420-B:4 Jurisdictional Power of Attorney. – Any applicant for a certificate of authority who is not domiciled in this state shall file with its application a power of attorney duly executed appointing the commissioner and his successors in office, and duly authorized deputies, as the true and lawful attorney of such applicant in and […]
420-B:5 Issuance of Certificate of Authority. – The commissioner shall issue a certificate of authority to any person filing an application within 90 days after filing of a completed application, payment of all required fees and receipt of endorsement or approval of the state health planning and development agency, as provided by law or […]
420-B:5-a Renewal of Certificate of Authority. – The certificate shall be renewed annually on June 14 if the company complies with the requirements of this chapter, the commissioner regards it as safe, reliable, and entitled to confidence, and the company continues to conduct a meaningful business in New Hampshire, as determined by the commissioner. […]
420-B:5-b New License Required for Changed Conditions. – The commissioner shall require a health maintenance organization to apply for a new certificate in accordance with this chapter, if, after notice and hearing, the commissioner finds that the organization has undergone a substantial change in finances or managerial control since its last application for a […]
420-B:6 Pre-Certificate Activities. – I. Upon request of any applicant, and subject to any regulations the commissioner may impose, the commissioner, in his discretion, may permit an applicant to contact potential enrolled participants prior to the issuance of a certificate of authority, to discuss the health care services the applicant proposes to offer and […]
420-B:7 Powers of Health Maintenance Organizations. – The powers of a holder of a certificate of authority issued pursuant to RSA 420-B:5 shall include, in addition to any powers conferred by the law under which the health maintenance organization is organized, and subject to all restrictions imposed in this chapter, or by the commissioner, […]
420-B:8 Forms of Evidence of Coverage. – I. No evidence of coverage, or amendment thereto, shall be issued to any person in this state until a copy of the evidence of coverage, or amendment thereto including all rates to be charged, has been filed with and approved by the commissioner. II. Every health maintenance […]
420-B:8-a Repealed by 1996, 188:14, IV, eff. Jan. 1, 1997. –
420-B:8-aa 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-B:8-b Health Maintenance Organization Benefits for Mental and Nervous Conditions and Treatment for Chemical Dependency. – I. (a) Benefits for mental or nervous conditions shall conform to the requirements of RSA 415:18-a or alternatively with the basic health services requirements of the Health Maintenance Organization Act of 1973 (P.L. 93-222), any amendments, and federal […]
420-B:8-c Cancellation or Nonrenewal of Group Health Maintenance Organization Contracts. – No group health maintenance organization contract, authorized under this chapter, may be cancelled or nonrenewed by the health maintenance organization, except for nonpayment of premium, unless the group contract holder receives either a notice of cancellation or nonrenewal or an offer of renewal […]
420-B:8-d Cancellation or Nonrenewal of Non-Group Health Maintenance Organization Contracts. – No non-group health maintenance organization contract, authorized under this chapter, may be cancelled or nonrenewed by the health maintenance organization except for nonpayment of premium, unless the enrolled participant receives either a notice of cancellation or nonrenewal or an offer of renewal in […]
420-B:8-e Repealed by 2010, 61:3, III, eff. May 18, 2010. –
420-B:8-ee Coverage for Dental Procedures. – I. Every health maintenance organization and every other 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 […]
420-B:8-f Benefits for Scalp Hair Prostheses. – I. Benefits for scalp hair prostheses shall conform to the requirements of RSA 415:18-d. Such benefits shall not be subject to any greater deductible than any other prostheses benefits provided by the health maintenance organization. The coinsurance required by the enrolled participant shall not exceed the amount […]
420-B:8-ff Coverage for Nonprescription Enteral Formulas. – I. Every health maintenance organization and every other similar corporation licensed under the laws of another state that issues or renews any policy of individual or group health insurance providing benefits for medical or hospital expenses, shall provide to each individual or group, or to the portion […]
420-B:8-g Coverage During Adoption Proceedings. – All contracts issued by a health maintenance 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-B:8-gg Coverage for Prescription Contraceptive Drugs and Prescription Contraceptive Devices and for Contraceptive Services. – Every health maintenance organization and every other similar corporation licensed under the laws of another state that issues or renews any policy of group health insurance providing benefits for medical or hospital expenses, which provides coverage for outpatient services […]
420-B:8-h Notification of Allowable Benefit. – All health maintenance organizations 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. 1993, 102:6, eff. Jan. 1, 1994.
420-B:8-i Incontestable Provision. – The validity of the contract shall not be contested except for nonpayment of premiums, after it has been in force for 2 years from its date of issue. No statement made by any person covered under the contract relating to insurability shall be used in contesting the validity of the […]
