Title 27, Title 27 Title 27

(a) Each small employer carrier shall actively market and offer all health benefit plans sold by the carrier to eligible small employers in the state. (b)(1) Except as provided in subsection (b)(2) of this section, no small employer carrier or producer shall, directly or indirect…

To ensure ease of understanding of renewal rate calculation and related information, the health insurance commissioner may, by regulation, prescribe the presentation formats for delivery of renewal rates to small employers.

If any provision of this chapter or the application of any provision to any person or circumstances is for any reason held invalid, the remainder of the chapter and the application of its provisions to other persons or circumstances shall not be affected by that invalidity.

The director may promulgate regulations to require small employer carriers, as a condition of transacting business with small employers in this state after July 13, 2000, to reissue a health benefit plan to any small employer whose health benefit plan has been terminated or not r…

The director may establish a payment mechanism to adjust for the amount of risk covered by each small employer carrier. The director may appoint an advisory committee composed of individuals that have risk adjustment and actuarial expertise to help establish the risk adjusters.

(a) The commissioner shall allocate funds from the affordable health plan reinsurance fund for the affordable health reinsurance program. (b) The affordable health reinsurance program for small businesses shall only be available to low-wage firms, as defined in § 27-50-3, who pay…

(a) In general. A carrier shall establish a special enrollment period that allows for the enrollment of a pregnant individual at any time after the commencement of the pregnancy. Coverage shall be effective as of the first of the month in which the pregnant individual applies for…

(a) The following words and phrases as used in this section have the following meanings consistent with federal law and regulations adopted thereunder, as long as they remain in effect. If such authorities are determined by the commissioner to no longer be in effect, the laws and…

(a) The purpose and intent of this chapter are to enhance the availability of health insurance coverage to small employers regardless of their health status or claims experience; to prevent abusive rating practices; to prevent segmentation of the health insurance market based upo…

(a) “Actuarial certification” means a written statement signed by a member of the American Academy of Actuaries or other individual acceptable to the director that a small employer carrier is in compliance with the provisions of § 27-50-5, based upon the person’s examination and …

(a) This chapter applies to any health benefit plan that provides coverage to the employees of a small employer in this state, whether issued directly by a carrier or through a trust, association, or other intermediary, and regardless of issuance or delivery of the policy, if any…

(a) Premium rates for health benefit plans subject to this chapter are subject to the following provisions: (1) Subject to subsection (a)(2) of this section, a small employer carrier shall develop its rates based on an adjusted community rate and may only vary the adjusted commun…

(a) A health benefit plan subject to this chapter is renewable with respect to all eligible employees or dependents, at the option of the small employer, except in any of the following cases: (1) The plan sponsor has failed to pay premiums or contributions in accordance with the …

(a) Until October 1, 2004, for purposes of this section, “small employer” includes any person, firm, corporation, partnership, association, or political subdivision that is actively engaged in business that on at least fifty percent (50%) of its working days during the preceding …

(a) Small employer carriers shall provide written certification of creditable coverage to individuals in accordance with subsection (b) of this section. (b) The certification of creditable coverage shall be provided: (1) At the time an individual ceases to be covered under the he…

Within three (3) months after March 31, 2002, and every thirty-six (36) months after this, the director shall obtain an independent actuarial study and report. The director shall assess a fee to the health plans to commission the report. The report shall analyze the effectiveness…