Title 27, Title 27 Title 27

Notwithstanding any other provision of law to the contrary, an insurer or issuer of a disability income, life, or long-term care insurance policy shall not deny, cancel, or refuse to issue insurance coverage, determine the price or premium for, or otherwise vary any term or condi…

Violations of this chapter are subject to the provisions of §§ 27-29-8 and 27-29-9 and may include injunctive relief and/or a requirement of restitution. The powers and duties set forth in this section are in addition to all other authority of the commissioner.

This chapter shall be known and may be cited as the “Travel Insurance Act.”

(a) Notwithstanding any other provision of this title, travel insurance shall be classified, and filed for purposes of rates and forms under an inland marine line of insurance provided, however, that travel insurance that provides coverage for sickness, accident, disability, or d…

As the insurer designee, the limited lines travel insurance producer is responsible for the acts of the travel retailer and shall use reasonable means to ensure compliance by the travel retailer with this chapter.

Violations of this chapter shall be subject to penalties pursuant to § 42-14-16.

The commissioner may promulgate regulations to implement the provisions of this chapter.

(a) The purpose of this chapter is to promote the public welfare by creating a comprehensive legal framework within which travel insurance may be sold in this state. (b) The requirements of this chapter shall apply to travel insurance policies and certificates that are delivered …

As used in this chapter, the following terms shall have the following meanings: (1) “Aggregator site” means a website that provides access to information regarding insurance products from more than one insurer, including product and insurer information, for use in comparison shop…

(a) The commissioner may issue to an individual or business entity that has filed with the commissioner an application for a limited lines travel insurance producer license in a form and manner prescribed by the commissioner, a limited lines travel insurance producer license that…

A travel retailer whose insurance-related activities, and those of its employees, are limited to offering and disseminating travel insurance on behalf of and under the direction of a limited lines travel insurance producer meeting the conditions stated in this chapter, is authori…

(a) A travel insurer shall pay a gross premiums tax, as provided in § 44-17-2, on travel insurance premiums paid by any of the following: (1) An individual primary policyholder who is a resident of this state; (2) A primary certificate holder who is a resident of this state who e…

Travel protection plans may be offered for one price for the combined features that the travel protection plan offers in this state if: (1) The travel protection plan clearly discloses to the consumer at, or prior to the time of purchase, that it includes travel insurance, travel…

(a) All persons offering travel insurance to residents of this state are subject to the unfair trade practices provided in chapter 29 of this title, except as otherwise provided in this section. In the event of a conflict between this chapter, and other provisions of this title r…

(a) Notwithstanding any other provisions of this title, no person shall act or represent himself, herself, or itself as a travel administrator for travel insurance in this state unless that person: (1) Is a licensed property and casualty insurance producer in this state for activ…

For purposes of this chapter, the following definitions shall apply: (1) “Contracting entity” means any person or entity that enters into direct contracts with providers for the delivery of healthcare services in the ordinary course of business. (2) “Control” and “under common co…

(a) This chapter shall apply to health insurance corporations subject to chapter 1 of this title, nonprofit hospital or medical service corporations subject to chapter 19 or 20 of this title, and health maintenance organizations incorporated or resident in the state of Rhode Isla…

(a) Any person that commences business as a contracting entity shall register with the department within thirty (30) days of commencing business in the state of Rhode Island unless such person is licensed by the department as an insurer. Upon passage of this chapter, each person …

(a) A contracting entity may not grant access to a provider’s healthcare services and contractual discounts pursuant to a provider network contract unless: (1) The provider network contract specifically states that the contracting entity may enter into an agreement with a third p…

(a) A third party, having itself been granted access to a provider’s healthcare services and contractual discounts pursuant to a provider network contract, that subsequently grants access to another third party is obligated to comply with the rights and responsibilities imposed o…

(a) It is an unfair insurance practice for the purposes of chapter 29 of this title to knowingly access or utilize a provider’s contractual discount pursuant to a provider network contract without a contractual relationship with the provider, contracting entity, or third party, a…

Enforcement of this model will follow that of chapter 29 of this title, “Unfair Competition and Practices.”

(a) Every group health insurance contract, or every group hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery, or renewed in this state, by any health insurance carrier, on or after January 1, 2012, shall provide coverage for autism …

As used in this chapter: (1) “Applied behavior analysis” means the design, implementation, and evaluation of environmental modifications using behavioral stimuli and consequences to produce socially significant improvements in human behavior, including the use of direct observati…

(a) Benefits under this section shall include coverage for pharmaceuticals, applied behavior analysis, physical therapy, speech therapy, psychology, psychiatric and occupational therapy services for the treatment of autism spectrum disorders, as defined in the most recent edition…

(a) Upon request of the reimbursing health insurance carrier, all providers shall furnish medical records or other necessary data which substantiates that initial or continued treatment is at all times medically necessary and appropriate. (b) Medical necessity criteria may be bas…

Benefits for services under this chapter shall be reimbursed in accordance with the respective principles and mechanisms of reimbursement for each health insurance carrier. Except as otherwise provided in this section, any policy, contract, or certificate that provides coverage f…

Nothing in this section shall be construed to alter any obligation of a school district or the state of Rhode Island to provide services to an individual under an individualized family service plan or an individualized education program, as required under the federal Individuals …

(a) Any individual providing or supervising applied behavior analysis treatment under this section shall be: (1) Individually licensed by the department of health as a licensed applied behavior analyst; or a licensed applied behavior assistant analyst acting under supervision; or…

This chapter shall not apply to insurance coverage providing benefits for: (1) Hospital confinement indemnity; (2) Disability income; (3) Accident only; (4) Long-term care; (5) Medicare supplement; (6) Limited benefit health; (7) Specified disease indemnity; (8) Sickness or bodil…