reglab/housing_qa huggingface dataset:
HI Rev Stat § 432:1-615 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-615 Primary care provider; advanced practice registered nurse.

  §432:1-615 Primary care provider; advanced practice registered nurse. (a) Each policy of insurance delivered or issued for delivery in this State by a mutual benefit society shall recognize advanced practice registered nurses, as defined under section 457-8.5(a), as participating providers, and shall include coverage for care provided by participating advanced practice registered nurses practicing within the scope of their licenses for purposes of health maintenance, diagnosis, or treatment, to the extent that the policy provides benefits for identical services rendered by another health care provider.  (b) Notwithstanding any other law to the contrary, an insurer may recognize a participating advanced practice registered nurse as a primary care provider if the insured's policy requires the selection of a primary care provider. The insurer shall include participating advanced practice registered nurses who practice as primary care providers on any publicly available list of participating primary care providers; provided that the insurer retains the right to determine the contracting criteria for a participating primary care provider.   (c) For the purposes of this section, "participating advanced practice registered nurse" means an advanced practice registered nurse who has contracted with the insurer to provide health care services to its insureds. [L 2009, c 169, §3]
HI Rev Stat § 432:1-616 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-616 Cancer treatment.

  §432:1-616 Cancer treatment.  (a) All individual and group hospital and medical service plan contracts that include coverage or benefits for the treatment of cancer shall provide payment or reimbursement for all types of chemotherapy that are considered medically necessary as defined in section 432E-1.4.  (b) The cost-sharing for generic and non-generic oral chemotherapy shall be provided at the same or lower amount or percentage as is applied to generic and non-generic intravenously administered chemotherapy; provided that an insurer shall not increase the cost-share for intravenously administered chemotherapy in order to achieve compliance with this subsection.   (c) Individual and group hospital and medical service plan contracts shall not increase enrollee cost-sharing for non-generic medications used for the treatment of cancer to any greater extent than such policies increase enrollee cost-sharing for other covered non-generic medication.  (d) For the purposes of this section:  "Cost-share" or "cost-sharing" means copayment, coinsurance, or deductible provisions applicable to coverage for medications or treatments.  "Intravenously administered chemotherapy" means a physician-prescribed cancer treatment that is administered through injection directly into the patient's circulatory system by a physician, physician assistant, nurse practitioner, nurse, or other medical personnel under the supervision of a physician and in a hospital, medical office, or other clinical setting.  "Oral chemotherapy" means a United States Food and Drug Administration-approved, physician-prescribed cancer treatment that is taken orally in the form of a tablet or capsule and may be administered in a hospital, medical office, or other clinical setting or may be delivered to the patient for self-administration under the direction or supervision of a physician outside of a hospital, medical office, or other clinical setting.  (e) This section shall not apply to an accident-only, specified disease, hospital indemnity, long-term care, or other limited-benefit health insurance policy. [L 2009, c 168, §2; am L 2012, c 30, §2]
HI Rev Stat § 432:1-617 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-617 Colon cancer screening coverage.

  §432:1-617 Colon cancer screening coverage. (a) All individual and group hospital and medical service contracts providing health care coverage shall provide coverage for colorectal-cancer screening by all A and B grade screening modalities as recommended by the United States Preventive Services Task Force.  (b) Beginning March 1, 2011, all health insurance providers in Hawaii shall inform their insured of the risk associated with undiagnosed colorectal cancer and encourage the insured to consult with the insured's physician about available screening options. [L 2010, c 157, §2]
HI Rev Stat § 432:1-618 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-618 Human immunodeficiency virus and acquired immunodeficiency syndrome screening coverage.

  §432:1-618 Human immunodeficiency virus and acquired immunodeficiency syndrome screening coverage. (a) Each hospital or medical service plan contract issued or renewed in this State, except for plan contracts that only provide coverage for specified diseases or other limited benefit coverage, shall provide coverage for annual screenings for sexually transmitted diseases, including screenings for human immunodeficiency virus and acquired immunodeficiency syndrome.  (b) Each mutual benefit society shall reimburse all costs associated with the coverage under subsection (a) to any physician or health care provider complying with this section. [L 2016, c 204, §3] Note  Applicability of section. L 2016, c 204, § §6, 8.
HI Rev Stat § 432:1-620 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-620 Formulary; accessibility requirements.

