41-3901 Short Title
41-3902 Intent and Purpose
41-3903 Definitions
41-3904 Certificate of Authority Required — Exceptions — Application of Certain Provisions
41-3905 Qualifications for Certificate of Authority
41-3906 Application for Certificate of Authority
41-3909 Records
41-3910 Reports to the Director
41-3911 Examinations
41-3912 Suspension or Revocation of Certificate of Authority
41-3914 Annual Disclosures
41-3915 Health Care Contracts
41-3916 Advisory Panels
41-3917 Certain Words Prohibited in Name of Organization
41-3918 Grievance System
41-3919 Open Enrollment
41-3920 Discrimination Against Health Professionals Associated With Managed Care Organizations
41-3921 Statutory Construction and Relationship to Other Laws
41-3922 Taxation — Penalty for Failure to File
41-3923 Coverage of Adopted Newborn Children — Coverage of Maternity and Complications of Pregnancy
41-3924 Limitation of Benefits for Elective Abortions
41-3925 Services Provided by Governmental Entities
41-3926 Mammography Coverage
41-3927 Health Care Providers — Participation by Any Qualified, Willing Provider — Contracts — Grievance Procedure
41-3928 Incentives to Withhold Care Prohibited
41-3930 Utilization Management Program Requirements
41-3931 Participation in Idaho Life and Health Insurance Guaranty Association
41-3932 Exemptions From Application of Chapter
41-3940 Preexisting Conditions

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Terms Used In Idaho Code > Title 41 > Chapter 39 - Managed Care Reform

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Dependent: A person dependent for support upon another.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fraud: Intentional deception resulting in injury to another.
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Month: means a calendar month, unless otherwise expressed. See Idaho Code 73-114
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • person: includes a corporation as well as a natural person;
Idaho Code 73-114
  • Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
  • State: when applied to the different parts of the United States, includes the District of Columbia and the territories; and the words "United States" may include the District of Columbia and territories. See Idaho Code 73-114