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Acts and Regulations
2014-27
- General
Summary
Enabling Act
1
Regulation number
Title
2014, c.4
Prescription and Catastrophic Drug Insurance Act
Full text
Detailled Table of Contents
Current to 1 November 2023
General
 CITATION AND DEFINITIONS
1
Citation
2
Definitions for the purposes of the Act and this Regulation
3
Definitions for the purposes of this Regulation
 GOVERNANCE
4
Duties of the Director
5
Information relating to an entitled person
6
Duties of the Plan Administrator
7
Agreements
8
Advisory Committee
9
Meetings of the Advisory Committee
10
Conflict of interest of a member of the Advisory Committee
11
Matters referred to the Advisory Committee
 VOLUNTARY MEMBERSHIP
12
Voluntary membership
13
Information provided by an entitled person
14
Premiums and co-payments for voluntary members
14.1
Phase-in of premium increase
 MEMBERS OF THE PLAN
 Repealed: 2015-8
15
Certificate of private individual drug insurance
16
Mandatory membership
17
Private group drug insurance
18
Information provided by or relating to an entitled person
 PROVIDERS
19
Participating providers
20
Information provided by non-participating providers
21
Information provided by participating providers
22
Sale to member of the Plan by participating provider
23
Claims by participating providers
24
Reassessment of claims
25
Amount to be paid to a participating provider
26
Frequency of dispensing
27
Restrictions and conditions on days supply
 BENEFITS
28
Formulary
29
List of prices
30
Entitlement to benefits
31
Exceptions
32
Evidence of membership
33
Reimbursement for entitled services
34
Restrictions
 FUNDING
 Repealed: 2015-8
35
Premiums
 MINIMUM REQUIREMENTS
 Repealed: 2015-8
36
Private group drug insurance
37
Certificate of private group drug insurance
38
Information provided by the insurer
39
Cancellation of an insurance contract
 REVIEW COMMITTEE
39.1
Review Committee
39.2
Meetings and quorum
 ENFORCEMENT
40
Notice of non-compliance
41
Notice of administrative penalty
42
Maximum amount of administrative penalty
 APPEALS
 Repealed: 2015-8
43
Appeal Committee
44
Notice of appeal and information
45
Grounds of appeal
46
Notice of hearing
47
Conduct of hearings
48
Decisions of the Appeal Committee
49
Conflict of interest of a member of a hearing panel
50
Remuneration and compensation
 COMMENCEMENT
51
Commencement
SCHEDULE A
SCHEDULE B
0
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