Section 415-I:1 – Title.
415-I:1 Title. – This chapter shall be known as the Discount Medical Plan Act. Source. 2008, 206:1, eff. Jan. 1, 2009.
Section 415-I:10 – Marketing Requirements.
415-I:10 Marketing Requirements. – I. A discount medical plan organization may market directly or contract with other marketers for the distribution of its product. II. The discount medical plan organization shall have an executed written agreement with a marketer prior to the marketer’s marketing, promoting, selling, or distributing the discount medical plan. III. The […]
Section 415-I:11 – Marketing Restrictions and Disclosure Requirement.
415-I:11 Marketing Restrictions and Disclosure Requirement. – I. All advertisements, marketing materials, brochures, discount medical plan cards, and any other communications of a discount medical plan organization provided to prospective members and members shall be truthful and not misleading in fact or in implication. II. An advertisement, any marketing material, brochure, discount medical plan […]
Section 415-I:12 – Notice of Change in Name or Address.
415-I:12 Notice of Change in Name or Address. – Each discount medical plan organization shall provide the commissioner at least 30 days’ advance notice of any change in the discount medical plan organization’s name, address, principal business address or mailing address, or Internet website address. Source. 2008, 206:1, eff. Jan. 1, 2009.
Section 415-I:13 – Administrative Penalties.
415-I:13 Administrative Penalties. – In addition to the penalties and other enforcement provisions of this chapter, any person who willfully violates this chapter is subject to administrative penalties of up to $2,500 per violation. Source. 2008, 206:1, eff. Jan. 1, 2009.
Section 415-I:14 – Injunctions.
415-I:14 Injunctions. – I. In addition to the penalties and other enforcement provisions of this chapter, the commissioner may seek both temporary and permanent injunctive relief when: (a) A discount medical plan is being operated by a person or entity that is not registered pursuant to this chapter; or (b) Any person, entity, or […]
Section 415-I:15 – Additional Penalties.
415-I:15 Additional Penalties. – Any violation of RSA 415-A:11, I, II, and III shall constitute an unfair or deceptive act or practice within the meaning of RSA 417:4. Source. 2008, 206:1, eff. Jan. 1, 2009.
Section 415-I:16 – Rules.
415-I:16 Rules. – The commissioner may adopt rules, pursuant to RSA 541-A, to carry out the provisions of this chapter. Source. 2008, 206:1, eff. Jan. 1, 2009.
Section 415-I:17 – Severability.
415-I:17 Severability. – If any provision of this chapter, or the application thereof to any person or circumstance is held invalid, the invalidity does not affect other provisions or applications of the chapter which can be given effect without the invalid provisions or applications, and to this end the provisions of this chapter are […]
Section 415-I:2 – Purpose.
415-I:2 Purpose. – The purpose of this chapter is to promote the public interest by establishing standards for discount medical plans to protect consumers from unfair or deceptive marketing, sales, or enrollment practices and to facilitate consumer understanding of the role and function of discount medical plan organizations in providing access to medical or […]
Section 415-I:3 – Definitions.
415-I:3 Definitions. – In this chapter: I. " Ancillary services " includes, but is not limited to, audiology, dental, vision, mental health, substance abuse, chiropractic, and podiatry services. II. " Commissioner " means the insurance commissioner. III. " Discount medical plan " means a business arrangement or contract in which a person, in exchange […]
Section 415-I:4 – Applicability and Scope.
415-I:4 Applicability and Scope. – I. This chapter applies to all discount medical plan organizations doing business in or from this state. II. This chapter shall not apply to any discount medical plan offered by, or in cooperation with, or pursuant to an agreement with the state of New Hampshire or any political subdivision […]
Section 415-I:5 – Registration Requirement.
415-I:5 Registration Requirement. – I. Before doing business in or from this state as a medical discount plan organization, a person or entity: (a) Shall be authorized to transact business in this state under RSA 293-A or RSA 294-A; and (b) Shall register with the commissioner to operate as a discount medical plan organization […]
Section 415-I:6 – Suspension and Revocation of Registration.
415-I:6 Suspension and Revocation of Registration. – I. The commissioner may suspend or revoke the registration of a discount medical plan organization to operate in the state if the commissioner finds that any of the following conditions exist: (a) The discount medical plan organization is not operating in compliance with this chapter. (b) The […]
Section 415-I:7 – Examinations and Investigations.
415-I:7 Examinations and Investigations. – I. The commissioner may examine or investigate the business and affairs of any discount medical plan organization as necessary to protect the interests of the residents of this state. II. An examination or investigation conducted as provided in paragraph I shall be performed in accordance with RSA 400-A:37. III. […]
Section 415-I:8 – Fees; Refund Requirements; Bundling of Services.
415-I:8 Fees; Refund Requirements; Bundling of Services. – I. A discount medical plan organization may charge a periodic charge as well as a reasonable one-time processing fee for a discount medical plan. II. If a member cancels his or her membership in the discount medical plan within the first 30 days after the date […]
Section 415-I:9 – Provider Agreements; Participating Provider Listing Requirements.
415-I:9 Provider Agreements; Participating Provider Listing Requirements. – I. (a) A discount medical plan organization shall have a written provider agreement with all participating providers. The written provider agreement shall be entered into directly with the provider or indirectly with a provider network to which the provider belongs. (b) An agreement between a discount […]