reglab/housing_qa huggingface dataset:
RI Gen L § 27-20.3-11 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.3 - Nonprofit Legal Service Corporations|Section 27-20.3-11 - Rehabilitation, liquidation, or conservation.

§ 27-20.3-11. Rehabilitation, liquidation, or conservation.(a) Any rehabilitation, liquidation, administrative supervision, or conservation of a nonprofit legal service corporation organized under this chapter shall be conducted under the supervision of the director of business regulation pursuant to chapters 14.1, 14.2, and 14.3 of this title. The director of business regulation may apply for an order from the superior court directing the director of business regulation to rehabilitate, liquidate, or conserve a nonprofit legal service corporation upon any one or more of the following grounds:(1) That the nonprofit legal service corporation is insolvent; for the purposes of this section, the term "insolvent" means the inability of the nonprofit legal service corporation to meet its debts and financial obligations as they become due;(2) That the nonprofit legal service corporation fails or refuses to comply with a lawful order of the director of business regulation reasonably designed to correct unsound business policies or practices which, if uncorrected, could reasonably lead to insolvency as defined in subdivision (1) of this subsection; or(3) That the nonprofit legal service corporation's financial condition is such as to render its further transaction of business hazardous to the public or its subscribers or members.(b) A claim by a health care provider shall not be asserted against any subscriber or member of the nonprofit legal service corporation in the event of the rehabilitation, liquidation, conservation, or administrative supervision of the nonprofit legal service corporation.History of Section.P.L. 1993, ch. 180, § 23.
RI Gen L § 27-20.3-12 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.3 - Nonprofit Legal Service Corporations|Section 27-20.3-12 - Holding company systems.

§ 27-20.3-12. Holding company systems.All provisions of chapter 35 of this title apply to corporations organized or licensed pursuant to this chapter. Any approval granted by the director pursuant to chapter 35 of this title shall not supersede any other approval under Rhode Island law relative to mergers or other acquisitions of nonprofit legal service corporations in their capacity as Rhode Island charitable nonprofit corporations.History of Section.P.L. 1993, ch. 180, § 23; P.L. 2000, ch. 178, § 7; P.L. 2000, ch. 200, § 17; P.L. 2000, ch. 229, § 17.
RI Gen L § 27-20.3-13 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.3 - Nonprofit Legal Service Corporations|Section 27-20.3-13 - Regulations.

§ 27-20.3-13. Regulations.The director of business regulation may adopt reasonable rules and regulations for the implementation and administration of the provisions of this chapter.History of Section.P.L. 1993, ch. 180, § 23.
RI Gen L § 27-20.4-1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.4 - Insurance Continuation Act|Section 27-20.4-1 - Continuation of health plan coverage for former spouse.

§ 27-20.4-1. Continuation of health plan coverage for former spouse.(a) In the event of a final judgment of divorce, whether absolute or otherwise, where one party to the divorce was at the time of the entry of the judgment for divorce a member of a health plan providing family coverage regulated under chapters 18, 19, 20, or 20.1 of this title and § 42-62-13, or a member of a health maintenance organization as defined in § 42-62-4(5), or any similar health plan whether regulated under these chapters and sections or not, the person who was the spouse of the party prior to the entry of judgment for divorce may remain eligible for continuing benefits under the plan and health maintenance organization without additional premium or examination if the order is included in the judgment when entered. The eligibility shall continue as long as the original member is a participant in the plan or health maintenance organization and until either one of the following shall take place: (1) the remarriage of either party to the divorce, or (2) until a time as provided by the judgment for divorce. If the person who was the spouse of a member of a plan or health maintenance organization as set forth in this subsection becomes eligible to participate in a comparable plan or health maintenance organization through his or her own employment, the continuation of the original plan coverage shall cease. Any final decree continuing family health insurance shall require both the member and the spouse to notify the insurer promptly of any remarriage.(b) The person who was the spouse and remains eligible for continuing benefits under the provisions of this section or any custodial guardian of an insured minor child of the original member, having paid for covered medical costs subject to reimbursement, shall be reimbursed directly by the insurer upon the filing of the claim. The insurer shall not require that the claim be filed through the insured member, but must allow for direct filing.History of Section.P.L. 1983, ch. 148, § 1; P.L. 1984, ch. 32, § 1; P.L. 1993, ch. 276, § 1.
RI Gen L § 27-20.4-2 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.4 - Insurance Continuation Act|Section 27-20.4-2 - Effect of remarriage on continuation of plan coverage.

§ 27-20.4-2. Effect of remarriage on continuation of plan coverage.If a member of a health plan or health maintenance organization as set forth in § 27-20.4-1 shall be excluded from coverage by the remarriage of his or her former spouse, the person excluded shall have the right to purchase within thirty (30) days without evidence of insurability an individual policy from the health plan or health maintenance organization previously insuring that person.History of Section.P.L. 1983, ch. 148, § 1.
RI Gen L § 27-20.4-3 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.4 - Insurance Continuation Act|Section 27-20.4-3 - Definitions.

