US Lawyer Database

Section 27-60-1. – Short title.

§ 27-60-1. Short title. This chapter may be cited as the “Unfair Discrimination Against Subjects of Abuse in Health Benefit Plans Act.” History of Section.P.L. 1997, ch. 163, § 1.

Section 27-60-2. – Definitions.

§ 27-60-2. Definitions. For the purpose of this chapter: (1) “Abuse” means the occurrence of one or more of the following acts: (i) Attempting to cause or intentionally, knowingly or recklessly causing another person, including a minor child, bodily injury, physical harm, severe emotional distress, psychological trauma, rape, sexual assault or involuntary sexual intercourse; (ii) […]

Section 27-60-4. – Unfairly discriminatory acts relating to health benefit plans.

§ 27-60-4. Unfairly discriminatory acts relating to health benefit plans. The following acts are prohibited as unfairly discriminatory: (1) Denying, refusing to issue, renew or reissue, canceling or terminating a health benefit plan, or restricting or excluding health benefit plan coverage or adding a premium differential to any health benefit plan on the basis of […]

Section 27-60-5. – Justification of adverse insurance decisions.

§ 27-60-5. Justification of adverse insurance decisions. A health carrier that takes an action that adversely affects a subject of abuse on the basis of a medical condition that the health carrier knows or has reason to know is abuse-related shall explain the reason for its action to the applicant or insured, in writing, and […]

Section 27-60-6. – Insurance protocols for subjects of abuse.

§ 27-60-6. Insurance protocols for subjects of abuse. Health carriers shall develop, file with the commissioner and adhere to protocols specifying how health carrier employees, contractors, agents and brokers will pursue an insurance action, including claims investigation and subrogation, that may impact the safety of a subject of abuse involved with that action. History of […]

Section 27-60-7. – Enforcement.

§ 27-60-7. Enforcement. Violations of this chapter are subject to the provisions of §§ 27-29-8 and 27-29-9 and may include injunctive relief and/or a requirement for restitution. The powers and duties set forth in this section are in addition to all other authority of the commissioner. History of Section.P.L. 1997, ch. 163, § 1.