  §432:1-620 Formulary; accessibility requirements. (a) Each mutual benefit society offering or renewing an individual and group hospital or medical service plan contract on or after January 1, 2017, shall provide the following information via a public website and through a toll-free number that is posted on the mutual benefit society's website:  (1) Its formulary; provided that notice of any changes due to the addition of a new drug or deletion of any existing drug shall be made available no later than seventy-two hours after the effective date of the change; provided further that notice of other changes, including drug strength or form, shall be made available within fourteen calendar days of the effective date of the change;  (2) Provide a system that allows a subscriber or potential subscriber to determine whether prescription drugs are covered under the plan's medical benefits and typically administered by a provider, along with any cost-sharing imposed on such drugs;  (3) Indicate a dollar amount range of cost-sharing typically paid by a subscriber of each specific drug included on the formulary based on the information the mutual benefit society has available, as follows:  (A) $100 and under: $;  (B) Over $100 to $250: $$;  (C) Over $250 to $500: $$$;  (D) Over $500 to $1,000: $$$$; and  (E) Over $1,000: $$$$$; and  (4) Display standardized content for the formulary for each product offered by the plan pursuant to recommendations made by the formulary accessibility working group established pursuant to Act 197, Session Laws of Hawaii 2015.  (b) For the purposes of this section, "formulary" means the complete list of drugs preferred for use and eligible for coverage under a policy, including drugs covered under the policy's pharmacy benefit and medical benefit as defined by the health care service plans.  (c) This section shall not apply to limited benefit health insurance as provided in section 431:10A-607; provided further that this section shall not apply to medicare, medicaid, or other federally financed plans. [L 2015, c 197, §2; am L 2019, c 70, §33]
HI Rev Stat § 432:1-621 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-621 Medication synchronization; proration; dispensing fees.

 §432:1-621 Medication synchronization; proration; dispensing fees. (a) Each hospital or medical service plan contract that provides prescription drug coverage in the State shall apply a prorated daily cost-sharing rate to prescriptions that are dispensed by a network pharmacy for less than a thirty-day supply for the purpose of medication synchronization; provided that the member patient requests or agrees to less than a thirty-day supply.  (b) For the purposes of medication synchronization under this section, the mutual benefit society that provides prescription drug coverage shall:  (1) Not deny coverage for the dispensing of a maintenance medication that is dispensed by a network pharmacy on the basis that the dispensed amount is a partial supply and the member patient requests or agrees to a partial supply; and  (2) Authorize a network pharmacy to override any denial codes indicating that a prescription is being refilled too soon.  (c) No plan contract providing prescription drug coverage shall use payment structures incorporating prorated dispensing fees. Dispensing fees for partially filled or refilled prescriptions shall be paid in full for each prescription dispensed, regardless of any prorated copayment for the beneficiary or fee paid for medication synchronization services.  (d) A network pharmacy shall identify an anchor prescription to which all other prescriptions may be subject to medication synchronization; provided that any medication dispensed in an unbreakable package shall not be considered the anchor prescription for purposes of this section.  (e) No schedule II narcotic controlled substance listed in section 329-16 shall be eligible for medication synchronization.  (f) For purposes of this section:  "Medication synchronization" means the coordination of medication refills that are being dispensed by a single contracted pharmacy to a member patient taking two or more medications for one or more chronic conditions so that the patient's medications are refilled on the same schedule for a given time period.  "Unbreakable package" means a medication form or package that is to be dispensed in its original container. The term "unbreakable package" includes but is not limited to eye drops, inhalers, creams, and ointments. [L 2018, c 197, §3]
HI Rev Stat § 432:1-622 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-622 Extension of dependent coverage.

