reglab/housing_qa huggingface dataset:
RI Gen L § 27-19.2-4 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19.2 - Nonprofit Hospital and Medical Service Corporations|Section 27-19.2-4 - Board of directors - Duties and functions of the board of directors.

§ 27-19.2-4. Board of directors — Duties and functions of the board of directors.(a) The board of a nonprofit hospital and/or medical service corporation and its individual members are fiduciaries and shall act at all times:(1) In utmost good faith;(2) In a manner reasonably believed to be in the best interest of fulfilling the corporation's mission or the mission of affiliates or subsidiaries;(3) In a manner reflecting undivided loyalty to the furtherance of the corporation's charitable mission;(4) At the highest standard of fiduciary care and prudence;(5) In accordance with a conflict of interest policy adopted by the board of directors that will be consistent with guidelines recommended and published by the U.S. Internal Revenue Service for nonprofit entities; and(6) Physicians who receive compensation from the nonprofit hospital and/or medical service corporation, for services rendered in their professional capacity, directly or indirectly, may serve on board committees that address compensation matters; provided, however, that no such physician member may participate in a vote or deliberate on matters relating to physician compensation.(b) The proper and principal functions of the board shall include:(1) Ensuring that the corporation effectively carries out the charitable mission for which it was incorporated under § 27-19-2 of this title;(2) Selecting corporate management and evaluating its performance in light of the corporation's charitable purpose;(3) Recognizing that in the event of a conversion as defined in § 27-66-4(3), the reserves and assets with which they are entrusted are charitable assets, and treating them with according stewardship;(4) Establishing a system of board governance including an annual evaluation of board performance measured against the charitable purpose of the corporation; and(5) Holding an annual public meeting with proper notice open to providers and subscribers at which comments shall be heard from the floor.History of Section.P.L. 2004, ch. 330, § 2; P.L. 2004, ch. 567, § 2; P.L. 2005, ch. 39, § 1; P.L. 2005, ch. 73, § 1.
RI Gen L § 27-19.2-5 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19.2 - Nonprofit Hospital and Medical Service Corporations|Section 27-19.2-5 - Composition of the board of directors.

§ 27-19.2-5. Composition of the board of directors.(a) (1) Notwithstanding any public law, rule or regulation to the contrary, six (6) positions on the board of directors of a nonprofit hospital and/or medical service corporation, shall be filled by public appointment for a maximum of three (3) three (3) year terms. Public appointment of two (2) of the directors shall be made by the Governor, two (2) shall be made by the Speaker of the House, and two (2) shall be made by the President of the Senate. Neither state employees nor elected state officials shall serve as public members of the board of directors. Each appointing authority shall make one such appointment on or after July 1, 2004, and the remaining will be made on or after July 1, 2005. Once appointed, public members may only be removed in accordance with the bylaws of the nonprofit hospital and/or medical service corporation. When sufficient public appointments have been made, vacancies shall thereafter be filled for a maximum of three (3) three (3) year terms as the board of directors may determine, and consistent with subsection (2) hereof, except that seats filled by public appointment pursuant to this subsection shall always remain subject to such public appointment, upon the resignation, removal, incapacity or retirement of the incumbent public appointee. Public appointees shall not constitute a majority of the board.(2) Future vacancies not filled by public appointment pursuant to subsection (1) hereof shall be filled by an open and public process of recruitment and appointment, to be determined by the board and within its discretion, but to include public solicitation of candidates.(3) At the end of their term, directors shall continue to serve until their successors are appointed and qualified. Nothing herein prevents the reappointment of a board member presently serving.(4) Public appointees may not:(i) Be employed by or have a financial interest in:(A) A nonprofit hospital and/or medical service plan or its affiliates or subsidiaries;(B) A person regulated under this article; or(ii) Within three (3) years before appointment, have been employed by, had a financial interest in or have received compensation from:(A) A nonprofit hospital and/or medical service plan or its affiliates or subsidiaries; or(B) A person regulated under this article.(b) An officer or employee of a nonprofit hospital and/or medical service plan or any of its affiliates or subsidiaries may not be appointed or elected to the board.(c) Each standing committee shall have representation from the public appointee members.History of Section.P.L. 2004, ch. 330, § 2; P.L. 2004, ch. 567, § 2; P.L. 2006, ch. 616, § 1.
RI Gen L § 27-19.2-6 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19.2 - Nonprofit Hospital and Medical Service Corporations|Section 27-19.2-6 - Actions requiring supermajority board approval.

