420-O:1 Purpose and Scope. – I. The purpose of this chapter is to set forth standards and procedures for not-for-profit private and public institutions of higher education which provide 4 year bachelor’s degree programs and graduate or professional degree programs, and which have a history of providing for the health insurance needs of their […]
420-O:10 Termination of Plan. – I. In any case in which an institution determines that there is a reason to believe that the student health plan will terminate, the institution shall so inform the commissioner at least 60 days prior thereto, and shall file a sworn statement with the commissioner concerning all current and […]
420-O:11 Administrative Rules. – The commissioner may adopt rules under RSA 541-A necessary to implement the provisions of this chapter and to ensure that the plans established under this chapter are in the best interests of the students, students’ spouses, students’ children, and other persons chiefly dependent upon the students for support and maintenance. […]
420-O:12 Penalties. – Any institution of higher education that violates this chapter shall be subject to the penalties set forth in RSA 400-A:15 or such other section of the insurance code as may be applicable, including but not limited to RSA 420-J and RSA 417. Source. 2016, 257:1, eff. Jan. 1, 2017.
420-O:2 Definitions. – In this chapter: I. " Commissioner " means the insurance commissioner. II. " Plan document " means evidence of coverage furnished to a student that sets forth all benefits and terms and conditions, with regard to a student health plan. III. " Qualified actuary " means an actuary who is a […]
420-O:3 Certificate of Authority. – I. An institution of higher education shall not establish, maintain, or otherwise participate in a student health plan in this state unless the institution obtains and maintains a certificate of authority from the commissioner pursuant to this chapter. II. To obtain a certificate of authority, an institution shall file […]
420-O:4 Minimum Loss Ratio; Reporting. – I. A plan under this chapter shall have an expected loss ratio of not less than 85 percent. In reviewing a rate filing or application by a plan, the commissioner may modify the expected minimum loss ratio requirement if the commissioner determines the modification to be in the […]
420-O:5 Reserves. – I. An institution shall establish reserves with the amounts necessary to satisfy all contractual obligations and liabilities of the plan, including: (a) Funds for the payment of claims and expenses thereon reported but not yet paid, and claims and expenses thereon incurred but not yet reported, which shall not be less […]
420-O:6 Annual Report. – I. Within 120 days of the close of its fiscal year, an institution of higher education operating under a certificate of authority issued under this chapter shall file with the commissioner a report that contains: (a) An annual financial statement, verified by the oath of the chief financial officer and […]
420-O:7 Examination. – The commissioner may, pursuant to RSA 400-A:37, make an examination into the affairs of any institution, with regard to a student health plan issued by the institution, as often as the commissioner deems it expedient for the protection of the interests of the people of New Hampshire. The expenses of every […]
420-O:8 Investigations; Subpoenas. – The commissioner may make such investigations as he or she deems necessary both within and outside the state in accordance with the provisions of RSA 400-A:16 and RSA 400-A:20-22. Source. 2016, 257:1, eff. Jan. 1, 2017.
420-O:9 Suspension or Revocation of Certificate of Authority. – I. The commissioner may suspend or revoke a certificate of authority issued to an institution under this chapter upon a finding, after notice and hearing, that the institution has failed to comply with any requirement imposed on it under this chapter or necessary to maintain […]