§ 27-20.4-3. Definitions.As used in this chapter, the following terms have the following meaning:(1) "Director" means the director of the department of business regulation;(2) "Individual contract" means any health benefit contract that is not a group contract;(3) "Insurer" means every medical service corporation, hospital service corporation, health maintenance organization licensed under chapter 41 of this title or as defined in § 42-62-4, or insurance company offering and/or insuring health services;(4) "Late enrollee" means a person who requests enrollment in a group plan following the initial enrollment period provided under the terms of the plan, except that a person is not a late enrollee if:(i) The request for enrollment is made within thirty (30) days after the termination of coverage under a prior contract or policy and the individual did not request coverage initially under the succeeding contract because that individual was covered under a prior contract and coverage under that contract ceased due to termination of employment, death of a spouse, or divorce; or(ii) A court has ordered that coverage be provided for a spouse or minor child under a covered employee's plan and the request for coverage is made within thirty (30) days after issuance of the court order;(5) "Prior contract" means the group or individual health benefit contract or health benefit plan that previously covered the person;(6) "Replacement contract" means a total group health benefit contract which replaces another total group health benefit contract;(7) "Succeeding contract" means the group health benefit contract under which the person is seeking coverage or a different health benefit plan under the same group health benefit contract; and(8) "Total group contract" means a health benefit contract for the coverage of all eligible members of the employer health plan.History of Section.P.L. 1991, ch. 321, § 1; P.L. 1992, ch. 387, § 1.
RI Gen L § 27-20.4-4 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.4 - Insurance Continuation Act|Section 27-20.4-4 - Continuity on replacement of total group contract.

§ 27-20.4-4. Continuity on replacement of total group contract.(a) Notwithstanding any other provision of law, this section applies to all health plans providing coverage regulated by chapters 18, 19, 20, 20.1 and 41 of this title and to all total group contracts, except group long term care policies issued by an insurer to contract holders who are obtaining coverage to replace coverage under a different contract or policy issued by any insurer.(b) This section provides continuity of coverage to eligible persons under the succeeding contract who were covered under a total group contract at any time during the ninety (90) days before the discontinuance of the total group contract, when that contract is replaced by another total group contract.(c) In a replacement contract subject to this section, an insurer may not, for any person described in subsection (b) of this section:(1) Request that the person provide or seek to obtain evidence of insurability other than to:(i) Determine whether the group as a whole is insurable;(ii) Determine rates for the whole group; and(iii) Make reinsurance decisions;(2) Decline to enroll the person on the basis of evidence of insurability if the person is eligible for coverage; or(3) Impose a period during which benefits are excluded or limited with respect to preexisting conditions on that person, except as provided in this section.(d) Notwithstanding subsection (c) of this section, any person who was covered under the replaced total group contract for fewer than ninety (90) continuous days may be subject to a preexisting condition exclusion or waiting period in the replacement contract, provided the period is not longer than ninety (90) days and credit is given for satisfaction or partial satisfaction of any preexisting condition exclusions or limitations under the replaced total group contract.(e) The insurer that issued the replaced contract or policy is liable after the discontinuance of that contract or policy only to the extent of its accrued liability and any extensions of benefits provided in its contract.History of Section.P.L. 1991, ch. 321, § 1; P.L. 1992, ch. 387, § 1; P.L. 1994, ch. 381, § 1.
RI Gen L § 27-20.4-5 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.4 - Insurance Continuation Act|Section 27-20.4-5 - Continuity of coverage for individual who changes groups, changes insurers within the same group, or changes benefit plans provided by the same insurer.

§ 27-20.4-5. Continuity of coverage for individual who changes groups, changes insurers within the same group, or changes benefit plans provided by the same insurer.(a) This section applies to all health benefit group contracts issued by an insurer when a member of the group changes from one group to another group due to a change in employment, or when due to the action of the employer or insurer is: (1) forced to change from one benefit plan to another; or (2) forced to change from one insurer to another.(b) Except as provided in subsection (c) of this section, this section provides continuity of coverage for a person who seeks coverage under a succeeding contract if coverage under the prior contract is terminated within three (3) months before the date the person enrolls or is eligible to enroll in the succeeding contract. No period of ineligibility for any health plan imposed by terms of employment may be considered in determining whether the coverage ended within three (3) months of the date the person enrolls or would be eligible to enroll, and if:(1) That person was covered under an individual or group contract or policy issued by any insurer and that person's health benefit plan was eliminated by the employer or the insurer; or(2) That person was covered under an individual or group contract or policy issued by any insurer and that person has terminated employment and at, or following, termination of employment that person is not eligible or is no longer eligible for COBRA continuation coverage under group health plans as provided for in 42 U.S.C. § 300bb-1 et seq., or for extended medical benefits as provided in Chapter 19.1 of this title.(c) Notwithstanding subsection (b) of this section, this section does not provide continuity of coverage for a late enrollee.(d) Except as otherwise provided in this section, in a group health benefit contract subject to this section, any insurer covering employees of the employer must, for any person described in subsection (b) of this section, waive any medical underwriting, but only to the extent that the underwriting is used to exclude a specific condition or the person, or waive preexisting conditions exclusion or limitations to the extent that benefits would have been payable under the prior contract if that contract were still in effect. The issuer of the succeeding contract is not required to duplicate any benefits covered by the issuer of the prior contract.History of Section.P.L. 1991, ch. 321, § 1; P.L. 1992, ch. 387, § 1.
RI Gen L § 27-20.4-6 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.4 - Insurance Continuation Act|Section 27-20.4-6 - Jurisdiction.

