Section 27-18.6-11. – Health insurance plan payment and expense reporting.
§ 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 […]
Section 27-18.6-12. – Health plan loss information.
§ 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, […]
Section 27-18.6-8. – Enforcement — Limitation on actions.
§ 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.
Section 27-18.6-9. – Rules and regulations.
§ 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.
Section 27-18.6-10. – Severability.
§ 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, […]
Section 27-18.6-1. – Purpose.
§ 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, § […]
Section 27-18.6-2. – Definitions.
§ 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 […]
Section 27-18.6-3. – Limitation on preexisting condition exclusion.
§ 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: […]
Section 27-18.6-3.1. – Special enrollment — Pregnancy. [Effective January 1, 2023.]
§ 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 […]
Section 27-18.6-4. – Discrimination prohibited.
§ 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 […]