§ 27-19.2-6. Actions requiring supermajority board approval.Neither a nonprofit hospital service corporation, nor an affiliate (as defined in § 27-19.2-2(a)) that is an insurer (as defined in § 27-20.6-1(1)), may take any of the following actions without the prior approval of at least two-thirds percent (66.67%) of the corporation's entire board of directors:(1) Authorize a conversion as defined in § 27-66-4(3);(2) Withdraw a health insurance product previously offered in the individual market; or(3) Result in the withdrawal from a geographic region.History of Section.P.L. 2004, ch. 330, § 2; P.L. 2004, ch. 567, § 2; P.L. 2008, ch. 475, § 84.
RI Gen L § 27-19.2-7 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19.2 - Nonprofit Hospital and Medical Service Corporations|Section 27-19.2-7 - Compensation of board members.

§ 27-19.2-7. Compensation of board members.(a) Pending appointment and confirmation of the health insurance commissioner, no compensation shall be paid to the board members by a nonprofit hospital or medical services corporation, excluding reimbursement for ordinary and necessary expenses. After such confirmation, the board must file application with the health insurance commissioner for approval of any proposed board compensation. Childcare, parking, transportation and other reasonable expenses for board members attending meetings shall be compensable.(b) On or before March 1, 2005, and annually thereafter, a corporation subject to this paragraph shall report to the health insurance commissioner the ordinary and necessary expenses paid to each board member in the preceding calendar year.History of Section.P.L. 2004, ch. 330, § 2; P.L. 2004, ch. 567, § 2.
RI Gen L § 27-19.2-8 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19.2 - Nonprofit Hospital and Medical Service Corporations|Section 27-19.2-8 - Compensation of officers and executives.

§ 27-19.2-8. Compensation of officers and executives.(a) There shall be a standing compensation committee of the board that shall develop proposed guidelines, for approval by the board, for compensation, including salary, bonuses, perquisites, and severance agreements, of all officers and executives that is reasonable.(b) On or before December 31, 2004, the board shall file its proposed guidelines for executive compensation with the health insurance commissioner.(c) No corporation organized pursuant to this chapter shall extend or maintain credit, arrange for the extension of credit or renew an extension of credit in the form of a personal loan to or for any director or officer, nor shall such corporation allow for or arrange any payments or obligations in violation of § 27-66-7.1.History of Section.P.L. 2004, ch. 330, § 2; P.L. 2004, ch. 567, § 2.
RI Gen L § 27-19.2-9 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19.2 - Nonprofit Hospital and Medical Service Corporations|Section 27-19.2-9 - Code of ethics.

§ 27-19.2-9. Code of ethics.Each nonprofit hospital and/or medical services corporation shall adopt a code of ethics for its officers and directors which shall include, but is not limited to: a policy protecting the corporation and the public from conflicts of interest and abuse of position; a policy protecting the confidentiality of individuals' private information the corporation may obtain; procedures for contracts with government agencies; policies on political contributions by board members (with particular attention to offices involved in the appointment process or regulatory oversight); policies for board education, including education in governance and fiduciary duty; and whistleblower protection and document retention policies. Said code of ethics policy shall be filed with the attorney general and the health insurance commissioner. No policy shall be deemed adequate without providing for appropriate distribution, compliance and enforcement of the policy.History of Section.P.L. 2004, ch. 330, § 2; P.L. 2004, ch. 567, § 2.
RI Gen L § 27-19.2-10 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19.2 - Nonprofit Hospital and Medical Service Corporations|Section 27-19.2-10 - Nonprofit hospital and/or medical service corporations - Responsibilities.

§ 27-19.2-10. Nonprofit hospital and/or medical service corporations — Responsibilities.In accordance with their nonprofit hospital and/or medical service corporation mission, nonprofit insurers shall be required to:(1) Offer products in the small group;(2) Offer products in the individual market, with at least one 30-day open enrollment period every twelve (12) months;(3) Employ pricing strategies that enhance the affordability of health care coverage; and(4) Protect the financial condition of the nonprofit hospital and/or medical service plan.History of Section.P.L. 2004, ch. 330, § 2; P.L. 2004, ch. 567, § 2.
RI Gen L § 27-19.2-11 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19.2 - Nonprofit Hospital and Medical Service Corporations|Section 27-19.2-11 - Application to subsidiary entities.

§ 27-19.2-11. Application to subsidiary entities.The terms of this act shall apply to any insurer or health maintenance organization, or other entity involved in delivering health insurance, whether or not organized as a nonprofit corporation, that is owned or controlled by a nonprofit hospital and/or medical service plan, unless specifically exempted by law.History of Section.P.L. 2004, ch. 330, § 2; P.L. 2004, ch. 567, § 2.
RI Gen L § 27-20-1.1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-1.1 - Applicability.

