reglab/housing_qa huggingface dataset:
NH Rev Stat § 415:6-w (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:6-w - Coverage for Prescription Contraceptive Drugs and Prescription Contraceptive Devices and for Contraceptive Services.

    415:6-w Coverage for Prescription Contraceptive Drugs and Prescription Contraceptive Devices and for Contraceptive Services. –||Each insurer that issues or renews any individual policy of accident or health insurance providing benefits for medical or hospital expenses, shall provide to certificate holders of such insurance, who are residents of this state, coverage for outpatient contraceptive services under the same terms and conditions as for other outpatient services. "Outpatient contraceptive services" means consultations, examinations, and medical services, provided on an outpatient basis, including the initial screening provided through a pharmacy pursuant to RSA 318:47-l at a rate established by contract between the pharmacy and the insurer or its pharmacy benefits manager, and related to the use of contraceptive methods to prevent pregnancy which have been approved by the U.S. Food and Drug Administration. Each insurer that issues or renews any individual policy of accident or health insurance providing benefits for medical or hospital expenses shall cover all prescription contraceptive drugs and contraceptive devices approved by the U.S. Food and Drug Administration. Coverage shall include contraceptives dispensed in a quantity intended to last for a 12-month period if prescribed in that quantity. An insurer shall not impose utilization review requirements or other limitations to control the prescribing or dispensing of contraceptives to an amount that is less than a 12-month supply, if that quantity is prescribed. An insurer shall not be required to cover more than one 12-month contraceptive prescription in a single dispensing per plan year. A deductible, copayment, coinsurance, or other cost-sharing requirement shall not be imposed on the coverage of prescription contraceptive drugs and contraceptive devices approved by the FDA under this section. Notwithstanding any other provision of law, if there is a therapeutic equivalent of a drug or device for an FDA-approved contraceptive method, an insurer may impose cost-sharing requirements as long as at least one drug or device for that method is available without cost-sharing; provided that if an individual's provider recommends a particular FDA-approved contraceptive drug or device based on a medical determination, the insurer shall provide coverage for the prescribed contraceptive drug or device without cost-sharing. Nothing in this section shall be construed as altering the terms and conditions of a contract relating to prescription drugs and outpatient services. Notwithstanding any provision of law or rule to the contrary, the coverage under this section shall apply to the medical assistance program, pursuant to RSA 161 and RSA 167.|||Source. 2018, 205:7, eff. Jan. 1, 2019; 361:8, eff. Jan. 1, 2019 at 12:01 a.m.|
NH Rev Stat § 415:6-x (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:6-x - Coverage for Medically Necessary Dental Services.

    415:6-x Coverage for Medically Necessary Dental Services. –||Each insurer that issues or renews any individual policy of accident or health insurance providing benefits for medical or hospital expenses, shall provide to certificate holders of such insurance, who are residents of this state, coverage for medically necessary dental services resulting from an accidental injury to sound natural teeth and gums when the course of treatment for the accidental injury is received or authorized within 3 months of the date of the injury. Treatment made necessary due to injury to the jaw and oral structures other than teeth shall be covered without time limit. Coverage under this section shall be subject to such other terms and conditions of the policy that may apply.|||Source. 2019, 113:1, eff. Aug. 20, 2019.|
NH Rev Stat § 415:6-y (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:6-y - Coverage for Perfluoroalkyls (PFAS) and Perfluorinated Compound (PFC) Blood Testing.

    415:6-y Coverage for Perfluoroalkyls (PFAS) and Perfluorinated Compound (PFC) Blood Testing. –||Each insurer that issues or renews any individual policy of accident or health insurance providing benefits for medical or hospital expenses, shall provide to certificate holders of such insurance, who are residents of this state, coverage for perfluoroalkyls (PFAS) and perfluorinated compound (PFC) blood testing. Benefits provided under this section shall not be subject to any greater co-payment, deductible, or coinsurance than any other similar benefits provided by the insurer.|||Source. 2020, 30:9, eff. Sept. 21, 2020.|
NH Rev Stat § 415:6-z (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:6-z - Coverage for Epinephrine Auto-Injectors.

    415:6-z Coverage for Epinephrine Auto-Injectors. –||Each insurer that issues or renews any individual policy of accident or health insurance providing benefits for medical or hospital expenses, shall provide to certificate holders of such insurance, who are residents of this state, coverage for the cost of epinephrine auto-injectors. Benefits provided under this section shall not be subject to any greater co-payment, deductible, or coinsurance than any other similar benefits provided by the insurer and shall be subject to the terms and conditions of the policy. In this section, "epinephrine auto-injector" means a single-use device used for the automatic injection of a pre-measured dosage of epinephrine into the human body.|||Source. 2020, 13:9, eff. Jan. 1, 2021.|
NH Rev Stat § 415:6-a1 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:6-a1 - Coverage for Long-Term Antibiotic Therapy for Tick-Borne Illness.

