All sources · 32,852 documents · Table of contents · Title 27 Insurance · Title 27 Insurance · Chapter 41 Health Maintenance Organizations
Rhode Island
Title 27 Insurance · Chapter 41 Health Maintenance Organizations
122 entries
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§ 27-41-1. Short title.
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§ 27-41-2. Definitions.
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§ 27-41-3. Establishment of health maintenance organizations.
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§ 27-41-4. Issuance of license.
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§ 27-41-5. Powers of health maintenance organizations.
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§ 27-41-6. Governing body.
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§ 27-41-7. Fiduciary responsibilities.
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§ 27-41-8. Evidence of coverage and charges for healthcare services.
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§ 27-41-9. Required reports.
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§ 27-41-10. Information to enrollees.
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§ 27-41-11. Complaint system.
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§ 27-41-12. Investments.
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§ 27-41-13. Protection against insolvency.
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§ 27-41-13.1. Initial net worth and capital requirements.
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§ 27-41-13.2. Ongoing net worth and capital requirements.
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§ 27-41-13.3. Waiver, surplus notes, and risk-based capital requirements.
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§ 27-41-14. Prohibited practices.
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§ 27-41-14.1. Prohibition against restraint on provider — Patient communications.
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§ 27-41-15. Powers of insurers and hospital and medical service corporations.
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§ 27-41-16. Examination.
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§ 27-41-17. Suspension or revocation of license.
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§ 27-41-18. Rehabilitation, liquidation, or conservation of health maintenance organization.
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§ 27-41-18.1. Summary orders and supervision.
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§ 27-41-19. Rules and regulations.
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§ 27-41-20. Administrative procedures.
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§ 27-41-21. Penalties and enforcement.
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§ 27-41-22. Statutory construction and relationship to other laws.
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§ 27-41-23. Filings and reports as public documents.
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§ 27-41-24. Director of health’s authority to contract.
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§ 27-41-25. Holding company systems.
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§ 27-41-26. Enrollee liability.
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§ 27-41-26.1. Patient responsibility — Administrative requirements.
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§ 27-41-27. Offer of health maintenance organization alternative to employees.
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§ 27-41-27.1. No derogation of attorney general.
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§ 27-41-27.2. Health insurance rates.
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§ 27-41-28. Applicability.
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§ 27-41-29. Severability.
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§ 27-41-29.1. Uniform explanation of benefits and coverage.
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§ 27-41-29.2. Filing of policy forms.
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§ 27-41-30. Mammograms and pap smears — Coverage mandated.
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§ 27-41-30.1. Postpartum hospital stays.
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§ 27-41-31. Mammograms — Quality assurance standards.
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§ 27-41-32. Pap smears — Quality assurance standards.
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§ 27-41-33. Coverage for infertility.
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§ 27-41-34. Health maintenance organizations’ assessment.
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§ 27-41-35. Enrollment period in the event of insolvency.
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§ 27-41-36. Services of midwives.
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§ 27-41-37. Discontinuance of coverage — Chronic disabilities.
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§ 27-41-38. Drug coverage.
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§ 27-41-38.1. Medication synchronization.
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§ 27-41-38.2. Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies.
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§ 27-41-38.3. Specialty drugs.
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§ 27-41-38.4. Patient choice in dispensing of clinician-administered drugs.
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§ 27-41-39. Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists.
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§ 27-41-40. Certified counselors in mental health and therapists in marriage and family practice.
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§ 27-41-41. Repealed.
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§ 27-41-41.1. Repealed.
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§ 27-41-41.2. Repealed.
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§ 27-41-41.3. Repealed.
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§ 27-41-42. Repealed.
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§ 27-41-43. Mastectomy treatment.
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§ 27-41-43.1. Insurance coverage for mastectomy hospital stays.
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§ 27-41-44. Diabetes treatment.
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§ 27-41-45. Primary and preventive obstetric and gynecological care.
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§ 27-41-45.1. Hysterectomy or myomectomy treatment.
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§ 27-41-46. Whistleblowers protection.
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§ 27-41-47. Penalties and remedies.
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§ 27-41-48. Additional relief and damages — Reinstatement.
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§ 27-41-49. Third-party reimbursement for services of certain healthcare workers.
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§ 27-41-49.1. Third-party reimbursement for services of registered nurse first assistants.
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§ 27-41-50. Human leukocyte antigen testing.
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§ 27-41-51. Drug coverage.
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§ 27-41-52. Restricted annual rate payments prohibited.
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§ 27-41-53. Genetic testing.
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§ 27-41-53.1. Genetic information.
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§ 27-41-54. Disassociation prohibited.
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§ 27-41-55. Repealed.
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§ 27-41-56. Magnetic resonance imaging — Quality assurance standards.
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§ 27-41-57. Acupuncture services.
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§ 27-41-58. Prohibition against requiring indemnification from dentists.
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§ 27-41-59. FDA approved prescription contraceptive drugs and devices.
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§ 27-41-60. Prostate and colorectal examinations — Coverage mandated — The Maryellen Goodwin Colorectal Cancer Screening Act.
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§ 27-41-61. Eligibility for children’s benefits.
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§ 27-41-62. Temporary credentials.
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§ 27-41-63. Hearing aids.
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§ 27-41-64. Prompt processing of claims.
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§ 27-41-65. Mandatory coverage for certain lyme disease treatments.
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§ 27-41-66. Dental insurance assignment of benefits.
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§ 27-41-67. Determination of maximum coverage limitation for prescription drug benefits.
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§ 27-41-68. Coverage for early intervention services.
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§ 27-41-69. Post-payment audits.
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§ 27-41-70. Tobacco cessation programs.
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§ 27-41-71. Mandatory coverage for scalp hair prosthesis.
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§ 27-41-72. Reimbursement for orthotic and prosthetic services.
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§ 27-41-73. Licensed ambulance service.
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§ 27-41-74. Enteral nutrition products.
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§ 27-41-75. Prohibition on rescission of coverage.
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§ 27-41-76. Prohibition on annual and lifetime limits.
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§ 27-41-77. Coverage for individual participating in approved clinical trials.
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§ 27-41-78. Medical loss ratio reporting and rebates.
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§ 27-41-79. Emergency services.
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§ 27-41-80. Internal and external appeal of adverse benefit determinations.
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§ 27-41-81. Prohibition on preexisting condition exclusions.
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§ 27-41-82. Primary care provider designation requirement.
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§ 27-41-83. Discretionary clauses.
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§ 27-41-84. Orally administered anticancer medication — Cost-sharing requirement.
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§ 27-41-85. Consumer notification.
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§ 27-41-86. Opioid antagonists.
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§ 27-41-87. Healthcare provider credentialing.
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§ 27-41-88. Unfair discrimination prohibited.
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§ 27-41-89. Health insurance contracts — Full year coverage for contraception.
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§ 27-41-90. Prohibition on discrimination in organ transplants.
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§ 27-41-91. Health insurance contracts — Copayments exemption for COVID-19 vaccinations.
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§ 27-41-92. Perinatal doulas.
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§ 27-41-93. Gender rating.
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§ 27-41-94. Coverage for biomarker testing.
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§ 27-41-95. Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.
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§ 27-41-96. Coverage for treatment of pre-exposure prophylaxis (PrEP) for the prevention of HIV and post-exposure prophylaxis (PEP) to prevent HIV infection.
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§ 27-41-97. [Repealed.]
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§ 27-41-98. Dispensing and administration of HIV PrEP or PEP drugs.
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§ 27-41-99. Epinephrine injectors.
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§ 27-41-100. Acute mental health crisis mobile response and stabilization services. [Effective January 1, 2026.]