  §432:1-622 Extension of dependent coverage. Each individual or group hospital or medical service plan contract and each mutual benefit society offering individual or group hospital or medical service plan contracts that provide dependent coverage of children shall continue to make that coverage available for an adult child until the child turns twenty-six years of age. Nothing in this section shall require a plan contract to make coverage available for a child of a child receiving dependent coverage. [L 2018, c 111, pt of §4]
HI Rev Stat § 432:1-623 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-623 Prohibition of preexisting condition exclusions.

  §432:1-623 Prohibition of preexisting condition exclusions. (a) No individual or group hospital or medical service plan contract issued or renewed in this State shall impose any preexisting condition exclusion.  (b) For purposes of this section, a "preexisting condition exclusion" means a limitation or exclusion of benefits, including a denial of coverage, based on the fact that the condition was present before the effective date of coverage (or if coverage is denied, the date of the denial) under an individual or group hospital or medical service plan contract, whether or not any medical advice, diagnosis, care, or treatment was recommended or received before that day and includes any condition.  The term "preexisting condition exclusion" includes any limitation or exclusion of benefits, including a denial of coverage, applicable to an individual as a result of information relating to an individual's health status before the individual's effective date of coverage (or if coverage is denied, the date of the denial) under an individual or group hospital or medical service plan contract, such as a condition identified as a result of a pre-enrollment questionnaire or physical examination given to the individual, or review of medical records relating to the pre-enrollment period. [L 2018, c 111, pt of §4]
HI Rev Stat § 432:1-624 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-624 Prohibited discrimination in premiums or contributions.

  §432:1-624 Prohibited discrimination in premiums or contributions. No individual or group hospital or medical service plan contract and no mutual benefit society offering individual or group hospital or medical service plan contracts issued or renewed in this State shall require an individual, as a condition of enrollment or continued enrollment under the plan contract, to pay a premium or contribution based on the individual's gender that is greater than the premium or contribution for a similarly situated individual of the opposite gender who is covered under the same plan contract or a substantially similar plan contract offered by the same mutual benefit society. [L 2018, c 111, pt of §4]
HI Rev Stat § 432:1-625 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:1-625 Reimbursement to providers.

  §432:1-625 Reimbursement to providers. (a) Coverage for services required by this part shall include reimbursement to health care providers who perform services required by this article, or to the insured member, as appropriate.  (b) Whenever an individual or group policy, contract, plan, or agreement that provides health care coverage under this article provides for reimbursement for any service, a health care provider who performs a service shall be eligible for reimbursement for the performed service to the extent the health care provider is eligible for such reimbursement under the policy, contract, plan, or agreement, and is acting within the scope of the provider's license or certification under state law.  (c) For purposes of this section, "health care provider" has the same meaning as in section 431:10A €“144(c). [L 2019, c 70, §4]
HI Rev Stat § 432:2-101 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:2-101 Scope of article.

  §432:2-101 Scope of article. This article relates only to fraternal benefit societies, as defined herein, which desire to be authorized to pay benefits in accordance with this article after July 10, 1961. This article shall not apply to legal service plans subject to chapter 488 even though the plan may be offered by a fraternal benefit society. [L 1987, c 347, pt of §2; am L 2012, c 34, §24]
HI Rev Stat § 432:2-102 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:2-102 Applicability of other laws.

  §432:2-102 Applicability of other laws. (a) Except as herein provided, societies shall be governed by this article and shall be exempt from all other provisions of the insurance laws of this State unless they are expressly designated therein, or unless it is specifically made applicable by this article.  (b) Nothing in this article shall exempt fraternal benefit societies from the provisions and requirements of part IV of article 2, part IV of article 3, and article 15 of chapter 431, and sections 431:2-215, 431:3-303, 431:3-304, and 431:3-305. [L 1987, c 347, pt of §2; am L 2000, c 182, §15; am L 2009, c 149, §5; am L 2011, c 80, §8; am L 2014, c 186, §14]
HI Rev Stat § 432:2-103 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:2-103 Definitions.

