reglab/housing_qa huggingface dataset:
RI Gen L § 27-20.11-3 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.11 - Autism Spectrum Disorders|Section 27-20.11-3 - Scope of coverage.

§ 27-20.11-3. Scope of coverage.(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 of the DSM. Provided, however:(1) Coverage for physical therapy, speech therapy and occupational therapy and psychology, psychiatry and pharmaceutical services shall be, to the extent such services are a covered benefit for other diseases and conditions under such policy; and(2) Applied behavior analysis.(b) Benefits under this section shall continue until the covered individual reaches age fifteen (15).(c) The healthcare benefits outlined in this chapter apply only to services delivered within the state of Rhode Island; provided, that all health insurance carriers shall be required to provide coverage for those benefits mandated by this chapter outside of the state of Rhode Island where it can be established through a pre-authorization process that the required services are not available in the state of Rhode Island from a provider in the health insurance carrier's network.History of Section.P.L. 2011, ch. 159, § 1; P.L. 2011, ch. 175, § 1; P.L. 2012, ch. 371, § 1; P.L. 2012, ch. 397, § 1; P.L. 2015, ch. 141, art. 5, § 5.
RI Gen L § 27-20.11-4 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.11 - Autism Spectrum Disorders|Section 27-20.11-4 - Medical necessity and appropriateness of treatment.

§ 27-20.11-4. Medical necessity and appropriateness of treatment.(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 based in part on evidence of continued improvement as a result of treatment. When the provider cannot establish the medical necessity and/or appropriateness of the treatment modality being provided, neither the health insurer nor the patient shall be obligated to reimburse for that period or type of care that was not established. The exception to the preceding can only be made if the patient has been informed of the provisions of this subsection and has agreed in writing to continue to receive treatment at his or her own expense.(c) Any subscriber who is aggrieved by a denial of benefits provided under this chapter may appeal a denial in accordance with the rules and regulations promulgated by the department of health pursuant to chapter 17.12 of title 23 [repealed].(d) A health insurance carrier may require submission of a treatment plan, including the frequency and duration of treatment, signed by a child psychiatrist, a behavioral developmental pediatrician, a child neurologist or a licensed psychologist with training in child psychology, that the treatment is medically necessary for the patient and is consistent with nationally recognized treatment standards for the condition such as those set forth by the American Academy of Pediatrics. An insurer may require an updated treatment plan no more frequently than on a quarterly basis.History of Section.P.L. 2011, ch. 159, § 1; P.L. 2011, ch. 175, § 1.
RI Gen L § 27-20.11-5 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.11 - Autism Spectrum Disorders|Section 27-20.11-5 - Limits on cost sharing.

§ 27-20.11-5. Limits on cost sharing.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 for services under this section may contain provisions for maximum benefits and coinsurance and reasonable limitations, deductibles and exclusions to the extent that these provisions are no more extensive than coverage provided for other conditions or illnesses. Coverage for autism spectrum disorders is otherwise subject to the same terms and conditions of the policy as any other condition or illness.History of Section.P.L. 2011, ch. 159, § 1; P.L. 2011, ch. 175, § 1.
RI Gen L § 27-20.11-6 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.11 - Autism Spectrum Disorders|Section 27-20.11-6 - Educational and other services provided to children diagnosed with Autism spectrum disorders.

§ 27-20.11-6. Educational and other services provided to children diagnosed with Autism spectrum disorders.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 with Disabilities Education Act, or the provision of services to an individual under any other federal or state law. A health insurance carrier assessed for services provided under § 42-12-29, children's health account, shall not be required to provide duplicative coverage for the same beneficiary for the same or similar services mandated under this section.History of Section.P.L. 2011, ch. 159, § 1; P.L. 2011, ch. 175, § 1.
RI Gen L § 27-20.11-7 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.11 - Autism Spectrum Disorders|Section 27-20.11-7 - Credentials.

§ 27-20.11-7. Credentials.(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(2) Licensed by the department of health as a psychologist with equivalent experience or a psychologist practicing within their scope of practice.(b) Nothing in this chapter shall be construed to require a change in the credentialing or contracting practices of health insurers for mental health or substance abuse providers.History of Section.P.L. 2011, ch. 159, § 1; P.L. 2011, ch. 175, § 1; P.L. 2012, ch. 371, § 1; P.L. 2012, ch. 397, § 1.
RI Gen L § 27-20.11-8 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.11 - Autism Spectrum Disorders|Section 27-20.11-8 - Exclusions.

