420-A:1 Definitions. – In this chapter: I. "Commissioner" means the insurance commissioner. II. "Covered dependent" means the spouse, an adult dependent, or a child or an adopted child of the subscriber who is named in the subscription certificate issued to the subscriber and with respect to whom appropriate premium is specified in the certificate. […]
420-A:10 Part-Time Employees. – A health service corporation shall not exclude part-time employees and shall offer the same insurance benefits to part-time employees as it offers to the employee groups of which the part-time employees would be members if they were full-time employees. The insurer shall offer to include the part-time employees as part […]
420-A:10-a Dependent Coverage. – I. A policy may, at the election of the carrier, insure, originally or by subsequent amendment, upon application of an adult member of a family who shall be deemed the policyholder, any 2 or more eligible members of that family, including husband, wife, dependent children, or any other person dependent […]
420-A:11 Cancellation or Nonrenewal of Group Insurance Contracts. – No group accident or health insurance contract, authorized under this chapter, may be cancelled or nonrenewed by the health service corporation, except for nonpayment of premium, unless the group contract holder receives either a notice of cancellation or nonrenewal or an offer of renewal in […]
420-A:12 Cancellation or Nonrenewal of Non-Group Insurance Contracts. – No non-group accident or health insurance contract, authorized under this chapter, may be cancelled or nonrenewed by the health service corporation except for nonpayment of premium, unless the insured receives either a notice of cancellation or nonrenewal or an offer of renewal in accordance with […]
420-A:13 Repealed by 2010, 61:3, II, eff. May 18, 2010. –
420-A:14 Coverage for Scalp Hair Prostheses. – I. Every health service corporation and every other similar corporation licensed under the laws of another state, which provides coverage for other prostheses, shall provide to each group, or to the portion of each group comprised of certificate holders of such insurance who are residents of this […]
420-A:15 Coverage During Adoption Proceedings. – All contracts issued by a health service corporation which provide coverage for a family member of the subscriber shall, as to such family member’s coverage, also provide that health insurance benefits applicable for children are payable with respect to any minor from the date such minor is placed […]
420-A:15-a Third-Party Payment of Covered, Court-Ordered Services. – The existence of a court order under RSA 169-B, RSA 169-C, or RSA 169-D for a service, program, or placement that is covered under any insurance for the minor shall not be considered in determining qualification for third-party payment under such insurance. Benefits for such services […]
420-A:15-b Coverage for Dependents. – If the coverage for dependent children includes coverage for dependent children who are full-time students, as defined by the appropriate educational institution, beyond the age of 18, such dependent coverage shall include coverage for a dependent’s medically necessary leave of absence from school for a period not to exceed […]
420-A:16 Notification of Allowable Benefit. – All health service corporations and every other similar corporation licensed under the laws of another state shall provide to each subscriber, on request, a written statement of the dollar amount of allowable benefit for any procedure which is requested by the appropriate procedure code. Source. 1997, 190:1, eff. […]
420-A:16-a Patients’ Bill of Rights. – Every health service corporation and every other similar corporation licensed under the laws of another state shall provide to each new subscriber who is a resident of this state a copy of the patients’ bill of rights law under RSA 151:21. Source. 1997, 331:19, eff. Jan. 1, 1998 […]
420-A:17 Coverage for Nonprescription Enteral Formulas. – I. Every health service corporation and every other similar corporation licensed under the laws of another state that issues or renews any policy of individual or group accident or health insurance providing benefits for medical or hospital expenses shall provide to each individual or group, or to […]
420-A:17-a Coverage for Diabetes Services and Supplies. – Every health service corporation and every similar corporation licensed under the laws of another state that issues or renews any policy, plan, or contract of individual or group accident or health insurance providing benefits for medical or hospital expenses, shall provide to each individual or group, […]
420-A:17-b Coverage for Dental Procedures. – I. Every health service corporation and every similar corporation licensed under the laws of another state that issues or renews any group policy of accident or health insurance providing benefits for medical or hospital expenses, shall provide to each covered individual or certificate holder who is a resident […]
420-A:17-c Coverage for Prescription Contraceptive Drugs and Prescription Contraceptive Devices and for Contraceptive Services. – Every health service corporation and every other similar corporation licensed under the laws of another state that issues or renews any policy of group accident or health insurance providing benefits for medical or hospital expenses, which provides coverage for […]
420-A:17-d Prompt Payment Required. – I. (a) Every health service corporation, and every other similar corporation licensed under the laws of another state that issues or renews any policy of individual or group accident or health insurance providing benefits for medical or hospital expenses for its insured persons shall pay for services rendered by […]
420-A:17-e Retroactive Denials Prohibited; Exceptions. – I. In this section " retroactive denial of a previously paid claim " means any attempt by a health service corporation to retroactively collect payments already made to a health care provider with respect to a claim by requiring repayment of such payments, reducing other payments currently owed […]
420-A:17-f Coverage for Certified Midwives. – Every health service corporation and every other similar corporation licensed under the laws of another state that issues or renews any policy of group accident or health insurance providing maternity benefits shall also provide to each group, or to the portion of each group comprised of certificate holders […]
420-A:17-g Coverage for Children’s Early Intervention Services. – Every health service corporation and every other similar corporation licensed under the laws of another state that issues or renews any policy of group accident or health insurance providing benefits for medical, rehabilitation, or hospital expenses, which provides coverage for outpatient services shall provide to each […]