    415:6-a1 Coverage for Long-Term Antibiotic Therapy for Tick-Borne Illness. –||Each insurer that issues or renews any individual policy of accident or health insurance providing benefits for medical or hospital expenses, shall provide to certificate holders of such insurance, who are residents of this state, coverage for long-term antibiotic therapy for tick-borne illness when determined to be medically necessary and ordered by a licensed infectious disease physician after making a thorough evaluation of the patient's symptoms, diagnostic test results or response to treatment. Benefits provided under this section shall not be subject to any greater co-payment, deductible, or coinsurance than any other similar benefits provided by the insurer. In this section, "long-term antibiotic therapy" means the administration of oral, intramuscular, or intravenous antibiotics singly or in combination, for periods of time in excess of 4 weeks.|||Source. 2020, 39:20, eff. June 30, 2021.|
NH Rev Stat § 415:7 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:7 - Conforming to Statute.

    415:7 Conforming to Statute. –||I. Other Policy Provisions. No policy provision which is not subject to RSA 415:6 shall make a policy, or any portion thereof, less favorable in any respect to the insured or the beneficiary than the provisions thereof which are subject to this chapter.||II. Policy Conflicting With This Chapter. A policy delivered or issued for delivery to any person in this state in violation of this chapter shall be held valid but shall be construed as provided in this chapter. When any provision in a policy subject to this chapter is in conflict with any provision of this chapter, the rights, duties and obligations of the insurer, the insured and the beneficiary shall be governed by the provisions of this chapter.|||Source. 1913, 226:5, 9. PL 281:13, 19. RL 331:13, 19. 1951, 207:1, par. 6, eff. July 1, 1951.|
NH Rev Stat § 415:8 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:8 - Exceptions.

    415:8 Exceptions. –||A policy, rider or endorsement, which could have been lawfully used or delivered or issued for delivery to any person in this state immediately before July 1, 1951, may be used or delivered or issued for delivery to any such person during 5 years after July 1, 1951, without being subject to the provisions of RSA 415:5-415:7, 415:13, 415:14 and 415:16.|||Source. 1951, 207:5, eff. July 1, 1951.|
NH Rev Stat § 415:9 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:9 - Falsity in Application.

    415:9 Falsity in Application. –||The falsity of any statement in the application for any policy covered by this chapter shall not bar the right to recovery thereunder, unless such false statement was made with actual intent to deceive, or unless it materially affected either the acceptance of the risk or the hazard assumed by the insurer.|||Source. 1913, 226:6. PL 281:15. RL 331:15.|
NH Rev Stat § 415:10 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:10 - Acknowledgment of Notice.

    415:10 Acknowledgment of Notice. –||The acknowledgment by any insurer of the receipt of notice given under any policy covered by this chapter, or the furnishing of forms for filing proofs of loss, or the acceptance of such proofs, or the investigation of any claim thereunder, shall not operate as a waiver of any of the rights of the insurer in defense of any claim arising under such policy.|||Source. 1913, 226:7. PL 281:16. RL 331:16.|
NH Rev Stat § 415:11 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:11 - Alteration of Application.

    415:11 Alteration of Application. –||No alteration of any written application for insurance, by erasure, insertion or otherwise, shall be made by any person other than the applicant without his written consent, and the making of any such alteration without the consent of the applicant shall be a misdemeanor.|||Source. 1913, 226:8. PL 281:17. RL 331:17.|
NH Rev Stat § 415:12 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:12 - By Insurer.

    415:12 By Insurer. –||If such alteration shall be made by any officer of the insurer, or by any employee of the insurer with the insurer's knowledge or consent, such act shall be deemed to have been performed by the insurer thereafter issuing the policy upon such altered application.|||Source. 1913, 226:8. PL 281:18. RL 331:18.|
NH Rev Stat § 415:13 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:13 - Age Limit.

    415:13 Age Limit. –||If any such policy contains a provision establishing, as an age limit or otherwise, a date after which the coverage provided by the policy will not be effective, and if such date falls within a period for which premium is accepted by the insurer or if the insurer accepts a premium after such date, the coverage provided by the policy will continue in force subject to any right of cancellation until the end of the period for which premium has been accepted. In the event the age of the insured has been misstated and if, according to the correct age of the insured, the coverage provided by the policy would not have become effective, or would have ceased prior to the acceptance of such premium or premiums, then the liability of the insurer shall be limited to the refund, upon request, of all premiums paid for the period not covered by the policy.|||Source. 1951, 207:2, par. 19, eff. July 1, 1951.|
NH Rev Stat § 415:14 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:14 - Non-Application to Certain Policies.