§ 27-20-1.1. Applicability.This chapter shall apply to any nonprofit hospital service corporation which provides coverage or benefits for medical services under the provisions of chapter 19 of this title or otherwise.History of Section.P.L. 1987, ch. 107, § 5.
RI Gen L § 27-20-2 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-2 - Organization as charitable corporation - Insurance laws inapplicable.

§ 27-20-2. Organization as charitable corporation — Insurance laws inapplicable.Each nonprofit medical service corporation shall be incorporated as a charitable corporation under the provisions of chapter 6 of title 7, and shall be subject to that chapter and to this chapter. The laws of this state relative to insurance companies or to the business of insurance, and acts in amendment or in addition to those laws, shall not apply to any nonprofit medical service corporation unless expressly provided in those laws. Each nonprofit medical service corporation shall be deemed to be an insurer, for the purposes of compliance with chapter 44-17.History of Section.P.L. 1945, ch. 1598, § 2; G.L. 1956, § 27-20-2; P.L. 2007, ch. 73, art. 28, § 2.
RI Gen L § 27-20-3 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-3 - Qualifications of directors.

§ 27-20-3. Qualifications of directors.A majority of the directors of a nonprofit medical service corporation, other than a corporation organized pursuant to the provisions of chapter 19 of this title, must at all times be doctors of medicine duly licensed to practice under the laws of this state. The directors of any nonprofit medical service corporation formed after January 1, 1964 shall consist of an equal number of representatives of the public, doctors of medicine duly licensed to practice under the laws of this state, and subscribers.History of Section.P.L. 1945, ch. 1598, § 2; G.L. 1956, § 27-20-3; P.L. 1964, ch. 79, § 2.
RI Gen L § 27-20-4 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-4 - Approval of articles of association.

§ 27-20-4. Approval of articles of association.No articles of association of a nonprofit medical service corporation shall be filed in the office of the secretary of state unless and until the governor shall have certified in writing upon those articles that he or she has determined that public convenience and advantage will be promoted by the establishment of the corporation and that the filing of the articles has the approval of the Rhode Island Medical Society as evidenced by an affidavit of the president and secretary of the society. No articles of association of a nonprofit medical service corporation formed after January 1, 1964 shall be filed in the office of the secretary of state unless and until the governor shall have certified in writing upon the articles that he or she has determined that public convenience and advantage will be promoted by the establishment of the corporation.History of Section.P.L. 1945, ch. 1598, § 2; G.L. 1956, § 27-20-4; P.L. 1964, ch. 79, § 3.
RI Gen L § 27-20-5.1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-5.1 - Cancellation of coverage by employers.

§ 27-20-5.1. Cancellation of coverage by employers.No employer shall cancel any contract of insurance provided for the benefit of his or her employee as provided for in this chapter without first allowing the employee the opportunity to continue the contract of insurance, with the employee paying an amount not to exceed the total contribution required of the employer and employee for the continuation of the protection, while the employee is disabled and receiving benefits pursuant to the provision of the Workers' Compensation Act, chapters 29 — 38 of title 28.History of Section.P.L. 1971, ch. 228, § 2.
RI Gen L § 27-20-5.2 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-5.2 - Repealed.

§ 27-20-5.2. Repealed.
RI Gen L § 27-20-5.3 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-5.3 - Patient responsibility - Administrative requirements.

§ 27-20-5.3. Patient responsibility — Administrative requirements.For health benefit contracts issued, renewed, or delivered on or after April 1, 2002, the following shall apply:(1) The amount of copayments for physician office visits and hospital emergency room visits shall be printed on the subscriber identification cards issued to insureds.(2) A schedule of all applicable copayments, by product or by group, in paper or electronic format, or both, shall be published, updated, and distributed to participating providers.(3) On an annual basis, notification shall be provided to subscribers regarding their responsibility for copayments and deductibles.History of Section.P.L. 2001, ch. 283, § 2.
RI Gen L § 27-20-6.1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-6.1 - Uniform explanation of benefits and coverage.

