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2014, c.4
- Prescription and Catastrophic Drug Insurance Act
Detailled Table of Contents
Current to 1 January 2024
Prescription andCatastrophic Drug Insurance Act
1
DEFINITIONS AND INTERPRETATION
1
Definitions
2
Conflict
2
GOVERNANCE
3
Establishment of Drug Insurance Plan
4
Loss of entitlement
5
Insurance Act not applicable
6
Appointment of Director
7
Appointment of Plan Administrator
8
Agreements
9
Policies and guidelines
10
Advisory Committee
11
Experts
3
VOLUNTARY MEMBERSHIP
12
Voluntary membership
13
Information provided by an entitled person
14
Maintaining private drug insurance
15
Premiums for voluntary members
15.1
Employers
15.2
Co-payments
4
MEMBERS OF THE PLAN
Repealed: 2015, c.1, s.11
16
Definition of “qualifying private individual drug insurance contract”
17
Certificate of private individual drug insurance
18
Mandatory membership
19
Mandatory membership for dependants
20
Private group drug insurance
21
Information provided by or relating to an entitled person
5
PROVIDERS
22
Participation and cancellation
23
Non-participating providers
24
Sale to participating provider or pharmaceutical distributor
25
Sale to member of the Plan
26
No benefits to non-members
27
Claims to the Plan Administrator
28
Non-compliance
6
BENEFITS
29
Formulary
30
List of prices
31
Entitlement to benefits
32
Exceptions
33
Evidence of membership
34
Reimbursement for entitled services
35
Restrictions
7
FUNDING
Repealed: 2015, c.1, s.15
36
Premiums
37
Employers
38
Plan funding reviews
8
MINIMUM REQUIREMENTS
Repealed: 2015, c.1, s.16
39
Health insurance
40
Private group drug insurance
41
Certificate of private group drug insurance
42
Information provided by the insurer
9
ENFORCEMENT
43
Inspectors
44
Inspections
45
Confidentiality of information
46
Obstruction of inspector
47
Powers of the Minister
47.1
Results of inspection
47.2
Review of results
47.3
Overpayments
48
Offences
49
Continuing offence
50
Notice of non-compliance
51
Written submissions
52
Administrative penalty and offence
53
Notice of administrative penalty
54
Appeal of administrative penalty
55
Payment of administrative penalty
56
Debt due to the Province
57
Immunity
58
Subrogation
59
Levy
10
APPEAL COMMITTEE
Repealed: 2015, c.1, s.20
60
Appeal Committee
10.1
INSPECTION REVIEW COMMITTEE
60.1
Inspection Review Committee
11
GENERAL PROVISIONS
61
Administration
61.1
Annual funding review
62
Members of a family unit
63
Regulations
12
TRANSITIONAL PROVISIONS, CONSEQUENTIAL AMENDMENTS AND COMMENCEMENT
64
Private drug insurance contracts
65
Personal Health Information Privacy and Access Act
66
Commencement
SCHEDULE A
SCHEDULE B