Chapter 21 - TRADE PRACTICES
- Subchapter A - UNFAIR COMPETITION AND UNFAIR PRACTICES OF INSURERS, AND MISREPRESENTATION OF POLICIES (§ 21.1 to 21.6)
- Subchapter B - ADVERTISING, CERTAIN TRADE PRACTICES, AND SOLICITATION (Division 1 to 2)
- Subchapter C - UNFAIR CLAIMS SETTLEMENT PRACTICES (§ 21.201 to 21.205)
- Subchapter D - STATISTICAL AGENTS (§ 21.301)
- Subchapter E - UNFAIR DISCRIMINATION BASED ON SEX OR MARITAL STATUS (§ 21.401 to 21.409)
- Subchapter H - UNFAIR DISCRIMINATION (§ 21.701 to 21.705)
- Subchapter I - PROHIBITED AGENT PRACTICES (§ 21.901)
- Subchapter J - PROHIBITED TRADE PRACTICES (§ 21.1001 to 21.1007)
- Subchapter K - CERTIFICATION OF CREDITABLE COVERAGE (§ 21.1101 to 21.1110)
- Subchapter L - MEDICAL CHILD SUPPORT, UNFAIR PRACTICES (§ 21.2001 to 21.2011)
- Subchapter M - MANDATORY BENEFIT NOTICE REQUIREMENTS (§ 21.2101 to 21.2107)
- Subchapter N - LIFE INSURANCE ILLUSTRATIONS (§ 21.2201 to 21.2214)
- Subchapter P - MENTAL HEALTH PARITY (Division 1 to 4)
- Subchapter Q - COMPLAINT RECORDS TO BE MAINTAINED (§ 21.2501 to 21.2507)
- Subchapter R - DIABETES (§ 21.2601 to 21.2606)
- Subchapter S - ASSOCIATION PLANS (§ 21.2701 to 21.2706)
- Subchapter T - SUBMISSION OF CLEAN CLAIMS (§ 21.2801 to 21.2826)
- Subchapter U - ARRANGEMENTS BETWEEN INDEMNITY CARRIERS AND HMOS FOR POINT-OF-SERVICE COVERAGE (§ 21.2901 to 21.2902)
- Subchapter V - PHARMACY BENEFITS (Division 1 to 4)
- Subchapter W - COVERAGE FOR ACQUIRED BRAIN INJURY (§ 21.3101 to 21.3107)
- Subchapter X - EVALUATION OF NETWORK PHYSICIANS AND PROVIDERS (§ 21.3201 to 21.3202)
- Subchapter Y - UNFAIR DISCRIMINATION IN COMPENSATION FOR WOMEN'S HEALTH CARE (§ 21.3301 to 21.3305)
- Subchapter Z - DATA COLLECTING AND REPORTING RELATING TO MANDATED HEALTH BENEFITS AND MANDATED OFFERS OF COVERAGE (§ 21.3401 to 21.3409)
- Subchapter AA - CONSUMER CHOICE HEALTH BENEFIT PLANS (Division 1 to 4)
- Subchapter BB - DENTAL CARE BENEFITS (§ 21.3601 to 21.3606)
- Subchapter CC - ELECTRONIC HEALTH CARE TRANSACTIONS (§ 21.3701)
- Subchapter DD - ELIGIBILITY STATEMENTS (§ 21.3801 to 21.3808)
- Subchapter EE - HIGH DEDUCTIBLE HEALTH PLANS (§ 21.3901 to 21.3905)
- Subchapter FF - OBLIGATION TO CONTINUE PREMIUM PAYMENT AND COVERAGE AFTER NOTICE OF LOST GROUP ELIGIBILITY (§ 21.4001 to 21.4003)
- Subchapter GG - HEALTH CARE QUALITY ASSURANCE PRESUMED COMPLIANCE (§ 21.4101 to 21.4106)
- Subchapter HH - MILITARY SALES PRACTICES (§ 21.4201 to 21.4207)
- Subchapter II - RECOGNITION OF NATIONAL CERTIFYING ORGANIZATIONS FOR NONINVASIVE SCREENING OF CARDIOVASCULAR DISEASE (§ 21.4301)
- Subchapter KK - HEALTH CARE REIMBURSEMENT RATE INFORMATION (§ 21.4501 to 21.4507)
- Subchapter MM - WELLNESS PROGRAMS (§ 21.4701 to 21.4708)
- Subchapter NN - NONINSURANCE BENEFITS AND FEATURES (§ 21.4801 to 21.4807)
- Subchapter OO - DISCLOSURES BY OUT-OF-NETWORK PROVIDERS (§ 21.4901 to 21.4904)
- Subchapter PP - OUT-OF-NETWORK CLAIM DISPUTE RESOLUTION (Division 1 to 8)
- Subchapter QQ - HEALTH INFORMATION TECHNOLOGY (Repealed) (§ 21.5101 to 21.5103)
- Subchapter RR - STANDARD PROOF OF HEALTH INSURANCE FOR MEDICAL BENEFITS FOR INJURIES INCURRED AS A RESULT OF A MOTORCYCLE ACCIDENT (§ 21.5201)
- Subchapter SS - CONTINUATION AND CONVERSION PROVISIONS (Division 1 to 3)
- Subchapter TT - ALL-PAYOR CLAIMS DATABASE (§ 21.5401 to 21.5406)
- Subchapter UU - MACHINE-READABLE FILES (§ 21.5501 to 21.5503)
