chapter 7.Reporting of Claims
2701.Reporting of Property Damage Claims
3703.Reporting of Boiler and Machinery Claims
3705.Reporting of Comprehensive General Liability Claims
4707.Reporting of Worker's Compensation and Maritime Claims
5709.Reporting of State Automobile Liability and Physical Damage Claims
5711.Reporting of Aviation Claims
6713.Reporting of Wet Marine Claims (Over 26 Feet)
6715.Reporting of Bond and Crime Claims
7717.Reporting of Medical Malpractice Liability Claims
7719.Reporting of Road and Bridge Hazard Claims (Department of Transportation and Development)
8721.Claims Unit Contacts
8Chapter 9.Risk Analysis and Loss Prevention
8901.Risk Analysis and Loss Prevention
Subpart 2. Worker's Compensation Fee Schedule
11Chapter 25.Fees
112501.Fee Schedule
Part III. Patients' Compensation Fund Oversight Board
13Chapter 1.General Provisions
13101.Scope
13103.Source and Authority
13105.Patients' Compensation Fund: Description
13107.Purpose and Objective of Rules; Construction, Application
13109.General Definitions
14111.Interpretive Definitions
15113.Severability
15Chapter 3.Organization, Functions, and Delegations of Authority
15301.Board Organization
15303.Executive Director of the Patients' Compensation Fund Oversight Board
16305.Fund Property
17307.Expenses of Administration and Defense
17Chapter 5.Enrollment with the Fund
17501.Scope of Chapter
17503.Basic Qualifications for Enrollment
17505.Financial Responsibility: Insurance
18507.Financial Responsibility: Self-Insurance
20509.Financial Responsibility: Self-Insurance Trusts
21511.Coverage: Partnerships and Professional Corporations
22513.Enrollment Procedure
22515.Certification of Enrollment
22517.Expiration, Renewal of Enrollment
23519.Cancellation, Termination of Enrollment
23Chapter 7.Surcharges
23701.PCF Consulting Actuary
24703.Annual Actuarial Study
24705.Risk Rating
24707.Determination of Rates; Notice of Rates
24709.Interim, Emergency Rates
24711.Payment of Surcharges: Insurers and Self-Insurance Trusts
25713.Payment of Surcharges: Self-Insureds
26715.Amount of Surcharges; Form of Coverage; Conversions
26Chapter 9.Scope of Coverage
26901.Effective Date
27903.Term of Enrollment
27905.Scope of Coverage: Insureds
27907.Scope of Coverage: Self-Insureds
27909.Scope of Coverage: Self-Insurance Trusts
28Chapter 11.Reporting
281101.Notice of Claims, Reserves, Proposed Settlement
281103.Claims Experience Reporting: Insurers, Institutions and Self-Insured
281105.Noncompliance; Failure to Report
291107.Confidentiality
29Chapter 13.Fund Data Collection, Maintenance; Accounting and Reporting
291301.Fund Data Collection, Maintenance
291303.Fund Accounting
291305.Annual Budget
291309.Periodic Reports
301311.Annual Report
30Chapter 14.Medical Review Panels
301401.Procedure
301403.Malpractice Complaint
301405.Attorney Chairman
30Chapter 15.Defense of the Fund
301501.Claims Defense
311503.Claims Accounting
311505.Claim Reserves
311507.Settlement of Claims
311509.Privileged Communications, Records
32Chapter 19.Future Medical Care and Related Benefits
321901.Scope of Chapter
321903.Definitions
321905.Obligation of the Fund
331907.Claims for Future Medical Care and Related Benefits
331909.Attorneys; Medical Experts; Architects; Adjusters
331911.Examinations; Notice Requirements
341913.Choice of Health Care Provider
341915.Psychological /Psychiatric Treatment and Counseling
341917.Nursing Care; Sitter Care
351919.Treatment Protocol
351921.Vehicles
351923.Ancillary Cost; Mileage
361925.Modifications/Renovations to Patient's Residence
361927.Testimony; Communications
361929.Fees and Costs
361931.Attorney Fees
Part VII. Motor Vehicles
39Chapter 1.Insurance
39Subchapter A.Self Insurance
39101.Certificates of Self Insurance
Part IX. Agricultural Commodities
41Chapter 1.Self-Insurance Fund
41101.Definitions
41103.The Fund
41105.Purpose
41107.Fees
42109.Insurance Coverage
42111.Claim Provisions
43113.Appeal Procedure
