§ 27-18.6-1. Purpose. The purpose of this chapter is to insure compliance of all policies, contracts, certificates, and agreements of group health insurance coverage offered or delivered in this state with the Health Insurance Portability and Accountability Act of 1996 (P.L. 104-191). History of Section.P.L. 2000, ch. 200, § 4; P.L. 2000, ch. 229, § […]
§ 27-18.6-10. Severability. If any provision of this chapter or the application of any provision to any person or circumstances is for any reason held invalid, the remainder of the chapter and the application of that provision to other persons or circumstances shall not be affected by that invalidity. History of Section.P.L. 2000, ch. 200, […]
§ 27-18.6-11. Health insurance plan payment and expense reporting. A health insurance carrier: (1) providing proposed rate, premium, fee, or other prospective cost information in connection with an offering of health insurance coverage to a large group or large employer setting forth claims cost as an element of cost; or (2) providing information to a […]
§ 27-18.6-12. Health plan loss information. (a) To ensure maximum competition in the purchase of group health insurance, all employers with at least one hundred (100) employees enrolled in their group health plan shall be entitled to receive their health plan loss information upon request and without charge. No contract between any health insurance carrier, […]
§ 27-18.6-2. Definitions. The following words and phrases as used in this chapter have the following meanings unless a different meaning is required by the context: (1) “Affiliation period” means a period which, under the terms of the health insurance coverage offered by a health maintenance organization, must expire before the health insurance coverage becomes […]
§ 27-18.6-3. Limitation on preexisting condition exclusion. (a)(1) Notwithstanding any of the provisions of this title to the contrary, a group health plan and a health insurance carrier offering group health insurance coverage shall not deny, exclude, or limit benefits with respect to a participant or beneficiary because of a preexisting condition exclusion except if: […]
§ 27-18.6-3.1. Special enrollment — Pregnancy. [Effective January 1, 2023.] (a) In general. A group health plan and a carrier shall establish a special enrollment period that allows for the enrollment of a pregnant individual at any time after the commencement of the pregnancy. Coverage shall be effective as of the first of the month […]
§ 27-18.6-4. Discrimination prohibited. (a)(1) Notwithstanding any of the provisions of this title to the contrary, a group health plan and a health insurance carrier offering group health insurance in connection with a group health plan may not establish rules for eligibility (including continued eligibility) of any individual to enroll under the terms of the […]
§ 27-18.6-5. Continuation of coverage — Renewability. (a) Notwithstanding any of the provisions of this title to the contrary, a health insurance carrier that offers health insurance coverage in the large group market in this state in connection with a group health plan shall renew or continue in force that coverage at the option of […]
§ 27-18.6-6. Applicability — Exclusion of certain plans. (a) The requirements of this chapter do not apply to any group health plan (and health insurance coverage offered in connection with a group health plan) for any plan year if, on the first day of the plan year, the plan does not meet the definition of […]
§ 27-18.6-7. Collective bargaining agreements. (a) Notwithstanding anything contained in this chapter to the contrary, except as provided in § 27-18.6-3(n), in the case of a group health plan maintained pursuant to one or more collective bargaining agreements between employee representatives and one or more employers ratified before July 13, 2000, this chapter does not […]
§ 27-18.6-8. Enforcement — Limitation on actions. The director has the power to enforce the provisions of this chapter in accordance with § 42-14-16 and all other applicable state law. History of Section.P.L. 2000, ch. 200, § 4; P.L. 2000, ch. 229, § 4.
§ 27-18.6-9. Rules and regulations. The director may promulgate rules and regulations necessary to effectuate the purposes of this chapter. History of Section.P.L. 2000, ch. 200, § 4; P.L. 2000, ch. 229, § 4.