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
- Subchapter A - UNFAIR COMPETITION AND UNFAIR PRACTICES OF INSURERS, AND MISREPRESENTATION OF POLICIES (§ 21.1 to 21.6)
- Subchapter B - ADVERTISING, CERTAIN TRADE PRACTICES, AND SOLICITATION (Division 1 to 2)
- Subchapter C - UNFAIR CLAIMS SETTLEMENT PRACTICES (§ 21.201 to 21.205)
- Subchapter D - STATISTICAL AGENTS (§ 21.301)
- Subchapter E - UNFAIR DISCRIMINATION BASED ON SEX OR MARITAL STATUS (§ 21.401 to 21.409)
- Subchapter H - UNFAIR DISCRIMINATION (§ 21.701 to 21.705)
- Subchapter I - PROHIBITED AGENT PRACTICES (§ 21.901)
- Subchapter J - PROHIBITED TRADE PRACTICES (§ 21.1001 to 21.1007)
- Subchapter K - CERTIFICATION OF CREDITABLE COVERAGE (§ 21.1101 to 21.1110)
- Subchapter L - MEDICAL CHILD SUPPORT, UNFAIR PRACTICES (§ 21.2001 to 21.2011)
- Subchapter M - MANDATORY BENEFIT NOTICE REQUIREMENTS (§ 21.2101 to 21.2107)
- Subchapter N - LIFE INSURANCE ILLUSTRATIONS (§ 21.2201 to 21.2214)
- Subchapter P - MENTAL HEALTH PARITY (Division 1 to 4)
- Subchapter Q - COMPLAINT RECORDS TO BE MAINTAINED (§ 21.2501 to 21.2507)
- Subchapter R - DIABETES (§ 21.2601 to 21.2606)
- Subchapter S - ASSOCIATION PLANS (§ 21.2701 to 21.2706)
- Subchapter T - SUBMISSION OF CLEAN CLAIMS (§ 21.2801 to 21.2826)
- Subchapter U - ARRANGEMENTS BETWEEN INDEMNITY CARRIERS AND HMOS FOR POINT-OF-SERVICE COVERAGE (§ 21.2901 to 21.2902)
- Subchapter V - PHARMACY BENEFITS (Division 1 to 4)
- Subchapter W - COVERAGE FOR ACQUIRED BRAIN INJURY (§ 21.3101 to 21.3107)
- Subchapter X - EVALUATION OF NETWORK PHYSICIANS AND PROVIDERS (§ 21.3201 to 21.3202)
- Subchapter Y - UNFAIR DISCRIMINATION IN COMPENSATION FOR WOMEN'S HEALTH CARE (§ 21.3301 to 21.3305)
- Subchapter Z - DATA COLLECTING AND REPORTING RELATING TO MANDATED HEALTH BENEFITS AND MANDATED OFFERS OF COVERAGE (§ 21.3401 to 21.3409)
- Subchapter AA - CONSUMER CHOICE HEALTH BENEFIT PLANS (Division 1 to 4)
- Subchapter BB - DENTAL CARE BENEFITS (§ 21.3601 to 21.3606)
- Subchapter CC - ELECTRONIC HEALTH CARE TRANSACTIONS (§ 21.3701)
- Subchapter DD - ELIGIBILITY STATEMENTS (§ 21.3801 to 21.3808)
- Subchapter EE - HIGH DEDUCTIBLE HEALTH PLANS (§ 21.3901 to 21.3905)
- Subchapter FF - OBLIGATION TO CONTINUE PREMIUM PAYMENT AND COVERAGE AFTER NOTICE OF LOST GROUP ELIGIBILITY (§ 21.4001 to 21.4003)
- Subchapter GG - HEALTH CARE QUALITY ASSURANCE PRESUMED COMPLIANCE (§ 21.4101 to 21.4106)
- Subchapter HH - MILITARY SALES PRACTICES (§ 21.4201 to 21.4207)
- Subchapter II - RECOGNITION OF NATIONAL CERTIFYING ORGANIZATIONS FOR NONINVASIVE SCREENING OF CARDIOVASCULAR DISEASE (§ 21.4301)
- Subchapter KK - HEALTH CARE REIMBURSEMENT RATE INFORMATION (§ 21.4501 to 21.4507)
- Subchapter MM - WELLNESS PROGRAMS (§ 21.4701 to 21.4708)
- Subchapter NN - NONINSURANCE BENEFITS AND FEATURES (§ 21.4801 to 21.4807)
- Subchapter OO - DISCLOSURES BY OUT-OF-NETWORK PROVIDERS (§ 21.4901 to 21.4904)
- Subchapter PP - OUT-OF-NETWORK CLAIM DISPUTE RESOLUTION (Division 1 to 8)
- Subchapter QQ - HEALTH INFORMATION TECHNOLOGY (Repealed) (§ 21.5101 to 21.5103)
- Subchapter RR - STANDARD PROOF OF HEALTH INSURANCE FOR MEDICAL BENEFITS FOR INJURIES INCURRED AS A RESULT OF A MOTORCYCLE ACCIDENT (§ 21.5201)
- Subchapter SS - CONTINUATION AND CONVERSION PROVISIONS (Division 1 to 3)
- Subchapter TT - ALL-PAYOR CLAIMS DATABASE (§ 21.5401 to 21.5406)
- Subchapter UU - MACHINE-READABLE FILES (§ 21.5501 to 21.5503)