Title 31, Chapter 17, Section 4.1
( 31-17-4.1)
(a) As used in this Code section, the term: (1) "Chlamydia screening test" means any laboratory test of the
urogenital tract which specifically detects for infection by one
or more agents of chlamydia trachomatis and which test is approved
for such purposes by the federal Food and Drug Administration. (2) "Policy" means any benefit plan, contract, or policy except a
disability income policy, specified disease policy, or hospital
indemnity policy. (b)(1) Every insurer authorized to issue an individual or group
accident and sickness insurance policy in this state which
includes coverage for any female shall include as part of or as a
required endorsement to each such policy which is issued,
delivered, issued for delivery, or renewed on or after July 1,
1998, coverage for one annual chlamydia screening test for those
covered females who are not more than 29 years old. (2) The coverage required under paragraph (1) of this subsection
may be subject to such exclusions, reductions, or other
limitations as to coverages, deductibles, or coinsurance
provisions as may be approved by the Commissioner of Insurance. (3) Nothing in this subsection shall be construed to prohibit the
issuance of accident and sickness insurance policies which provide
benefits greater than or more favorable to the insured than those
required by paragraph (1) of this subsection. (4) The provisions of subsection (b) of this Code section shall
apply to accident and sickness insurance policies issued by a
fraternal benefit society, a nonprofit hospital service
corporation, a nonprofit medical service corporation, a health
care plan, a health maintenance organization, or any similar
entity. (5) Nothing contained in this Code section shall be deemed to
prohibit the payment of different levels of benefits or having
differences in coinsurance percentages applicable to benefit
levels for services provided by preferred and nonpreferred
providers as otherwise authorized under the provisions of Article
2 of Chapter 30 of Title 33, relating to preferred provider
arrangements. (c)(1) A contract executed or renewed on or after July 1, 1998,
which provides for financing and delivery of health care services
through a managed care plan, other than a dental plan, shall
provide coverage for one annual chlamydia screening test for each
female who is covered under such contract and who is not more than
29 years of age. Such coverage may be subject to such exclusions,
reductions, or other limitations as to coverages, deductibles, or
copayment provisions as may be approved by the Commissioner of
Insurance. (2) Nothing in this subsection shall be construed to prohibit any managed care plan contract from providing benefits greater than or more favorable to the covered females than those required by paragraph (1) of this subsection. (d) Code Section 31-17-8 shall not apply to this Code section. (e) This Code section shall be subject to rules and regulations
which shall be promulgated by the Commissioner of Insurance
regarding notice and enforcement. |