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
Download
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 …
Download
27 R.I. Gen. Laws § 27-20-12. Corporation deemed public charitable institution: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1945
Every nonprofit medical service corporation is declared to be and shall be deemed to be a charitable corporation and an incorporated public charitable institution.
Download
27 R.I. Gen. Laws § 27-20-15. Itemized bills for services rendered: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1985
Upon completion of medical services under the provisions of this chapter, each provider of those services shall upon request provide a copy of an itemized bill to each patient; provided, that nothing contained in this …
Download
27 R.I. Gen. Laws § 27-20-16. Changing coverage: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1988
No group health insurer subject to the provisions of this chapter shall change contract provisions as specified in the group plan master contract during the term of that contract without prior written agreement of the …
Download
27 R.I. Gen. Laws § 27-20-2. Organization as charitable corporation–Insurance laws inapplicable: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1945
Each nonprofit medical service corporation shall be incorporated as a charitable corporation under the provisions of chapter 6 of title 7, and shall be subject to that chapter and to this chapter. The laws of …
Download
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 …
Download
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.
Download
27 R.I. Gen. Laws § 27-20-35. Third party reimbursement for services of certain health-care workers: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1997
A group health plan and a health insurance issuer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health-care provider who is acting …
Download
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 …
Download
27 R.I. Gen. Laws § 27-20-5. Contracts with subscribers: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1945
Each nonprofit medical service corporation may contract with its subscribers for any medical service as may be provided under any nonprofit medical service plan adopted by the corporation.
Download
27 R.I. Gen. Laws § 27-20-51. Post-payment audits: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 2006
Any review, audit, or investigation by a nonprofit medical 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 …
Download
27 R.I. Gen. Laws § 27-20-57. Prohibition on preexisting condition exclusions: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 2012
Prohibits a health insurance policy or plan from limiting or excluding coverage for an individual by imposing a preexisting condition exclusion on that individual.
Download
27 R.I. Gen. Laws § 27-20-6. Rates charged subscribers–Reserves–Hearing by commissioner: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1945
The rates proposed to be charged, or a rating formula proposed to be used, by any corporation organized under this chapter, to its subscribers, employers, the state or any political subdivision of the state, or …
Download
27 R.I. Gen. Laws § 27-20-6.1 Uniform explanation of benefits and coverage: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 2012
A nonprofit medical service corporation shall provide a summary of benefits and coverage explanation and definitions to policyholders and others. The forms required by this section shall be made available to the commissioner on request.
Download
27 R.I. Gen. Laws § 27-20-6.2. Filing of policy forms: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted Year Enacted: 2012
A nonprofit medical service corporation shall file all policy forms and rates used by it in the state with the commissioner. No such form shall be used if disapproved by the commissioner under this section
Download