§ 27-20.4-6. Jurisdiction.This chapter shall apply to policies and certificates issued, delivered, or renewed in the state of Rhode Island and certificates of multiple employer trusts located in other states where the employer is located in the state of Rhode Island.History of Section.P.L. 1992, ch. 387, § 2.
RI Gen L § 27-20.4-7 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.4 - Insurance Continuation Act|Section 27-20.4-7 - Rulemaking authority.

§ 27-20.4-7. Rulemaking authority.The director shall issue regulations in accordance with chapter 35 of title 42 for the implementation and administration of this chapter.History of Section.P.L. 1992, ch. 387, § 2.
RI Gen L § 27-20.4-8 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.4 - Insurance Continuation Act|Section 27-20.4-8 - Penalties.

§ 27-20.4-8. Penalties.Whenever the director shall have cause to believe that a violation of this chapter or the regulations promulgated pursuant to this chapter has occurred, the director may, in accordance with the requirements of the Administrative Procedures Act, chapter 35 of title 42, revoke or suspend a license, levy an administrative penalty in an amount not less than five hundred dollars ($500) nor more than five thousand dollars ($5,000), order the violator to cease marketing any health benefit plans in the state, require the violator to take any actions necessary to comply with the provisions of law, or any combination of these actions.History of Section.P.L. 1992, ch. 387, § 2.
RI Gen L § 27-20.4-9 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.4 - Insurance Continuation Act|Section 27-20.4-9 - Limited benefit policy - Exclusion.

§ 27-20.4-9. Limited benefit policy — Exclusion.Any long term care insurance policy and any accident and sickness insurance policy whose benefits are limited to income protection or the furnishing of disability income or a limited health benefit coverage are excluded from the provisions of this chapter. A limited benefit policy, for the purposes of this section, is any accident or sickness policy that covers one or more specified risks including, but not limited to, accidental death or injury or specified disease.History of Section.P.L. 1992, ch. 387, § 2.
RI Gen L § 27-20.5-1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.5 - Participation of Medical Service Providers|Section 27-20.5-1 - Restriction on participation prohibited.

§ 27-20.5-1. Restriction on participation prohibited.It shall be unlawful for any nonprofit medical service corporation, hospital service corporation, health maintenance organization, or any other insurer offering and/or insuring health services on a prepaid basis as defined in § 42-62-4(7), or any other person, to provide that providers of medical services defined in § 27-20-1 shall render those services exclusively to subscribers of any one particular nonprofit or for-profit medical service corporation, hospital service corporation, health maintenance organization, insurers, or any other person in order for the provider to be a participant in the nonprofit or for-profit medical service corporation, hospital service corporation, health maintenance organization, or any other person; provided, that this section shall not apply to medical service providers who voluntarily agree to render those services on a full-time basis to a health maintenance organization.History of Section.P.L. 1986, ch. 456, § 1.
RI Gen L § 27-20.6-1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.6 - Health Care Insurers - Coordination of Benefits|Section 27-20.6-1 - Definitions.

§ 27-20.6-1. Definitions.As used in this chapter, the following terms shall have the following meanings:(1) "Insurer" means every nonprofit medical service corporation, hospital service corporation, health maintenance organization, or other insurer offering and/or insuring health services; the term shall in addition include any entity defined as an insurer under § 42-62-4; and(2) "Primary insurer" means the insurer primarily liable in accordance with the anti-duplication provisions established by regulations promulgated by the director of business regulation.History of Section.P.L. 1989, ch. 373, § 1.
RI Gen L § 27-20.6-2 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.6 - Health Care Insurers - Coordination of Benefits|Section 27-20.6-2 - Coordination of information.

