Status: Enacted
Year Enacted: 1997
Statutes limit preexisting condition exclusions and govern when health insurance issuers must renew coverage and when issuers may discontinue coverage in connection with a group health plan. Statutes prohibit eligibility and rates from being contingent […]
23 R.I. Gen. Law § 23-17-61. Written estimates for hospital medical services: Health Care Facility Licensing Act of Rhode Island – Rhode Island
Status: Enacted
Year Enacted: 2014
Requires that a hospital provide to a prospective patient, the requested cost estimate of their requested anticipated hospital services within five business days of request and the cost of any facility fee.
27 R.I. Gen. Laws § 27-18-76. Emergency services: Accident and Sickness Insurance Policies – Rhode Island
Status: Enacted
Year Enacted: 2012
If a nonprofit medical service corporation offering health insurance coverage provides any benefits with respect to services in an emergency department of a hospital, it must cover emergency services consistent with the rules of this […]
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 […]
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 […]
27 R.I. Gen. Laws § 27-19-66. Emergency services: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted
Year Enacted: 2012
If a nonprofit medical service corporation offering health insurance coverage provides any benefits with respect to services in an emergency department of a hospital, it must cover emergency services consistent with the rules of this […]
Status: Enacted
Year Enacted: 1945
Definitions related to Nonprofit Medical Service Corporations
27 R.I. Gen. Laws § 27-20-61. Medical loss ratio reporting and rebates: Nonprofit Medical 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 […]
27 R.I. Gen. Laws § 27-20-62. Emergency services: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted
Year Enacted: 2012
If a nonprofit medical service corporation offering health insurance coverage provides any benefits with respect to services in an emergency department of a hospital, it must cover emergency services consistent with the rules of this […]
27 R.I. Gen. Laws § 27-29-17.3. Notice of premium or coverage changes: Insurance – Unfair Competition and Practices – Rhode Island
Status: Enacted
Year Enacted: 2003
An insurer shall provide to the first-named insured at the mailing address shown on the policy, and to the insurance producer of record, written notice of any premium increase in excess of ten percent (10%) […]
27 R.I. Gen. Laws § 27-41-10. Information to enrollees: Health Maintenance Organization Act – Rhode Island
Status: Enacted
Year Enacted: 1983
Every health maintenance organization shall promptly provide to its enrollees notice of any material change in the operation of the organization that will affect them directly.
27 R.I. Gen. Laws § 27-41-78. Medical loss ratio reporting and rebates: Health Maintenance Organization Act – Rhode Island
Status: Enacted
Year Enacted: 2012
Health maintenance organizations 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 […]
27 R.I. Gen. Laws § 27-41-79. Emergency services: Health Maintenance Organization Act – Rhode Island
Status: Enacted
Year Enacted: 2012
If a nonprofit medical service corporation offering health insurance coverage provides any benefits with respect to services in an emergency department of a hospital, it must cover emergency services consistent with the rules of this […]
27 R.I. Gen. Laws § 27-41-8. Evidence of coverage and charges for health care services: Health Maintenance Organization Act – Rhode Island
Status: Enacted
Year Enacted: 1983
Every enrollee is entitled to evidence of coverage for the payment and for the provision of health care services under a health maintenance organization. No schedule of charges, rates, or rating formulae for enrollee coverage […]
Status: Enacted
Year Enacted: 1983
Every health maintenance organization shall also file quarterly statements with the insurance commissioner, due on or before forty-five (45) days after the quarter ending in accordance with the National Association of Insurance Commissioners’ guidelines and […]
27 R.I. Gen. Laws § 27-50-12.1. Renewal rating: Small Employer Health Insurance Availability Act – Rhode Island
Status: Enacted
Year Enacted: 2006
To ensure ease of understanding of renewal rate calculation and related information, the health insurance commissioner may, by regulation, prescribe the presentation formats for delivery of renewal rates to small employers.
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