§ 27-20.11-8. Exclusions.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 bodily injury or death by accident or both; and (9) Other limited benefit policies.History of Section.P.L. 2011, ch. 159, § 1; P.L. 2011, ch. 175, § 1.
RI Gen L § 27-21-1 - 27-21-16 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-21 - Foreign Surety Companies|Section 27-21-1 - 27-21-16 - Repealed.

§ 27-21-1 — 27-21-16. Repealed.
RI Gen L § 27-22-1 - 27-22-16 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-22 - Domestic Fraternal Benefit Societies|Section 27-22-1 - 27-22-16 - Repealed.

§ 27-22-1 — 27-22-16. Repealed.
RI Gen L § 27-23-1 - 27-23-4 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-23 - Foreign Fraternal Benefit Societies|Section 27-23-1 - 27-23-4 - Repealed.

§ 27-23-1 — 27-23-4. Repealed.
RI Gen L § 27-24-1 - 27-24-45 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-24 - Insurance by Fraternal Benefit Societies|Section 27-24-1 - 27-24-45 - Repealed.

§ 27-24-1 — 27-24-45. Repealed.
RI Gen L § 27-25-1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-1 - Fraternal benefit societies.

§ 27-25-1. Fraternal benefit societies.Any incorporated society, order, or supreme lodge, without capital stock, including one exempted under the provisions of § 27-25-38(a)(2), whether incorporated or not, conducted solely for the benefit of its members and their beneficiaries and not for profit, operated on a lodge system with ritualistic form of work, having a representative form of government, and which provides benefits in accordance with this chapter, is declared to be a fraternal benefit society.History of Section.P.L. 1984, ch. 201, § 2.
RI Gen L § 27-25-2 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-2 - Lodge system.

§ 27-25-2. Lodge system.(a) A society is operating on the lodge system if it has a supreme governing body and subordinate lodges into which members are elected, initiated, or admitted in accordance with its laws, rules, and ritual. Subordinate lodges shall be required by the laws of the society to hold regular meetings at least once in each month in furtherance of the purposes of the society.(b) A society may, at its option, organize and operate lodges for children under the minimum age for adult membership. Membership and initiation in local lodges shall not be required of the children, nor shall they have a voice or vote in the management of the society.History of Section.P.L. 1984, ch. 201, § 2.
RI Gen L § 27-25-3 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-3 - Representative form of government.

§ 27-25-3. Representative form of government.A society has a representative form of government when:(1) It has a supreme governing body constituted in one of the following ways:(i) Assembly. The supreme governing body is an assembly composed of delegates elected directly by the members or at intermediate assemblies or conventions of members or their representatives, together with other delegates as may be prescribed in the society's laws. A society may provide for the election of delegates by mail. The elected delegates shall constitute a majority in number and shall not have less than two-thirds (⅔) of the votes and not less than the number of votes required to amend the society's laws. The assembly shall be elected and shall meet at least once every four (4) years and shall elect a board of directors to conduct the business of the society between meetings of the assembly. Vacancies on the board of directors between elections may be filled in the manner prescribed by the society's laws; or(ii) Direct election. The supreme governing body is a board composed of persons elected by the members, either directly or by their representatives in intermediate assemblies, and any other persons prescribed in the society's laws. A society may provide for the election of the board by mail. Each term of a board member may not exceed four (4) years. Vacancies on the board between elections may be filled in the manner prescribed by the society's laws. Those persons elected to the board shall constitute a majority in number and not less than the number of votes required to amend the society's laws. A person filling the unexpired term of an elected board member shall be considered an elected member. The board shall meet at least quarterly to conduct the business of the society;(2) The officers of the society are elected either by the supreme governing body or by the board of directors;(3) Only benefit members are eligible for election to the supreme governing body, the board of directors, or any intermediate assembly; and(4) Each voting member shall have one vote; no vote may be cast by proxy.History of Section.P.L. 1984, ch. 201, § 2.
RI Gen L § 27-25-4 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-4 - Definitions.