§ 27-20-6.1. Uniform explanation of benefits and coverage.(a) A nonprofit medical service corporation shall provide a summary of benefits and coverage explanation and definitions to policyholders and others required by, and at the times and in the format required, by the federal regulations adopted under section 2715 of the Public Health Service Act, as amended by the federal Affordable Care Act [42 U.S.C. § 300gg-15]. The forms required by this section shall be made available to the commissioner on request. Nothing in this section shall be construed to limit the authority of the commissioner under existing state law.(b) The provisions of this section shall apply to grandfathered health plans. This section 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.(c) If the commissioner of the office of the health insurance commissioner determines that the corresponding provision of the federal Patient Protection and Affordable Care Act has been declared invalid by a final judgment of the federal judicial branch or has been repealed by an act of Congress, on the date of the commissioner's determination this section shall have its effectiveness suspended indefinitely, and the commissioner shall take no action to enforce this section. Nothing in this section shall be construed to limit the authority of the commissioner under existing state law.History of Section.P.L. 2012, ch. 256, § 8; P.L. 2012, ch. 262, § 8.
RI Gen L § 27-20-6.2 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-6.2 - Filing of policy forms.

§ 27-20-6.2. Filing of policy forms.(a) A nonprofit medical service corporation shall file all policy forms and rates used by it in the state with the commissioner, including the forms of any rider, endorsement, application blank, and other matter generally used or incorporated by reference in its policies or contracts of insurance. No such form shall be used if disapproved by the commissioner under this section, or if the commissioner's approval has been withdrawn after notice and an opportunity to be heard, or until the expiration of sixty (60) days following the filing of the form. Such a company shall comply with its filed and approved forms. If the commissioner finds from an examination of any form that it is contrary to the public interest, or the requirements of this code or duly promulgated regulations, he or she shall forbid its use, and shall notify the corporation in writing.(b) Each rate filing shall include a certification by a qualified actuary that to the best of the actuary's knowledge and judgment, the entire rate filing is in compliance with applicable laws and that the benefits offered or proposed to be offered are reasonable in relation to the premium to be charged. A health insurance carrier shall comply with its filed and approved rates and forms.History of Section.P.L. 2012, ch. 256, § 8; P.L. 2012, ch. 262, § 8.
RI Gen L § 27-20-7 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-7 - Relationship of physician and patient - Actions against corporation.

§ 27-20-7. Relationship of physician and patient — Actions against corporation.Nothing contained in this chapter or in any nonprofit medical service plan shall affect the ordinary professional relationship between the person rendering medical services under the plan and the subscriber to whom the services are rendered; and no action based upon or arising out of a relationship or relating to medical services rendered pursuant to a nonprofit medical service plan shall be maintained against the nonprofit medical service corporation operating the plan.History of Section.P.L. 1945, ch. 1598, § 3; G.L. 1956, § 27-20-7.
RI Gen L § 27-20-8 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-8 - Annual and quarterly statements.

§ 27-20-8. Annual and quarterly statements.(a) Every nonprofit medical service corporation shall annually, on or before the first day of March in each year, file in the office of the commissioner of insurance a statement, verified by at least two (2) of the principal officers of the corporation, of its condition on the thirty-first day of December then next preceding, which statement shall be in general form and context as approved by the National Association of Insurance Commissioners and contain any matters as the director of business regulation shall prescribe and shall be available for inspection by the public.(b) Every nonprofit medical service corporation shall also file quarterly statements with the insurance commissioner, due on or before forty-five (45) days after the quarter ending in accordance with the National Association of Insurance Commissioners' guidelines and procedures, and shall be available for inspection by the public.(c) The insurance commissioner shall also require compliance with chapters 12 and 12.1 of this title.History of Section.P.L. 1945, ch. 1598, § 4; G.L. 1956, § 27-20-8; P.L. 1994, ch. 404, § 2; P.L. 1996, ch. 188, § 10.
RI Gen L § 27-20-9 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-9 - Examination of affairs of corporation.

§ 27-20-9. Examination of affairs of corporation.It shall be the duty of the director of business regulation to make an examination of the financial condition and methods of doing business of every nonprofit medical service corporation. The examination shall be performed, and the associated costs shall be borne by the company, in accordance with all of the provisions of chapter 13.1 of this title.History of Section.P.L. 1945, ch. 1598, § 5; G.L. 1956, § 27-20-9; P.L. 1960, ch. 71, art. 1, § 11; P.L. 1967, ch. 154, § 2; P.L. 1994, ch. 404, § 2.
RI Gen L § 27-20-10 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-10 - Commission plans for solicitors or insurance producers.

§ 27-20-10. Commission plans for solicitors or insurance producers.No person shall be engaged to solicit subscribers to any nonprofit medical service plan upon a commission basis or upon any other basis by which the payment of the compensation or expenses of the person shall be conditioned upon the enrollment of subscribers, unless the method of solicitation and rate of compensation shall have had the prior written approval of the director of business regulation.History of Section.P.L. 1945, ch. 1598, § 6; G.L. 1956, § 27-20-10.