Section 420-G:10-a – Voluntary Small Employer Health Insurance Purchasing Alliances; Rulemaking.
420-G:10-a Voluntary Small Employer Health Insurance Purchasing Alliances; Rulemaking. – I. The commissioner shall have the regulatory oversight authority to set standards for the licensure and conduct of purchasing alliances authorized under this section and to enforce such standards. II. Each applicant and each duly licensed purchasing alliance shall file with the commissioner such […]
Section 420-G:11 – Disclosure.
420-G:11 Disclosure. – I. Health carriers operating in the small employer and/or individual markets shall make reasonable disclosure in solicitation and sales materials provided to individuals and small employers of the following: (a) The methodology by which premium rates for an individual or specific small employer are established. Each health carrier shall state that […]
Section 420-G:11-a – Development of a Comprehensive Health Care Information System.
420-G:11-a Development of a Comprehensive Health Care Information System. – I. The department, the department of justice, and the department of health and human services shall enter into a memorandum of understanding for collaboration in the development of a comprehensive health care information system, the sharing of submitted data fields, and the role of […]
Section 420-G:12 – Rating Practices and Filings.
420-G:12 Rating Practices and Filings. – I. Each health carrier shall maintain at its principal place of business a complete and detailed description of its rating practices and renewal underwriting practices, including information and documentation which demonstrate that its rating methods and practices are based upon commonly accepted actuarial assumptions and are in accordance […]
Section 420-G:12-a – Health Plan Loss Information.
420-G:12-a Health Plan Loss Information. – I. To ensure maximum competition in the purchase of group health insurance, all large employers shall be entitled to receive their specific health plan loss information upon request and without charge. No contract between any health carrier, third-party administrator, employer group, or pool of employers shall abridge this […]
Section 420-G:13 – Approval of Rate Filings.
420-G:13 Approval of Rate Filings. – No policy or contract of insurance or any certificate under such policy or contract or other evidence of coverage shall be issued to a small employer or an individual under this chapter until the premium rates have been filed and approved by the commissioner. The commissioner shall approve […]
Section 420-G:4-b – Repealed by 2016, 111:7, II, eff. June 19, 2016.
420-G:4-b Repealed by 2016, 111:7, II, eff. June 19, 2016. –
Section 420-G:4-c – Health Coverage Tax Incentive Plan.
420-G:4-c Health Coverage Tax Incentive Plan. – I. Any carrier that offers small group health coverage in the state shall make its small employer group coverage available with a limited open enrollment period to individual employees of small employers when the coverage is purchased through a premium only cafeteria plan that satisfies the requirements […]
Section 420-G:4-d – Essential Health Benefits.
420-G:4-d Essential Health Benefits. – I. All health coverage offered by health carriers to individuals or small employers shall include coverage for essential health benefits and provide essential health benefits in a plan substantially equivalent to New Hampshire’s essential health benefit benchmark plan in effect for the plan year 2019. II. If the federal […]
Section 420-G:5 – Medical Underwriting.
420-G:5 Medical Underwriting. – I. Health carriers providing health coverage shall not perform medical underwriting, including the use of health statements or screenings or the use of prior claims history. II. Regardless of claim experience, health status, or medical history, health carriers providing health coverage for individual or small employers shall not refuse to […]