§ 27-25-4. Definitions.Whenever used in this chapter:(1) "Benefit contract" means the agreement for provision of benefits authorized by § 27-25-16, as that agreement is described in § 27-25-19(a);(2) "Benefit member" means an adult member who is designated by the laws or rules of the society to be a benefit member under a benefit contract;(3) "Certificate" means the document issued as written evidence of the benefit contract;(4) "Laws" means the society's articles of incorporation, constitution, and by-laws, however designated;(5) "Lodge" means subordinate member units of the society, known as camps, courts, councils, branches, or by any other designation;(6) "Premiums" means premiums, rates, dues, or other required contributions by whatever name known, which are payable under the certificate;(7) "Rules" means all rules, regulations, or resolutions adopted by the supreme governing body or board of directors which are intended to have general application to the members of the society; and(8) "Society" means fraternal benefit society, unless otherwise indicated.History of Section.P.L. 1984, ch. 201, § 2.
RI Gen L § 27-25-5 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-5 - Purposes and powers.

§ 27-25-5. Purposes and powers.(a) A society shall operate for the benefit of members and their beneficiaries by:(1) Providing benefits as specified in § 27-25-16; and(a) (2) (i) Operating for one or more social, intellectual, educational, charitable, benevolent, moral, fraternal, patriotic, or religious purposes for the benefit of its members, which may also be extended to others;(ii) These purposes may be carried out directly by the society, or indirectly through subsidiary corporations or affiliate organizations.(b) Every society shall have the power to adopt laws and rules for the government of the society, the admission of its members, and the management of its affairs. It shall have the power to change, alter, add to, or amend those laws and rules, and shall have any other powers as are necessary and incidental to carrying into effect the objects and purposes of the society.History of Section.P.L. 1984, ch. 201, § 2.
RI Gen L § 27-25-6 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-6 - Qualifications for membership.

§ 27-25-6. Qualifications for membership.(a) A society shall specify in its laws or rules:(1) Eligibility standards for each and every class of membership; provided that if benefits are provided on the lives of children, the minimum age for adult membership shall be set at not less than age fifteen (15) and not greater than age twenty-one (21);(2) The process for admission to membership for each membership class; and(3) The rights and privileges of each membership class; provided that only benefit members shall have the right to vote on the management of the insurance affairs of the society.(b) A society may also admit social members who shall have no voice or vote in the management of the insurance affairs of the society.(c) Membership rights in the society are personal to the member and are not assignable.History of Section.P.L. 1984, ch. 201, § 2.
RI Gen L § 27-25-7 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-7 - Location of office and meetings - Communications to members - Grievance procedures.

§ 27-25-7. Location of office and meetings — Communications to members — Grievance procedures.(a) The principal office of any domestic society shall be located in this state. The meetings of its supreme governing body may be held in any state, district, province, or territory in which the society has at least one subordinate lodge, or in any other location determined by the supreme governing body, and all business transacted at the meetings shall be as valid in all respects as if the meetings were held in this state. The minutes of the proceedings of the supreme governing body and of the board of directors shall be in the English language.(b) A society may provide in its laws for an official publication in which any notice, report, or statement required by law to be given to members, including notice of election, may be published. The required reports, notices, and statements shall be printed conspicuously in the publication. If the records of a society show that two (2) or more members have the same mailing address, an official publication mailed to one member is deemed to be mailed to all members at the same address unless a member requests a separate copy.(c) Not later than June 1 of each year, a synopsis of the society's annual statement providing an explanation of the facts concerning the condition of the society disclosed in the statement shall be printed and mailed to each benefit member of the society or, in lieu of that, the synopsis may be published in the society's official publication.(d) A society may provide in its laws or rules for grievance or complaint procedures for members.History of Section.P.L. 1984, ch. 201, § 2.
RI Gen L § 27-25-9 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-9 - Waiver.

§ 27-25-9. Waiver.The laws of the society may provide that no subordinate body, nor any of its subordinate officers or members, shall have the power or authority to waive any of the provisions of the laws of the society. That provision shall be binding on the society and every member and beneficiary of a member.History of Section.P.L. 1984, ch. 201, § 2.
RI Gen L § 27-25-11 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-11 - Amendments to laws.

