Section 420-A:17-e – Retroactive Denials Prohibited; Exceptions.
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 […]
Section 420-A:17-f – Coverage for Certified Midwives.
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 […]
Section 420-A:17-g – Coverage for Children’s Early Intervention Services.
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 […]
Section 420-A:18 – Investments.
420-A:18 Investments. – No health service corporation shall invest its funds otherwise than as provided in RSA 411-A relating to the investments and holding of real estate by domestic life insurance companies; provided that not exceeding 10 percent of a health service corporation’s total admitted assets may be invested in such investments as are […]
Section 420-A:19 – Prohibiting Limitations on Liability; Disclosure of Information.
420-A:19 Prohibiting Limitations on Liability; Disclosure of Information. – I. No contract between a health service corporation and a physician, for the purpose of delineating the rights and obligations of the parties within the provider network, shall limit the liability of the health service corporation for any actions of the physician for which the […]
Section 420-A:20 – Reports and Examinations.
420-A:20 Reports and Examinations. – Every health service corporation shall annually, on or before March 1, file in the office of the commissioner a statement, verified by at least 2 of its principal officers, showing its condition on the preceding December 31, which shall be in such form and contain such matters as the […]
Section 420-A:21 – Reserves.
420-A:21 Reserves. – Every health service corporation shall collect reasonable rates as described in RSA 420-A:22, designed to permit it to accumulate and maintain a contingency reserve fund. Source. 1997, 190:1, eff. Jan. 1, 1998.
Section 420-A:22 – Annual Review.
420-A:22 Annual Review. – Annually, in the month of April, the commissioner may review the rates of every health service corporation, and shall, not later than 60 days after April 1 of each year, provided that the corporation has filed all pertinent data, make adjustments thereto, if any, as are just and reasonable. Whenever […]
Section 420-A:23 – Appeals.
420-A:23 Appeals. – All orders and decisions of the commissioner concerning matters within the commissioner’s jurisdiction under this chapter shall be subject to rehearing and appeal as provided in RSA 541. RSA 541:18 and RSA 541:19 shall apply to orders and decisions of the insurance commissioner affecting the rates of health service corporations. Source. […]
Section 420-A:16-a – Patients’ Bill of Rights.
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 […]