27 R.I. §§ 27-18.6-1 through 27-18.6-10: Large Group Health Insurance Coverage – Rhode Island
Status: Enacted Year Enacted: 2000
The purpose of this chapter is to insure compliance of all policies, contracts, certificates, and agreements of group health insurance coverage offered or delivered in this state with the Health Insurance Portability and Accountability Act …
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27 R.I. Gen. Laws § 27-18-51. Restricted annual rate payments prohibited: Accident and Sickness Insurance Policies – Rhode Island
Status: Enacted Year Enacted: 1998
(a) No policy delivered or issued in this state shall contain a provision for compensating any provider of outpatient mental health and/or substance abuse treatment service by using the restricted annual rate method of payment. …
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27 R.I. Gen. Laws § 27-18-54. Health insurance rates: Accident and Sickness Insurance Policies – Rhode Island
Status: Enacted Year Enacted: 1999
Governs health insurance rates when an insurance company merges or consolidates with or acquires a non-profit under chapter 19, 20, or 41.
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27 R.I. Gen. Laws § 27-18-75. Medical loss ratio reporting and rebates: Accident and Sickness Insurance Policies – Rhode Island
Status: Enacted Year Enacted: 2012
Health insurance carriers required to report medical loss ratio and rebate calculations and other medical loss ratio and rebate information to the U.S. Department of Health and Human Services shall concurrently file such information with …
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27 R.I. Gen. Laws § 27-18-8. Filing of accident and sickness insurance policy forms: Accident and Sickness Insurance Policies – Rhode Island
Status: Enacted Year Enacted: 1956
Requires prior approval for insurance policy forms and rate filings prior to use in the state of Rhode Island.
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27 R.I. Gen. Laws § 27-19-30.1. Health insurance rates: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1999
Governs rates for insurance companies that merge, consolidate, or acquire a nonprofit health entity.
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27 R.I. Gen. Laws § 27-19-43. Restricted annual rate payments prohibited: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1998
(a) No corporation organized under this chapter shall compensate any provider of outpatient service by using the restricted annual rate method of payment. (b) The “restricted annual rate method of payment” is defined as any …
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27 R.I. Gen. Laws § 27-19-5. Contracts with subscribers, hospitals, and other eligible entities: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1939
Each nonprofit hospital service corporation may contract with its subscribers and with any eligible hospital for hospital service to be rendered by the contracting hospital to the subscribers and as to the nature and extent …
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27 R.I. Gen. Laws § 27-19-56. Post-payment audits: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 2006
any review, audit, or investigation by a nonprofit hospital service corporation of a health-care provider’s claims that results in the recoupment or set-off of funds previously paid to the health-care provider in respect to such …
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27 R.I. Gen. Laws § 27-19-6. Rates charged subscribers — Reserves: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1939
The rates proposed to be charged, or a rating formula proposed to be used, by any corporation organized under this chapter to employers, the state or any political subdivision of the state, or individuals, shall …
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27 R.I. Gen. Laws § 27-19-65. Medical loss ratio reporting and rebates: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 2012
Health insurance carriers required to report medical loss ratio and rebate calculations and other medical loss ratio and rebate information to the U.S. Department of Health and Human Services shall concurrently file such information with …
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27 R.I. Gen. Laws § 27-20-1. Definitions: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1945
Definitions related to Nonprofit Medical Service Corporations
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27 R.I. Gen. Laws § 27-20-10. Commission plans for solicitors or insurance producers: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1945
No person shall be engaged to solicit subscribers to any nonprofit medical service plan upon a commission basis or upon any other basis by which the payment of the compensation or expenses of the person …
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27 R.I. Gen. Laws § 27-20-25.2. Health insurance rates: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1999
No insurance company organized as a stock or mutual corporation which merges or consolidates with, acquires ownership or control or possession of twenty percent (20%) or greater of the operating assets of, or acquires control …
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27 R.I. Gen. Laws § 27-20-26. Regulations: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1993
The director of the department of business regulation may adopt reasonable rules and regulations for the implementation and administration of the provisions of this chapter.
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27 R.I. Gen. Laws § 27-20-38. Restricted annual rate payments prohibited: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1998
(a) No corporation organized under this chapter shall compensate any provider of outpatient service by using the restricted annual rate method of payment. (b) The “restricted annual rate method of payment” is defined as any …
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