Section 420-G:14-a – Requested Information.
420-G:14-a Requested Information. – I. As authorized in accordance with RSA 420-G:14, the commissioner may request the submission of such information by carriers as is necessary to better understand the coverage history and choices of participants in the nongroup market. The commissioner shall make every attempt to ensure the reasonableness of such request, both […]
Section 420-G:14-b – Prohibited Transactions.
420-G:14-b Prohibited Transactions. – No health care provider shall submit a claim for reimbursement, or otherwise accept payment, for health care services provided to a patient covered by individual health insurance if the provider has paid the premium for such individual health insurance. Source. 1998, 340:16, eff. Aug. 25, 1998.
Section 420-G:14-c – Repealed by 2003, 188:17, eff. Jan. 1, 2009.
420-G:14-c Repealed by 2003, 188:17, eff. Jan. 1, 2009. –
Section 420-G:15 – Severability.
420-G:15 Severability. – If any provision of this chapter or the application thereof to any person or circumstance is held invalid, the invalidity does not affect other provisions or applications of the chapter which can be given effect without the invalid provisions or applications, and to this end the provisions of this chapter are […]
Section 420-G:16 – Penalties for Violations.
420-G:16 Penalties for Violations. – Any health carrier who proposes, advertises, solicits, issues or delivers to any person or entity in this state any form which does not comply with this chapter or who shall in any way violate this chapter may: I. Be prohibited from marketing, selling, or otherwise administering to the individual […]
Section 420-G:14 – Rulemaking Authority.
420-G:14 Rulemaking Authority. – I. (a) The commissioner may adopt rules, under RSA 541-A, relative to: (1) Uniform age rating levels that are consistent with 45 C.F.R. 147.102. (2) Special enrollment periods designed to allow employees to purchase individual coverage on the exchange during their employer’s open enrollment period, even if the employer’s open […]
Section 420-G:7 – Preexisting Condition Exclusion Periods.
420-G:7 Preexisting Condition Exclusion Periods. – A health carrier shall not impose any preexisting condition exclusion with respect to coverage in the individual, small group, or large group market. Source. 1997, 344:1. 2003, 188:11, 12. 2007, 289:23, eff. Jan. 1, 2008. 2019, 220:8, eff. Sept. 10, 2019.
Section 420-G:8 – Open Enrollment.
420-G:8 Open Enrollment. – I. Each small employer group shall have an annual employee open enrollment period 60 days in length, occurring prior to the small employer group’s anniversary date. During open enrollment, employees or eligible dependents may apply to the small employer for health coverage or make a change in their membership status […]
Section 420-G:9 – Minimum Participation Requirements.
420-G:9 Minimum Participation Requirements. – I. A health carrier may not require more than the minimum participation percentage of the employees eligible for health coverage in a small employer group to participate in the health carrier’s health coverage plan. The minimum participation percentage shall be 75 percent when the health carrier’s plan is the […]
Section 420-G:10 – Qualified Association Trust and Qualified Purchasing Alliance.
420-G:10 Qualified Association Trust. – I. A qualified association trust or other entity, as defined in RSA 420-G:2, XV shall: (a) Comply with the rating restrictions outlined in RSA 420-G:4 for all small employer members with 50 or fewer employees based upon the association’s or alliance’s group experience, except that no rating factor shall […]