§ 27-20.6-2. Coordination of information.Every insurer issuing contracts for health care coverage which contain a provision for the coordination of benefits shall exchange information with respect to those contracts with other insurers as may be necessary to coordinate benefits in order to avoid duplication of payments for the same health care services rendered.History of Section.P.L. 1989, ch. 373, § 1.
RI Gen L § 27-20.6-3 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.6 - Health Care Insurers - Coordination of Benefits|Section 27-20.6-3 - Reimbursement.

§ 27-20.6-3. Reimbursement.Each primary insurer, to the extent of its contractual liability, shall reimburse any other insurer any amounts actually paid by the other insurer for health care services rendered; provided, no insurer shall reimburse for any benefit or coverages in excess of those specified in the contract.History of Section.P.L. 1989, ch. 373, § 1.
RI Gen L § 27-20.6-4 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.6 - Health Care Insurers - Coordination of Benefits|Section 27-20.6-4 - Failure to comply.

§ 27-20.6-4. Failure to comply.The failure of any insurer to comply with a written request for reimbursement within forty-five (45) days of receipt of the request shall result in the imposition of interest upon the amount of money due at the rate of one percent (1%) per month from the date the request for reimbursement was made until the date payment is made.History of Section.P.L. 1989, ch. 373, § 1.
RI Gen L § 27-20.6-5 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.6 - Health Care Insurers - Coordination of Benefits|Section 27-20.6-5 - Arbitration.

§ 27-20.6-5. Arbitration.(a) Whenever there exists a dispute between insurers under the provisions of this chapter, the dispute shall be submitted for resolution to an impartial, independent arbitrator who has no affiliation with either party to the dispute. The arbitrator shall be mutually agreed upon by the parties to the dispute. In the event that no mutual agreement can be reached, the arbitrator shall be appointed by the director of the department of business regulation from the list established under subsection (b) of this section. The fees of the arbitrator shall be paid by the losing party.(b) The director of the department of business regulation shall establish a list of authorized arbitrators, each of whom shall be a member in good standing of the Rhode Island Bar Association, for use pursuant to the provisions of this section.History of Section.P.L. 1989, ch. 373, § 1.
RI Gen L § 27-20.6-6 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.6 - Health Care Insurers - Coordination of Benefits|Section 27-20.6-6 - Rules and regulations.

§ 27-20.6-6. Rules and regulations.The director of the department of business regulation shall promulgate rules and regulations, using the NAIC coordination of benefits model regulations as a guideline, which shall address: (1) the necessity and/or reasonableness of administrative penalties by entities subject to this chapter; (2) other procedures which may be necessary to carry out the provisions of this chapter.History of Section.P.L. 1989, ch. 373, § 1; P.L. 2002, ch. 292, § 42.
RI Gen L § 27-20.7-1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.7 - Third Party Health Insurance Administrators|Section 27-20.7-1 - Short title.

§ 27-20.7-1. Short title.This chapter shall be known as "The Third Party Health Insurance Administrators Act."History of Section.P.L. 2001, ch. 83, § 1; P.L. 2001, ch. 242, § 1.
RI Gen L § 27-20.7-3 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.7 - Third Party Health Insurance Administrators|Section 27-20.7-3 - Written agreement.

§ 27-20.7-3. Written agreement.(a) No administrator shall act as an administrator without a written agreement between the administrator and the insurer, and the written agreement shall be retained as part of the official records of both the insurer and the administrator for the duration of the agreement and for five (5) years after this. The agreement shall contain all provisions required by this section, except insofar as those requirements do not apply to the functions performed by the administrator.(b) The written agreement shall include a statement of duties which the administrator is expected to perform on behalf of the insurer and the lines, classes or types of insurance for which the administrator is to be authorized to administer. The agreement shall make provisions with respect to underwriting or other standards pertaining to the business underwritten by the insurer.(c) The insurer or administrator may, with written notice, terminate the written agreement for cause as provided in the agreement. The insurer may suspend the underwriting authority of the administrator during the pendency of any dispute regarding the cause for termination of the written agreement. The insurer shall fulfill any lawful obligations with respect to policies affected by the written agreement, regardless of any dispute between the insurer and the administrator.History of Section.P.L. 2001, ch. 83, § 1; P.L. 2001, ch. 242, § 1.
RI Gen L § 27-20.7-4 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20.7 - Third Party Health Insurance Administrators|Section 27-20.7-4 - Payments to administrator.

§ 27-20.7-4. Payments to administrator.If an insurer utilizes the services of an administrator, the payment to the administrator of any premiums or charges for insurance by or on behalf of the insured party shall be deemed to have been received by the insurer, and the payment of return premiums or claim payments forwarded by the insurer to the administrator shall not be deemed to have been paid to the insured party or claimant until the payments are received by the insured party or claimant. Nothing in this section limits any right of the insurer against the administrator resulting from the failure of the administrator to make payments to the insurer, insured parties or claimants.History of Section.P.L. 2001, ch. 83, § 1; P.L. 2001, ch. 242, § 1.