  §432:2-103 Definitions. For the purposes of this article:  "Benefit contract" means the agreement for provision of benefits authorized by section 432:2-401, as that agreement is described in section 432:2-404(a).  "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.  "Certificate" means the document issued as written evidence of the benefit contract.  "Commissioner" means the insurance commissioner of this State.  "Laws" means the society's articles of incorporation, constitution, and bylaws, however designated.  "Lodge" means subordinate member units of the society, known as camps, courts, councils, branches, or by any other designation.  "Premiums" means premiums, rates, dues, or other required contributions by whatever name known, which are payable under the certificate.  "Rules" means all rules, regulations, or resolutions adopted by the supreme governing body or board of directors that are intended to have general application to the members of the society.  "Society" means a fraternal benefit society, unless otherwise indicated. [L 1987, c 347, pt of §2; am L 2019, c 111, §26]
HI Rev Stat § 432:2-103.5 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:2-103.5 Policies relating to domestic abuse cases.

  §432:2-103.5 Policies relating to domestic abuse cases. (a) No fraternal benefit society shall deny or refuse to accept an application for insurance, refuse to insure, refuse to renew, cancel, restrict, or otherwise terminate a policy of insurance, or charge a different rate for the same coverage, on the basis that the member or prospective member is, has been, or may be a victim of domestic abuse.  (b) Nothing in this section shall prevent a fraternal benefit society from taking any of the actions set forth in subsection (a) on the basis of loss history or medical condition, or for any other reason not otherwise prohibited by this section or any other law, regulation, or rule.  (c) Any form filed or filed after July 15, 1998 or subject to a rule adopted under chapter 91 may exclude coverage for losses caused by intentional or fraudulent acts of any benefit member.  (d) Nothing in this section prohibits a fraternal benefit society from investigating a claim and complying with chapter 431.  (e) As used in this section, "domestic abuse" means:  (1) Physical harm, bodily injury, assault, or the infliction of fear of imminent physical harm, bodily injury, or assault between family or household members;  (2) Sexual assault of one family or household member by another;  (3) Stalking of one family or household member by another family or household member;  (4) Intentionally, knowingly, or recklessly causing damage to property so as to intimidate or attempt to control the behavior of another household member; or  (5) Coercive control, as defined in section 586-1, between family or household members. [L 1998, c 171, §4; am L 2004, c 122, §88; am L 2020, c 20, §3] Revision Note  "July 15, 1998" substituted for "the effective date of this section" pursuant to §23G-15.
HI Rev Stat § 432:2-104 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:2-104 Fraternal benefit societies.

  §432:2-104 Fraternal benefit societies. Any incorporated society, order or supreme lodge, without capital stock, including one exempted under the provisions of section 432:2-704(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 article, is hereby declared to be a fraternal benefit society. [L 1987, c 347, pt of §2]
HI Rev Stat § 432:2-105 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:2-105 Lodge system.

  §432:2-105 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 such children, nor shall they have a voice or vote in the management of the society. [L 1987, c 347, pt of §2]
HI Rev Stat § 432:2-106 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:2-106 Representative form of government.

  §432:2-106 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:  (A) 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 election of delegates by mail. The elected delegates shall constitute a majority in number and shall not have less than two-thirds of the votes and not less than the number of votes required to amend the society's laws. The assembly shall be elected, shall meet at least once every four 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.  (B) 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 election of the board by mail. Each term of a board member may not exceed four 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 to be 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. [L 1987, c 347, pt of §2]
HI Rev Stat § 432:2-107 (2021)
2021 Hawaii Revised Statutes|Title 24. Insurance|432. Benefit Societies|432:2-107 Purposes and powers.

  §432:2-107 Purposes and powers. (a) A society shall operate for the benefit of members and their beneficiaries by:  (1) Providing benefits as specified in section 432:2-401; and  (2) Operating for one or more lawful, social, intellectual, educational, charitable, benevolent, moral, fraternal, patriotic or religious purposes for the benefit of its members, which may also be extended to others. Such purposes may be carried out directly by the society, or indirectly through subsidiary corporations or affiliated 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 such laws and rules and shall have such other powers as are necessary and incidental to carrying into effect the objects and purposes of the society. [L 1987, c 347, pt of §2]