    415:14 Non-Application to Certain Policies. –||Except as otherwise specifically provided, nothing in this chapter shall apply to or affect (1) any policy of workers' compensation insurance or any policy of liability insurance with or without supplementary coverage therein; or (2) any policy or contract of reinsurance; or (3) any blanket or group policy of insurance; or (4) life insurance, endowment or annuity contracts, or contracts supplemental thereto which contain only such provisions relating to accident and sickness insurance as (a) provide additional benefits in case of death or dismemberment or loss of sight by accident, or as (b) operate to safeguard such contracts against lapse, or to give a special surrender value or special benefit or an annuity in the event that the insured or annuitant shall become totally and permanently disabled, as defined by the contract or supplemental contract.|||Source. 1913, 226:10. PL 281:20. RL 331:20. 1951, 207:2, par. 20. RSA 415:14. 1955, 128:1, eff. May 9, 1955.|
NH Rev Stat § 415:15 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:15 - Discrimination.

    415:15 Discrimination. –||Discrimination between individuals of the same class in the amount of premiums or rates charged for any policy of insurance covered by this chapter, or in the benefits payable thereon, or in any of the terms or conditions of such policy, or in any other manner whatever, is prohibited. Discrimination on the basis of gender identity with respect to the availability of any covered services, medications, supplies, or durable medical equipment is specifically prohibited.|||Source. 1913, 226:11. PL 281:21. RL 331:21. 2019, 332:19, eff. Jan. 1, 2020.|
NH Rev Stat § 415:16 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:16 - Approval by Commissioner.

    415:16 Approval by Commissioner. –||No supplemental contract referred to in paragraph (4) of RSA 415:14 shall be issued or delivered to any person in this state until a copy of the form thereof has been submitted to, and approved by, the commissioner, under such reasonable rules and regulations as he shall make concerning the provisions in such contracts and their submission to and approval by him.|||Source. 1913, 226:12. PL 281:24. RL 331:24. 1951, 207:3, eff. July 1, 1951.|
NH Rev Stat § 415:17 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:17 - Fraternal Benefit Societies.

    415:17 Fraternal Benefit Societies. –||This chapter shall not apply to or in any way affect fraternal benefit societies.|||Source. 1913, 226:12. PL 281:25. RL 331:25.|
NH Rev Stat § 415:18-b (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:18-b - Cancellation or Nonrenewal of Group Insurance Contracts.

    415:18-b Cancellation or Nonrenewal of Group Insurance Contracts. –||No group accident or health insurance contract, authorized under this chapter, may be cancelled or nonrenewed by the insurer, except for nonpayment of premium, unless the group policyholder receives either a notice of cancellation or nonrenewal or an offer of renewal in accordance with this section. The notice of cancellation or nonrenewal or offer of renewal shall be delivered to the group policyholder or mailed to the group policyholder's last address as shown in the records of the insurer at least 45 days prior to the renewal date of the contract. Notice of cancellation for lack of participation, if permitted by the terms of the policy, shall be delivered to the group policyholder or mailed to the group policyholder's last address as shown in the records of the insurer, at least 30 days prior to the effective date of the cancellation.|||Source. 1990, 194:2. 1991, 23:1, eff. Jan. 1, 1992.|
NH Rev Stat § 415:18-c (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:18-c - Repealed by 2010, 61:3, I, eff. May 18, 2010.

    415:18-c Repealed by 2010, 61:3, I, eff. May 18, 2010. –|
NH Rev Stat § 415:18-d (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:18-d - Coverage for Scalp Hair Prostheses.

    415:18-d Coverage for Scalp Hair Prostheses. –||I. Each insurer that issues or renews any policy of group accident or health insurance providing benefits for medical or hospital expenses and which also provides coverage for other prostheses, shall provide to each group, or to the portion of each group comprised of certificate holders of such insurance who are residents of this state and whose principal place of employment is in this state, coverage for expenses for scalp hair prostheses worn for hair loss suffered as a result of alopecia areata, alopecia totalis, alopecia medicamentosa resulting from the treatment from any form of cancer or leukemia, or permanent loss of scalp hair due to injury. Such coverage, however, shall be subject to a written recommendation by the treating physician stating that the hair prosthesis is a medical necessity. Such coverage shall be subject to the same limitations and guidelines as other prostheses, provided, that such coverage for alopecia medicamentosa shall not exceed $350 per year.||II. For the purposes of this section:||(a) "Prostheses" means artificial appliances used to replace lost natural structures. Prostheses include, but are not limited to, artificial arms, legs, breasts or glass eyes.||(b) "Scalp hair prostheses" means artificial substitutes for scalp hair that are made specifically for a specific individual.|||Source. 1992, 246:1. 2001, 276:3. 2010, 188:13, eff. Aug. 20, 2010.|
NH Rev Stat § 415:18-e (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:18-e - Coverage for Nonprescription Enteral Formulas.

