Health Insurance

My Page Title1.1Purpose and Scope A.The purpose of this Part is to:1.Provide reasonable standardization and simplification of coverages under health benefits plans, as defined in R.I. Gen. Laws § 42-62-4; 2.Facilitate consumer understanding and comparisons; 3.Eliminate provisions…

My Page Title10.1Statement of Authority and PurposeA.This regulation is promulgated pursuant to the authority granted to the health insurance commissioner under R.I. Gen. Laws §§ 27-19-6, 27-20-6, 27-50-1 et seq., 42-14-5, 42-14-17, 42- 14.5-1 et seq., 42-62-12, and 42-62-13.B.Th…

My Page Title11.1Purpose The Health Insurance Commissioner has determined that certain multiple employer welfare arrangements may be transacting the business of insurance in the State of Rhode Island; that certain multiple employer welfare arrangements and their actions are hazar…

My Page Title12.1PreambleA.According to the Centers for Disease Control, smoking accounts for an estimated 438,000 deaths, or nearly 1 of every 5 deaths, each year in the United States. More deaths are caused each year by tobacco use than by all deaths from human immunodeficiency…

My Page Title13.1Statement of Authority and Purpose A.This Part is promulgated pursuant to the authority granted to the Rhode Island Health Insurance Commissioner (“Commissioner”) by R.I. Gen. Laws §§ 27-74-16, 42-14-5 and 42-14-17.B.This Part is intended to implement the provisi…

My Page Title14.1AuthorityThese rules and regulations are promulgated pursuant to R.I. Gen. Laws Chapter 27-18.9 entitled Benefit Determination and Utilization Review Act (the Act).14.2Purpose and Scope A.It is in the best interest of the public that those individuals and health …

My Page Title15.1AuthorityThis Part is promulgated pursuant to R.I. Gen. Laws §§ 42-14.5-1 et seq., 42-14-5, 42-14-17, 27-18-8, 27-18-8.4, 27-19-6, 27-20-6, 27-41-29.2, and 42.62-12(b)(4).15.2 Purpose and Scope A. The purpose of this Part is:1. To establish procedures for the fil…

My Page Title2.1AuthorityThis Part is adopted and promulgated pursuant to R.I. Gen. Laws § 27-20.6-6.2.2PurposeA.This Part applies to all plans that are issued on or after the effective date of this part. The purpose of this Part is to:1.Establish a uniform order of benefit deter…

My Page Title3.1IntroductionA.Scope. 1.These standards apply to all individual and group accident and sickness insurance coverages credit insurance.2.When an insurer determines that adequacy of its health insurance reserves requires reserves in excess of the minimum standards spe…

My Page Title4.1AuthorityA.This regulation is promulgated pursuant to R.I. Gen. Laws §§ 42-14.5-1 et seq., 42-14-5, and 42-14-17.4.2Purpose and ScopeA.When creating the Office of the Health Insurance Commissioner (“OHIC” or “Office”), the General Assembly created a list of statut…

My Page Title5.1AuthorityThis regulation is promulgated pursuant to R.I. Gen Laws §§ 42-62-1, et seq.; 42-14.5-1, et seq.; 42- 14-5; and 42-14-17.5.2PurposeThis regulation is intended to make health insurance forms easier to read.5.3Definitions A.As used in this regulation: 1. “P…

My Page Title6.1AuthorityThis Part is promulgated pursuant to R.I. Gen. Laws §§ 27-18-3.2, 27-18-3.3, 27- 18-3.4, 27-18-20, 27-18-21, 27-18-46, 27-18-47, 27-18-61, 27-19-30, 27-19-38, 27-19- 39, 27-19-52, 27-20-26, 27-20-33, 27-20-34, 27-20-47, 27-20.1-2, 27-41-19, 27-41-21, 27-4…

My Page Title7.1PurposeThe purpose of this Part is to provide for the reasonable standardization of coverage and simplification of terms and benefits of Medicare supplement policies; to facilitate public understanding and comparison of such policies; to eliminate provisions conta…

My Page Title8.1Authority This Part is issued pursuant to R.I. Gen. Laws Chapters 27-18.2, 27-29 and R.I. Gen. Laws §§ 42-62-12.8.2Purpose The purpose of this Part is to provide prospective purchasers with clear and unambiguous statements in the advertisement of Medicare suppleme…

My Page Title9.1AuthorityThese rules and regulations are promulgated pursuant to R.I. Gen. Laws § 27-18.8-1 et seq., entitled the Health Care Accessibility and Quality Assurance Act (the Act).9.2Purpose and ScopeA.It is in the best interest of the public that those individuals an…