420-F:1 Definitions; Scope of Chapter. – I. In this chapter: (a) "Commissioner" means the New Hampshire insurance commissioner. (b) "Contract holder" means any individual, proprietorship, partnership, corporation, association, union or other organization which contracts or may contract for dental care for oneself, employees, members, and their dependents. (c) "Delta" means Delta Dental Plan of […]
420-F:10 Contingency Reserve Fund. – Delta shall collect reasonable rates as described in RSA 420-F:6, designed to permit it to accumulate and maintain a contingency reserve fund which shall not be less than 8 percent of Delta’s annual premium risk income. Source. 1992, 252:1, eff. Jan. 1, 1993.
420-F:11 Examination. – I. The commissioner shall make an examination of Delta as often as he or she deems it necessary, but not less frequently than once in every 5 years. All examinations shall be conducted at the expense of Delta. II. Delta shall submit its books and records relating to its operations to […]
420-F:12 Appeals. – All orders and decisions of the commissioner concerning matters within his jurisdiction under this chapter shall be subject to rehearing and appeal as provided in RSA 541. RSA 541:18 and 19 shall apply to orders and decisions of the insurance commissioner affecting the rates of Delta. Source. 1992, 252:1, eff. Jan. […]
420-F:13 Administrative Services. – Delta may contract to furnish administrative, marketing, and managerial services to any health related organization, agency, entity or plan. Source. 1992, 252:1, eff. Jan. 1, 1993.
420-F:14 Nonliability of Corporation. – Delta, its officers or employees, shall not be liable for injuries resulting from negligence, malfeasance, nonfeasance or malpractice on the part of any provider in the course of rendering any dental care. Source. 1992, 252:1, eff. Jan. 1, 1993.
420-F:15 Not-for-Profit-Status. – Delta is not organized and shall not be maintained or operated for private profit or benefit. The income or property of Delta from whatever source derived shall be applied solely toward the promotion of the purposes of Delta and no portion of such income or property shall be transferred to or […]
420-F:16 Relationship of Provider and Patient. – Nothing in this chapter shall be deemed to alter the relationship of provider and patient. Delta shall not in any way influence the subscriber in the free choice of provider. Nothing in this chapter shall be deemed to abridge the right of any provider to decline patients […]
420-F:17 Rulemaking Authority. – The commissioner may adopt rules in accordance with RSA 541-A, which are reasonable and necessary to administer and enforce the provisions of this chapter. Source. 1992, 252:1. 2002, 207:49, eff. July 15, 2002.
420-F:18 Prohibited Practices. – RSA 417 shall be construed to apply to Delta and the contracts which Delta issues, except to the extent that the commissioner determines that the nature of Delta, and the contracts which Delta issues, renders such provisions inappropriate. Source. 1992, 252:1. 1997, 190:16, eff. Jan. 1, 1998.
420-F:2 Directors. – I. The board of directors who shall manage the business and affairs of Delta shall be composed of 7 participating dentists, 4 public members, and 4 purchaser members. II. A nominating committee composed of 2 participating dentists, one member of the general public, and 2 purchasers, none of whom are members […]
420-F:2-a Bylaws. – Any bylaw developed by the board of directors or developed by the members shall require approval of both 2/3 of the members of the board and a simple majority of all the members of Delta. Source. 1998, 180:4, eff. July 1, 1998.
420-F:3 Agent License. – I. No person, for himself or in behalf of any person, shall sell or offer to sell any Delta benefit plan, as is provided for in this chapter, without being licensed by the commissioner pursuant to the provisions of RSA 402-J. II. Upon written notice by Delta of its appointment […]
420-F:4 Filing and Approval of Contracts. – Delta shall not revise or modify any contract or issue a new contract to a contract holder until it shall have filed with the commissioner a copy of the form of such amendment, modification or contract, including all riders and endorsements, and until the commissioner’s approval shall […]
420-F:5 Contracts With Contract Holders. – Every contract between Delta and a contract holder shall be in writing, a copy of which shall be furnished to the contract holder and shall contain the following provisions: I. A statement of the amount payable to Delta by the contract holder and the manner in which such […]
420-F:5-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-F:6 Rates and Contracts to be Approved. – Delta shall file with the insurance commissioner a full schedule of the rates to be paid by contract holders and shall obtain the commissioner’s approval prior to implementing any rate changes. The commissioner may refuse such approval if he finds the rates are excessive, inadequate, or […]
420-F:7 Cancellation or Nonrenewal. – I. No contract with a contract holder authorized under this chapter shall be cancelled by Delta, except for nonpayment of premium, unless the contract holder receives a notice of cancellation in accordance with this section. Notice of cancellation for breach of the contract by the contract holder shall be […]
420-F:8 Investments. – Delta shall invest its funds as provided for in RSA 411-A. Source. 1992, 252:1, eff. Jan. 1, 1993.
420-F:9 Financial Report and Examination. – I. Delta shall file with the commissioner, on March 1, a report verified by an appropriate official of Delta, showing its financial condition on the last day of the preceding fiscal year. II. Such report shall include: (a) Delta’s financial statements, including its balance sheet and statement of […]
