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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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 § 27-20-15. 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 …
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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 …
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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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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.
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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 …
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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.
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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 …
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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.
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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
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