Section 27-20.1-12.1. – No derogation of attorney general.
§ 27-20.1-12.1. No derogation of attorney general. No provision of this chapter shall derogate from the common law or statutory authority of the attorney general nor shall any provision be construed as a limitation on the common law or statutory authority of the attorney general, including the authority to investigate at any time charitable assets […]
Section 27-20.1-13. – Regulations.
§ 27-20.1-13. Regulations. The director of the department of business regulation may adopt reasonable rules and regulations for the implementation and administration of the provisions of this chapter. History of Section.P.L. 1993, ch. 180, § 19.
Section 27-20.1-14. – Reserves.
§ 27-20.1-14. Reserves. Any corporation organized under this title shall maintain total reserves for dental services, separate and distinct from reserves for other health services, in a dollar amount sufficient to pay claims for dental services and operating expenses for not less than one month. Those reserves shall be computed as of each March 31, […]
Section 27-20.1-15. – Drug coverage.
§ 27-20.1-15. Drug coverage. (a) Any nonprofit dental-service corporation that utilizes a formulary of medications for which coverage is provided under an individual or group plan master contract shall require any physician or other person authorized by the department of health to prescribe medication to prescribe from the formulary. A physician or other person authorized […]
Section 27-20.1-15.1. – Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies.
§ 27-20.1-15.1. Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies. (a) Definitions. As used herein: (1) “Maximum-allowable cost” or “MAC” means the maximum amount that a pharmacy benefits manager will reimburse toward the cost of a drug; (2) “Nationally available” means that there is an adequate supply available from regional […]
Section 27-20.1-16. – Magnetic resonance imaging — Quality assurance standards.
§ 27-20.1-16. Magnetic resonance imaging — Quality assurance standards. A magnetic resonance imaging examination eligible for reimbursement by a nonprofit dental services corporation licensed pursuant to this chapter shall be reimbursed only if the provider at which the examination has been conducted and processed, and the licensed physician interpreting the results of the magnetic resonance […]
Section 27-20.1-6. – Commission plans for solicitors or insurance producers.
§ 27-20.1-6. Commission plans for solicitors or insurance producers. No person shall be engaged to solicit subscribers to any nonprofit dental service plan upon a commission basis or upon any other basis by which the payment of the compensation or expenses of that person shall be conditioned upon the enrollment of subscribers, unless the method […]
Section 27-20.1-7. – Investment standards.
§ 27-20.1-7. Investment standards. (a) All nonprofit dental service corporations shall protect the interests of subscribers by promoting company solvency and financial strength through the application of investment standards that facilitate a reasonable balance of the following objectives: (1) To preserve principal; (2) To assure reasonable diversification as to type of investment, issuer and credit […]
Section 27-20.1-8. – Corporation deemed public charitable institution.
§ 27-20.1-8. Corporation deemed public charitable institution. Every nonprofit dental service corporation is declared to be, and shall be deemed to be, a charitable institution and shall be subject to the provisions of chapter 6 of title 7, except as otherwise expressly provided in this chapter, and to this chapter. History of Section.P.L. 1959, ch. […]
Section 27-20.1-1. – Definitions.
§ 27-20.1-1. Definitions. As used in this chapter: (1) “Dental service” means the professional services rendered by persons duly licensed under the laws of this state to practice dentistry, and prosthetic dentures, bridges, appliances, or other structures to be used and worn as substitutes for natural teeth, prosthetic appliances, orthodontic appliances, precious metal, and ceramic […]