Title XXXVII, Insurance

A health service corporation shall not exclude part-time employees and shall offer the same insurance benefits to part-time employees as it offers to the employee groups of which the part-time employees would be members if they were full-time employees. The insurer shall offer to…

I. The alliance shall establish marketing standards for use by participating carriers. II. Any marketing, advertisement, or educational material for health coverage sold through the alliance shall be approved by the alliance prior to its use. III. The alliance shall make approved…

I. A qualified association trust or other entity, as defined in RSA 420-G:2, XV, and a qualified purchasing alliance, as defined in RSA 420-M:2, X, shall: (a) Comply with the rating restrictions outlined in RSA 420-G:4 for all small employer members with 50 or fewer employees bas…

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 …

Delta shall collect reasonable rates as described in RSA 420-F:6, designed to permit it to accumulate and maintain a contingency reserve fund which shall not be less than 8 percent of Delta's annual premium risk income.

I. A policy may, at the election of the carrier, insure, originally or by subsequent amendment, upon application of an adult member of a family who shall be deemed the policyholder, any 2 or more eligible members of that family, including husband, wife, dependent children, or any…

I. The commissioner shall have the regulatory oversight authority to set standards for the licensure and conduct of purchasing alliances authorized under this section and to enforce such standards. II. Each applicant and each duly licensed purchasing alliance shall file with the …

I. (a) A contract may only be terminated by the provider for the following reasons: (1) It is necessary for the resident's welfare; (2) The resident's health has improved sufficiently so that they no longer need the services provided; (3) The health or safety of the resident or o…

I. The commissioner shall make an examination of Delta as often as he or she deems it necessary, but not less frequently than once in every 5 years. All examinations shall be conducted at the expense of Delta. II. Delta shall submit its books and records relating to its operation…

I. Every health maintenance organization shall establish and maintain a complaint system which has been approved by the commissioner to provide reasonable procedures for the resolution of written complaints initiated by enrolled participants concerning health care services. II. E…

A licensee that is in compliance with N.Y. Comp. Codes R. & Regs. Title 23, section 500, Cybersecurity Requirements for Financial Services Companies, effective March 1, 2017, shall be considered to meet the requirements of this chapter, provided that the licensee submits a writte…

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…

No officer or board member or director or contract administrator of a purchasing alliance or members of their households may be employed by, be a consultant for, be a member of the board of directors of, or be affiliated with, or otherwise be a representative of a carrier or othe…

All information, documents and copies thereof obtained by or disclosed to the commissioner or any other person in the course of an examination or investigation made pursuant to RSA 400-A:37, and, unless otherwise provided in this chapter, all information reported and maintained p…

No group accident or health insurance contract, authorized under this chapter, may be cancelled or nonrenewed by the health service corporation, except for nonpayment of premium, unless the group contract holder receives either a notice of cancellation or nonrenewal or an offer o…

I. Health carriers operating in the small employer and/or individual markets shall make reasonable disclosure in solicitation and sales materials provided to individuals and small employers of the following: (a) The methodology by which premium rates for an individual or specific…

As long as the provider is in compliance with New Hampshire law and subject to the approval requirement of section RSA 420-D:2, unencumbered assets of a facility may be pledged as collateral. Notice shall be given to the commissioner of any additional liens.

I. The department, the department of justice, and the department of health and human services shall enter into a memorandum of understanding for collaboration in the development of a comprehensive health care information system, the sharing of submitted data fields, and the role …

I. Each continuing care contract, and any amendments, between a provider and a resident shall be approved by the commissioner and shall: (a) Be written in plain, non-technical language. (b) Cover only one resident, or 2 if jointly liable and shall include the total amount paid by…

All orders and decisions of the commissioner concerning matters within his jurisdiction under this chapter shall be subject to rehearing and appeal as provided in RSA 541. RSA 541:18 and 19 shall apply to orders and decisions of the insurance commissioner affecting the rates of D…

A licensee which violates this chapter may be penalized in accordance with RSA 400-A:15, III.