43115.Subrogation
43117.Limit of Self-Insurance Fund
43121.Participation in the Self-Insurance Fund
43123.Prohibited Acts: Criminal Penalties
44125.Validity of Rules
44127.Pending Litigation; Stay of Claims
Part XI. Rules
45Chapter 1.Rule Number 3AAdvertisement of Medicare Supplement Insurance
45101.Purpose
45103.Applicability
46105.Definitions
47107.Method of Disclosure of Required Information
47109.Form and Content of Advertisements
47111.Advertisements of Benefits, Losses Covered, or Premiums Payable
48113.Necessity for Disclosing Policy Provisions Relating to Renewability, Cancellability, and Termination
48115.Testimonials or Endorsements by Third Parties
49117.Use of Statistics
49119.Disparaging Comparisons and Statements
49121.Jurisdictional Licensing and Status of Insurer
50123.Identity of Insurer
50125.Group or Quasi-Group Implications
50127.Introductory, Initial or Special Offers
51129.Statements about an Insurer
51131.Enforcement Procedures
51133.Severability Provision
51135.Effective Date
52137.Interpretive Guidelines for Rules Governing Advertisements of Medicare Supplement Insurance
56Chapter 3.Rule Number 4 Interlocal Risk Management Agency
56301.Purpose
56303.Applicability
56305.Definitions
57307.Requirements Necessary to Obtain a Certificate of Authority as an Interlocal Risk Management Agency
58309.Filing of Reports
58311.Solvency or Risk Management Agencies; Trustee Responsibilities
59313.Interlocal Risk Management Self-Insurance Funds; Advance Premium Discounts;
Surplus Distribution; Deficit
59315.Aggregate Excess Insurance, Interlocal Risk Management Agency; Self-Insurance
60317.Servicing Interlocal Risk Management Agencies; Application; Requirements;
Noncompliance
60319.Penalty for Non-Compliance
60321.Severability
60Chapter 5.Rule Number 9(Prelicensing Education
60501.Authority
60503.Purpose
61505.Applicability and Scope
61507.Effective Date
61509.Definitions
62511.Program Requirements
63513.Program Certification Requirements
64515.Measurement of Credit Hours
64517.Instructor Qualifications
64519.Training Facilities Requirements
64521.Authority of the Commissioner to Conduct On-Site Review of Prelicensing Programs
64523.Course Completion
65525.Fees
65527.Complaints
65529.Violations
65Chapter 7.Rule Number 10Continuing Education
65701.Authority
65703.Purpose
65705.Applicability and Scope
66707.Effective Date
66709.Definitions
66711.Continuing Education Requirements
67713.Waiver of Continuing Education Requirements
67715.Program Certification Requirements
69717.Measurement of Credit Hours
69719.Instructor Qualifications
69721.Training Facilities Requirements
70723.Authority of the Commissioner to Conduct On-Site Review of Continuing Education Programs
70725.Program Completion
70727.Fees
70729.Complaints
70731.Violations
71Chapter 9.Rule Number 12Transmission of Forms and Documents
71901.Transmission of Forms and Documents Filed with the Department of Insurance
71Chapter 11.Rule Number 1Rules of Practice and Procedure before the Commissioner of Insurance
711101.Definitions
711103.Commencement of Hearings
721105.Petitions, Complaints or Orders
721107.Notice
721109.Service of Notice
721111.Proof of Service
721113.Answer or Appearance
721115.Leave to Intervene Necessary
731117.Docket
731119.Default in Answering or Appearing
731121.Subpoenas
731123.Prehearing Conference
731125.Hearing
731127.Order of Procedure at Hearing
741129.Witnesses to be Sworn
741131.Rules of Pleading and Evidence
741133.Attorneys
741135.Stenographic Record of Hearing
741137.Depositions
741139.Decision, Findings of Fact and Conclusions of Law and Order
751141.Rehearings
751143.Appeals to the District Court
751145.Transcript in Case on Appeal
751147.Amendment of Rules
751149.Exclusions
751151.Declaratory Orders and Rulings, Judicial Review
761153.Forms
761155.Supersedes All Prior Rules
76Chapter 13.Rule Number 3Advertisements of Accident and Sickness Ins
