Nonprofit Medical Service Corporations

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  2. Rhode Island General Laws
  3. Insurance
  4. Nonprofit Medical Service Corporations

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Section
27-20-1

Definitions.

Section
27-20-1.1

Applicability.

Section
27-20-2

Organization as charitable corporation - Insurance laws inapplicable.

Section
27-20-3

Qualifications of directors.

Section
27-20-4

Approval of articles of association.

Section
27-20-5

Contracts with subscribers.

Section
27-20-5.1

Cancellation of coverage by employers.

Section
27-20-5.2

Repealed.

Section
27-20-5.3

Patient responsibility - Administrative requirements.

Section
27-20-6

Rates charged subscribers - Reserves - Hearing by commissioner.

Section
27-20-6.1

Uniform explanation of benefits and coverage.

Section
27-20-6.2

Filing of policy forms.

Section
27-20-7

Relationship of physician and patient - Actions against corporation.

Section
27-20-8

Annual and quarterly statements.

Section
27-20-9

Examination of affairs of corporation.

Section
27-20-10

Commission plans for solicitors or insurance producers.

Section
27-20-11

Investment standards.

Section
27-20-12

Corporation deemed public charitable institution.

Section
27-20-13

Adoption of chapter by hospital service corporation.

Section
27-20-14

Coverage for adoptive children.

Section
27-20-15

Itemized bills for services rendered.

Section
27-20-16

Changing coverage.

Section
27-20-17

Mammograms and pap smears - Coverage mandated.

Section
27-20-17.1

Insurance coverage for post-partum hospital stays.

Section
27-20-18

Mammograms - Quality assurance standards.

Section
27-20-19

Pap smears - Quality assurance standards.

Section
27-20-20

Coverage for infertility.

Section
27-20-21

Nonprofit medical service corporation assessment.

Section
27-20-22

Discontinuance of coverage - Chronic disabilities.

Section
27-20-23

Drug coverage.

Section
27-20-23.1

Medication synchronization.

Section
27-20-23.2

Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies.

Section
27-20-24

Rehabilitation, liquidation, or conservation.

Section
27-20-25

Holding company systems.

Section
27-20-25.1

No derogation of attorney general.

Section
27-20-25.2

Health insurance rates.

Section
27-20-26

Regulations.

Section
27-20-27

New cancer therapies - Under investigation. [Repealed on effective date of § 27-20-64.]

Section
27-20-27.1

"Reliable evidence" defined. [Repealed on effective date of § 27-20-64.]

Section
27-20-27.2

Conditions of coverage. [Repealed on effective date of § 27-20-64.]

Section
27-20-27.3

Managed care. [Repealed on effective date of § 27-20-64.]

Section
27-20-28

Repealed.

Section
27-20-29

Mastectomy treatment.

Section
27-20-29.1

Insurance coverage for mastectomy hospital stays.

Section
27-20-30

Diabetes treatment.

Section
27-20-31

Primary and preventive obstetric and gynecological care.

Section
27-20-32

Whistleblowers protection.

Section
27-20-33

Penalties and remedies.

Section
27-20-34

Additional relief and damages - Reinstatement.

Section
27-20-35

Third-party reimbursement for services of certain healthcare workers.

Section
27-20-35.1

Third party reimbursement for services of registered nurse first assistants.

Section
27-20-36

Human leukocyte antigen testing.

Section
27-20-37

Drug coverage.

Section
27-20-38

Restricted annual rate payments prohibited.

Section
27-20-39

Genetic testing.

Section
27-20-39.1

Genetic information.

Section
27-20-40

Repealed.

Section
27-20-41

Magnetic resonance imaging - Quality assurance standards.

Section
27-20-42

Acupuncture services.

Section
27-20-43

F.D.A. approved prescription contraceptive drugs and devices.

Section
27-20-44

Prostate and colorectal examinations - Coverage mandated.

Section
27-20-45

Eligibility for children's benefits.

Section
27-20-46

Hearing aids.

Section
27-20-47

Prompt processing of claims.

Section
27-20-48

Mandatory coverage for certain lyme disease treatments.

Section
27-20-49

Dental insurance assignment of benefits.

Section
27-20-50

Coverage for early intervention services.

Section
27-20-51

Post-payment audits.

Section
27-20-52

Reimbursement for orthotics and prosthetic services.

Section
27-20-53

Tobacco cessation programs.

Section
27-20-54

Mandatory coverage for scalp hair prosthesis.

Section
27-20-55

Licensed ambulance service.

Section
27-20-56

Enteral nutrition products.

Section
27-20-57

Prohibition on preexisting condition exclusions.

Section
27-20-58

Prohibition on rescission of coverage.

Section
27-20-59

Annual and lifetime limits.

Section
27-20-60

Coverage for individuals participating in approved clinical trials.

Section
27-20-61

Medical loss ratio reporting and rebates.

Section
27-20-62

Emergency services.

Section
27-20-63

Internal and external appeal of adverse benefit determinations.

Section
27-20-64

Reserved.

Section
27-20-65

Primary care provider designation requirement.

Section
27-20-66

Discretionary clauses.

Section
27-20-67

Orally administered anticancer medication - Cost-sharing requirement.

Section
27-20-68

Consumer notification.

Section
27-20-69

Opioid antagonists.

Section
27-20-70

Healthcare provider credentialing.

Section
27-20-71

Unfair discrimination prohibited.

Section
27-20-72

Health insurance contracts - Full year coverage for contraception.