I. Each health carrier shall maintain at its principal place of business a complete and detailed description of its rating practices and renewal underwriting practices, including information and documentation which demonstrate that its rating methods and practices are based upon …

I. No health maintenance organization, or representative thereof, may cause or knowingly permit the use of advertising which is untrue or misleading, solicitation which is untrue or misleading, or any form of evidence of coverage which is deceptive. For purposes of this chapter: …

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.

No non-group accident or health insurance contract, authorized under this chapter, may be cancelled or nonrenewed by the health service corporation except for nonpayment of premium, unless the insured receives either a notice of cancellation or nonrenewal or an offer of renewal i…

The commissioner may adopt such rules, under RSA 541-A, and issue such orders as may be necessary to carry out the purposes and provisions of this chapter.

Purchasing alliances shall not be risk bearing entities, and shall not enter into a self-insured arrangement.

I. To ensure maximum competition in the purchase of group health insurance, all large employers shall be entitled to receive their specific health plan loss information upon request and without charge. No contract between any health carrier, third-party administrator, employer gr…

I. The provider shall adopt the following bill of rights for residents of an independent living unit in a CCRC and shall provide a copy of the bill of rights to each resident prior to their purchase of such unit. The bill of rights shall be prominently displayed at one or more lo…

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 …

No policy or contract of insurance or any certificate under such policy or contract or other evidence of coverage shall be issued to a small employer or an individual under this chapter until the premium rates have been filed and approved by the commissioner. The commissioner sha…

A purchasing alliance that has a minimum of 3,000 enrollees may elect to obtain certification from the commissioner as a qualified purchasing alliance. To obtain certification, a purchasing alliance shall demonstrate: I. Either that membership in the alliance is open to all emplo…

Delta may contract to furnish administrative, marketing, and managerial services to any health related organization, agency, entity or plan.

Upon satisfactory evidence that any health maintenance organization has violated any law or regulation or in any way has failed in meeting its obligations, the commissioner may, in his discretion, pursue any one or more of the following courses of action: I. Suspend the certifica…

I. A provider shall notify the commissioner prior to the proposed sale or transfer to a third party of a material portion of the provider's assets or beneficial interests, or of a proposed transfer of control of the provider. For purposes of this section, "material portion of the…

The commissioner may adopt rules pursuant to RSA 541-A as necessary to carry out the provisions of this chapter.

Delta, its officers or employees, shall not be liable for injuries resulting from negligence, malfeasance, nonfeasance or malpractice on the part of any provider in the course of rendering any dental care.

Contracts entered into prior to the date the provider receives the certificate of authority are valid and binding for those providers offering or providing continuing care on January 1, 1989; except that a resident or a prospective resident who has signed a contract prior to that…

I. (a) The commissioner may adopt rules, under RSA 541-A, relative to: (1) Uniform age rating levels that are consistent with 45 C.F.R. 147.102. (2) Special enrollment periods designed to allow employees to purchase individual coverage on the exchange during their employer's open…

Any health carrier or other organization violating any of the provisions of this chapter may be subject to an administrative fine not to exceed $2,500 per violation. The commissioner may also suspend or revoke the certificate of authority or license of a health carrier or other o…

I. Every health service corporation and every other similar corporation licensed under the laws of another state, which provides coverage for other prostheses, shall provide to each group, or to the portion of each group comprised of certificate holders of such insurance who are …

If any provision of this chapter, or the application thereof to any person or circumstance is held invalid, such invalidity shall not affect other provisions or applications of this chapter which can be given effect without the invalid provision or application, and to this end th…

All procedures under this chapter shall be governed by the provisions of RSA 400-A and any person aggrieved by any order or decision of the commissioner pursuant to this chapter shall be entitled to an appeal in accordance with RSA 541.

I. As authorized in accordance with RSA 420-G:14, the commissioner may request the submission of such information by carriers as is necessary to better understand the coverage history and choices of participants in the nongroup market. The commissioner shall make every attempt to…

No health care provider shall submit a claim for reimbursement, or otherwise accept payment, for health care services provided to a patient covered by individual health insurance if the provider has paid the premium for such individual health insurance.

I. In addition to and as part of the bill of rights, all residents shall have the right to self-organize, the right to be represented by an individual of their own choice, and the right to engage in concerted activities for their own purposes. Residents shall have the right both …