27 R.I. Gen. Laws § 27-50-2. Purpose: Small Employer Health Insurance Availability Act – Rhode Island
Status: Enacted Year Enacted: 2000
The purpose and intent of this chapter are to enhance the availability of health insurance coverage to small employers regardless of their health status or claims experience, to prevent abusive rating practices, to prevent segmentation …
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27 R.I. Gen. Laws § 27-50-3. Definitions: Small Employer Health Insurance Availability Act – Rhode Island
Status: Enacted Year Enacted: 2000
Definitions related to Small Employer Health Insurance Availability Act
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27 R.I. Gen. Laws § 27-50-4. Applicability and scope: Small Employer Health Insurance Availability Act – Rhode Island
Status: Enacted Year Enacted: 2000
This chapter applies to any health benefit plan that provides coverage to the employees of a small employer in this state, whether issued directly by a carrier or through a trust, association, or other intermediary, …
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27 R.I. Gen. Laws § 27-50-5. Restrictions relating to premium rates: Small Employer Health Insurance Availability Act – Rhode Island
Status: Enacted Year Enacted: 2000
Premium rates for health benefit plans subject to this chapter are subject to various rate adjustment restriction provisions.
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27 R.I. Gen. Laws § 27-50-9. Periodic market evaluation: Small Employer Health Insurance Availability Act – Rhode Island
Status: Enacted Year Enacted: 2000
The report shall analyze the effectiveness of the chapter in promoting rate stability, product availability, and coverage affordability. The report may contain recommendations for actions to improve the overall effectiveness, efficiency, and fairness of the …
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27 R.I. Gen. Laws §§ 27-18.2-1 through 27-18.2-11: Medicare Supplement Insurance Policies – Rhode Island
Status: Enacted Year Enacted: 1984
Provisions governing medicare supplement policies including loss ration standards, disclosure standards, and enforcement and penalties.
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27 R.I. Gen. Laws §§ 27-18.9-1 through 27-18.9-15: Benefit Determination and Utilization Review Act – Rhode Island
Status: Enacted Year Enacted: 2017
Provisions govern benefit determinations and utilization review.
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27 R.I. Gen. Laws §§ 27-36-1 & 27-36-2: Consumer Representation at Rate Hearings – Rhode Island
Status: Enacted Year Enacted: 1977
If the hearings are related to a rate increase request by a health insurer, then the hearings shall be open to the public.
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27 R.I. Gen. Laws §§ 27-69-1 through 27-69-7: Insurance – Mandated Benefits – Rhode Island
Status: Enacted Year Enacted: 2005
The purpose of this chapter is to provide for the availability of health plans that qualify as high deductible health plans which may be purchased for use with a health savings account and all similar …
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27 R.I. Gen. Laws §§ 27-81-1 through 27-81-5: The Telemedicine Coverage Act – Rhode Island
Status: Enacted Year Enacted: 2016
Each health insurer that issues individual or group accident-and-sickness insurance policies for health-care services and/or provides a health-care plan for health-care services shall provide coverage for the cost of such covered health-care services provided through …
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35 Pa. Stat. and Cons. Stat. Ann. §§ 5701.1301 through 5701.1304. Tobacco Settlment Act — Health Investment Insurance – Pennsylvania
Status: Enacted Year Enacted: 2001
There is established in the department an adult basic coverage insurance program. Fund appropriations to the department for the program shall be used for contracts to provide basic health care insurance for eligible adults and …
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40 Pa. Cons. Stat. § 764a. Preferred provider organizations: Health and Accident Insurance – Pennsylvania
Status: Enacted Year Enacted: 1986
Describes the role of preferred provider organizations, what happens in their assumption of risk and the role of the Insurance Commissioner.
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40 Pa. Cons. Stat. § 991.2162. External grievance process: Quality Health Care Accountability and Protection – Pennsylvania
Status: Enacted Year Enacted: 1998
A managed care plan shall establish and maintain an external grievance process by which an enrollee or a health care provider with the written consent of the enrollee may appeal the denial of a grievance …
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40 Pa. Stat. and Cons. Stat. Ann. § 756.2. Group accident and sickness insurance: Health and Accident Insurance – Pennsylvania
Status: Enacted Year Enacted: 1955
Governs the issuance of group accident and sickness insurance.
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40 Pa. Stat. and Cons. Stat. Ann. § 756.3. Blanket accident and sickness insurance: Health and Accident Insurance – Pennsylvania
Status: Enacted Year Enacted: 1955
Governs the issuance of blanket accident and sickness insurance.
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40 Pa. Stat. and Cons. Stat. Ann. § 764a. Preferred provider organizations: Health and Accident Insurance – Pennsylvania
Status: Enacted Year Enacted: 1986
Governs preferred provider organizations and the powers of the insurance commissioner.
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