Missouri § 354.460 - Advertising not to be untrue or misleading — deceptive solicitation — prohibited — how determined.

§ 354.460. Advertising not to be untrue or misleading — deceptive solicitation — prohibited — how determined.

No health maintenance organization, or representative thereof, may cause or knowingly permit the use of advertising which is untrue or misleading, solicitation which is untrue or misleading, or any form of evidence of coverage which is deceptive.  For purposes of sections 354.400 to 354.636:

(1)  A statement or item of information shall be deemed to be untrue if it does not conform to fact in any respect which is or may be significant to an enrollee of, or person considering enrollment with, a health maintenance organization;

(2)  A statement or item of information shall be deemed to be misleading, whether or not it may be literally untrue, if, in the total context in which such statement is made or such item of information is communicated, such statement or item of information may be reasonably understood by a reasonable person, not possessing special knowledge regarding health care coverage, as indicating any benefit or advantage or the absence of any exclusion, limitation, or disadvantage of possible significance to an enrollee of, or person considering enrollment in, a health maintenance organization plan, if such benefit, advantage, or absence of limitation, exclusion, or disadvantage does not, in fact, exist;

(3)  An evidence of coverage shall be deemed to be deceptive if the evidence of coverage, taken as a whole, is misleading.

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(L. 1983 H.B. 127 § 354.460 subsec. 1, A.L. 2007 S.B. 66)

---- end of effective  28 Aug 2007 ----

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