27 R.I. Gen. Laws § 27-19-1. Definitions: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1939
Provides definitions for Chapter 19 Nonprofit Hospital Service Corporations.
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27 R.I. Gen. Laws § 27-19-2. Organization as charitable corporation—Insurance laws inapplicable: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1939
The laws of this state relative to insurance companies or to the business insurance shall not apply to any nonprofit hospital service corporation unless expressly provided in those laws.
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27 R.I. Gen. Laws § 27-19-2.1. Investments and holdings in certain corporations authorized: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1982
Provides each nonprofit hospital service corporation shall have the power to invest in or cause to be organized and established one or more corporations, all or any portion of the issued and outstanding capital stock …
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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 § 27-19-4. Certificate of public convenience and advantage: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1939
No articles of association of a nonprofit hospital service corporation shall be filed in the office of the secretary of state unless and until the insurance commissioner has certified in writing upon those articles that …
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27 R.I. Gen. Laws § 27-19-40. Third-party reimbursement for servies of certain health-care workers: Nonprofit Hospital 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 …
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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 § 27-19-66. 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 …
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27 R.I. Gen. Laws § 27-19-68. Prohibition on preexisting condition exclusions: Nonprofit Hospital 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.
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27 R.I. Gen. Laws § 27-19-7. Rates charged by hospitals: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1939
The rates charged by contracting hospitals to any nonprofit hospital service corporation for hospital services rendered by the hospitals to the subscribers of the corporation shall be established from time to time by agreement between …
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27 R.I. Gen. Laws § 27-19-7.1 Uniform explanation of benefits and coverage: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 2012
A nonprofit hospital 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.
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27 R.I. Gen. Laws § 27-19-9. Examination of affairs of corporations: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted Year Enacted: 1939
It is the duty of the insurance commissioner to make an examination of the financial condition and methods of doing business of every nonprofit hospital service corporation.
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