116 chapters · 1,704 sections in this title.
RSA 420-C:1 Purpose
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The purpose of this chapter is to assure that health benefit plans encourage covered persons to seek health care services from preferred providers and that contracts or agreements between preferred providers and health care insurers are fair and in the public interest. Further, t…
RSA 420-C:2 Definitions
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In this chapter: I. "Commissioner" means the insurance commissioner. II. "Covered person" means an individual entitled to reimbursement for expenses of health care services under a policy issued or administered by a health care insurer. II-a. "Date of enrollment" means the first …
RSA 420-C:3 Reimbursement Agreements
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Notwithstanding any other law to the contrary, a health care insurer may: I. Enter into contracts or other agreements with preferred providers for the delivery of health care services to covered persons. Such contracts or agreements may: (a) Establish the amount and method of pay…
RSA 420-C:4 Health Benefit Plans
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Health benefit plans issued under RSA 420-C:3 may include, but shall not be limited to, the following components which are designed to control the cost and improve the quality of health care for covered persons: I. A per capita payment to preferred providers. II. Differences betw…