§ 27-25-11. Amendments to laws.(a) A domestic society may amend its laws in accordance with the provisions of those laws, by action of its supreme governing body at any regular or special meeting of that body or, if its laws provide, by referendum. A referendum may be held in accordance with the provisions of the domestic society's laws, by the vote of the voting members of the society, by the vote of delegates or representatives of voting members, or by the vote of local lodges. A society may provide for voting by mail. No amendment submitted for adoption by referendum shall be adopted unless, within six (6) months from the date of submission, a majority of the members voting shall have signified their consent to the amendment by one of the methods specified in this section.(b) No amendment to the laws of any domestic society shall take effect unless approved by the commissioner of insurance who shall approve the amendment if the commissioner finds that it has been duly adopted and is not inconsistent with any requirement of the laws of the state or with the character, objects, and purposes of the society. Unless the commissioner of insurance shall disapprove an amendment within sixty (60) days after the filing of the amendment, it shall be considered approved. The approval or disapproval of the commissioner of insurance shall be in writing and mailed to the secretary or corresponding officer of the society at its principal office. In case the commissioner disapproves the amendment, the reasons shall be stated in the written notice.(c) Within ninety (90) days from the approval by the commissioner of insurance, all amendments, or a synopsis of the amendments, shall be furnished to all of the members of the society either by mail or by publication, in full, in the official publication of the society. The affidavit of any officer of the society or of anyone authorized by it to mail any amendments or synopsis, stating facts which show that the amendments or a synopsis have been duly addressed and mailed, shall be prima facie evidence that the amendments or synopsis have been furnished to the addressee.(d) Every foreign or alien society authorized to do business in this state shall file with the commissioner of insurance a duly certified copy of all amendments of, or additions to, its laws within ninety (90) days after their enactment.(e) Printed copies of the laws, as amended, certified by the secretary or corresponding officer of the society, shall be prima facie evidence of their legal adoption.History of Section.P.L. 1984, ch. 201, § 2.
RI Gen L § 27-25-12 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-12 - Institutions.

§ 27-25-12. Institutions.A society may create, maintain and operate, or may establish organizations to operate, not for profit institutions to further the purposes permitted by § 27-25-5(a)(2)(i). Those institutions may furnish services free or at a reasonable charge. Any real or personal property owned, held, or leased by the society for this purpose shall be reported in every annual statement.History of Section.P.L. 1984, ch. 201, § 2.
RI Gen L § 27-25-13 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-13 - Reinsurance.

§ 27-25-13. Reinsurance.(a) A domestic society may, by a reinsurance agreement, cede any individual risk or risks in whole or in part to an insurer, other than another fraternal benefit society, having the power to make reinsurance and authorized to do business in this state, or, if not so authorized, one which is approved by the commissioner of insurance, but no society may reinsure substantially all of its insurance in force without the written permission of the commissioner of insurance. It may take credit for the reserves on the ceded risks to the extent reinsured, but no credit shall be allowed as an admitted asset or as a deduction from liability, to a ceding society for reinsurance made, ceded, or renewed unless the reinsurance is payable by the assuming insurer on the basis of the liability of the ceding society under the contract or contracts reinsured without diminution because of the insolvency of the ceding society.(b) Notwithstanding the limitation in subsection (a) of this section, a society may reinsure the risks of another society in a consolidation or merger approved by the commissioner of insurance under § 27-25-14.History of Section.P.L. 1984, ch. 201, § 2; P.L. 2002, ch. 292, § 58.
RI Gen L § 27-25-15 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-15 - Conversion of fraternal benefit society into mutual life insurance company.

§ 27-25-15. Conversion of fraternal benefit society into mutual life insurance company.Any domestic fraternal benefit society may be converted and licensed as a mutual life insurance company by compliance with all of the requirements of the general laws relating to the financial requirements of mutual life insurance companies. A plan of conversion shall be prepared, in writing, by the board of directors setting forth, in full, the terms and conditions of conversion. The affirmative vote of two-thirds (⅔) of all members of the supreme governing body at a regular or special meeting shall be necessary for the approval of the plan. No conversion shall take effect unless and until approved by the commissioner of insurance, who may give approval if the commissioner finds that the proposed change is in conformity with the requirements of law and not prejudicial to the certificate holders of the society.History of Section.P.L. 1984, ch. 201, § 2.
RI Gen L § 27-25-16 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-25 - Rhode Island Fraternal Code|Section 27-25-16 - Benefits.

§ 27-25-16. Benefits.(a) A society may provide the following contractual benefits in any form:(1) Death benefits;(2) Endowment benefits;(3) Annuity benefits;(4) Temporary or permanent disability benefits;(5) Hospital, medical, or nursing benefits;(6) Monument or tombstone benefits to the memory of deceased members; and(7) Any other benefits authorized for life insurers and which are not inconsistent with this chapter.(b) A society shall specify in its rules those persons who may be issued, or covered by, the contractual benefits in subsection (a) of this section, consistent with providing benefits to members and their dependents. A society may provide benefits on the lives of children under the minimum age for adult membership upon application of an adult person.History of Section.P.L. 1984, ch. 201, § 2.