    415:18-e Coverage for Nonprescription Enteral Formulas. –||I. Each insurer that issues or renews any policy of group accident or health insurance providing benefits for medical or hospital expenses, shall provide to each group, or to the portion of each group comprised of certificate holders of such insurance who are residents of this state, coverage for the provision of nonprescription enteral formulas for the treatment of impaired absorption of nutrients caused by disorders affecting the absorptive surface, functional length, or motility of the gastrointestinal tract. Such coverage shall be provided when the prescribing physician has issued a written order stating that the enteral formula is needed to sustain life, is medically necessary, and is the least restrictive and most cost effective means for meeting the needs of the patient.||II. Each insurer that issues or renews any policy of group accident or health insurance providing benefits for medical or hospital expenses, shall provide to each group, or to the portion of each group comprised of certificate holders of such insurance who are residents of this state, coverage for the provision of nonprescription enteral formulas and food products required for persons with inherited diseases of amino acids and organic acids. Such coverage shall be provided when the prescribing physician has issued a written order stating that the enteral formula or food product is medically necessary and is the least restrictive and most cost effective means for meeting the needs of the patient. Coverage for inherited diseases of amino acids and organic acids shall, in addition to the enteral formula, include food products modified to be low protein in an amount not to exceed $1,800 annually for any insured individual.||III. The benefits included in this section shall not be subject to any greater deductible than any other benefits provided by the insurer. The coinsurance required by the enrolled participant shall not exceed the amount allowed under the contract for the reasonable and customary charge for the service provided.|||Source. 1995, 235:1. 1996, 131:2. 2010, 188:13, eff. Aug. 20, 2010.|
NH Rev Stat § 415:18-f (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:18-f - Coverage for Diabetes Services and Supplies.

    415:18-f Coverage for Diabetes Services and Supplies. –||Each insurer that issues or renews any policy, plan, or contract of group accident or health insurance providing benefits for medical or hospital expenses, shall provide each group, or to the portion of each group comprised of certificate holders of such insurance who are residents of this state, coverage for medically appropriate and necessary outpatient self-management training and educational services, pursuant to a written order of a primary care physician or practitioner, including but not limited to medical nutrition therapy for the treatment of diabetes, provided by a certified, registered, or licensed health care professional with expertise in diabetes, subject to the terms and conditions of the policy. Each insurer that issues or renews any group policy, plan, or contract of accident or health insurance providing benefits for medical or hospital expenses which provides a prescription rider shall cover medically appropriate or necessary insulin, oral agents, and equipment used to treat diabetes subject to the terms and conditions of the policy. Each insurer that provides coverage for prescription insulin drugs shall cap the total amount that a covered person is required to pay for each covered insulin drug prescription at an amount not to exceed $30 for each 30-day supply of each insulin prescription. The maximum $30 copayment for each 30-day supply of each covered insulin drug prescription shall apply when an original prescription is dispensed as well as when refills of the prescription are dispensed, including early refills. Coverage for prescription insulin drugs shall not be subject to any deductible. Each insurer that issues or renews any group policy, plan, or contract of accident or health insurance providing benefits for medical or hospital expenses which provides for durable medical equipment coverage shall provide coverage for medically appropriate or necessary equipment used to treat diabetes subject to the terms and conditions of the policy.|||Source. 1997, 258:2. 2010, 188:13, eff. Aug. 20, 2010. 2020, 13:2, eff. Sept. 14, 2020.|
NH Rev Stat § 415:18-g (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 415 - Accident and Health Insurance|Section 415:18-g - Coverage for Dental Procedures; Medical or Hospital; Group.

    415:18-g Coverage for Dental Procedures;  Medical or Hospital;  Group. –||I. Each insurer that issues or renews any policy of group accident or health insurance providing benefits for medical or hospital expenses, shall provide to each group, or to the portion of each group comprised of certificate holders of such insurance who are residents of New Hampshire, coverage for the medically necessary hospital or surgical day care facility charges and administration of general anesthesia administered by a licensed anesthesiologist or anesthetist for dental procedures performed on a covered person who:||(a) Is a child under the age of 13 who is determined by a licensed dentist in conjunction with a licensed physician to have a dental condition of significant dental complexity which requires certain dental procedures to be performed in a surgical day care facility or hospital setting; or||(b) Is a person who has exceptional medical circumstances or a developmental disability as determined by a licensed physician which place the person at serious risk.||II. All of the terms and conditions of the covered person's policy shall apply to these services.|||Source. 1998, 280:2. 2003, 278:1. 2010, 188:13, eff. Aug. 20, 2010. 2018, 188:5, eff. Aug. 7, 2018.|