reglab/housing_qa huggingface dataset:
V.I. Code tit. 22, § 1731 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter II - Coverage for Autism Spectrum Disorders in Health Care Plans|§ 1731. Definiitons

 As used in this subchapter: (a) “Applied behavior analysis” means the design, implementation and evaluation of environmental modifications, using behavioral stimuli and consequences, including the use of direct observation, measurement and functional analysis of the relationship between environment and behavior, to produce socially significant improvement in human behavior. (b) “Autism services provider” means any person, entity or group that provides treatment for autism spectrum disorders pursuant to this section. (c) “Autism spectrum disorders” means the pervasive developmental disorders set forth in the most recent edition of the American Psychiatric Association’s “Diagnostic and Statistical Manual of Mental Disorders”, including, but not limited to, Autistic Disorder, Rett’s Disorder, Childhood Disintegrative Disorder, Asperger’s Disorder and Pervasive Developmental Disorder Not Otherwise Specified. (d) “Behavioral therapy” means any interactive behavioral therapies derived from evidence-based research, including, but not limited to, applied behavior analysis, cognitive behavioral therapy, or other therapies supported by empirical evidence of the effective treatment of individuals diagnosed with an autism spectrum disorder, that are: (A) Provided to children younger than twenty-six years of age, (B) Provided or supervised by: (i) a behavior analyst who is certified by the Behavior Analyst Certification Board, (ii) a licensed physician, or (iii) a licensed psychologist. (C) For the purposes of subparagraph (B), “behavioral therapy” supervised by a “behaviour analyst” means supervised by a behavior analyst, licensed physician or licensed psychologist when the supervision entails at least one hour of face-to-face supervision of the autism services provider by such behavior analyst, licensed physician or licensed psychologist for each ten hours of behavioral therapy provided by the supervised provider. (e) “Diagnosis” means the medically necessary assessment, evaluation or testing performed by a licensed physician, licensed psychologist or licensed clinical social worker to determine if an individual has an autism spectrum disorder. (f) “Evidence-based treatment” means treatment subject to research that applies rigorous, systematic, and objective procedures to obtain valid knowledge relevant to autism spectrum disorders. (g) “Medically necessary” means reasonably expected to do the following: (A) Prevent the onset of an illness, condition, injury, or disability; (B) Reduce or ameliorate the physical, mental, or developmental effects of an illness, condition, injury, or disability; or (C) Assist to achieve or maintain maximum functional capacity in performing daily activities, taking into account both the functional capacity of the individual and the functional capacities that are appropriate for individuals of the same age.
V.I. Code tit. 22, § 1732 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter II - Coverage for Autism Spectrum Disorders in Health Care Plans|§ 1732. Coverage for autism spectrum disorders

 (a) After the effective date of this subchapter, a health care insurer that offers, issues for delivery, delivers, executes, adjusts, uses, or renews a health care insurance plan shall provide coverage for the costs of the diagnosis and treatment of autism spectrum disorders that are medically necessary and evidence-based. (b) Coverage required in health care insurance plans by this section must include treatment prescribed, identified and ordered by a licensed physician, psychologist, or a licensed clinical social worker for an insured who is diagnosed with an autism spectrum disorder in accordance with a treatment plan developed by licensed physician, licensed psychologist or licensed clinical social worker pursuant to a comprehensive evaluation or re-evaluation of the insured. (c) Covered treatment must include: (1) Behavioral therapy, including applied behavioural analysis in the school, home, community, and office settings; (2) Direct psychiatric or consultative services provided by a licensed psychiatrist; (3) Direct psychological or consultative services provided by a licensed psychologist; (4) Physical therapy provided by a licensed physical therapist in the school, home, community, and office; (5) Speech and language pathology services provided by a licensed speech and language pathologist; (6) Occupational therapy provided by a licensed occupational therapist in the school, home, community, and office; (7) Prescription drugs, to the extent prescription drugs are a covered benefit for other diseases and conditions under such policy, prescribed by a licensed physician, licensed physician assistant or advanced practice registered nurse for the treatment of symptoms and comorbidities of autism spectrum disorders; and (8) Equipment determined necessary to provide evidence-based treatment.
V.I. Code tit. 22, § 1733 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter II - Coverage for Autism Spectrum Disorders in Health Care Plans|§ 1733. Prohibitions

 A healthcare insurance plan must not impose: (1) any limits on the number of visits an insured may make to an autism services provider pursuant to a treatment plan on any basis other than a lack of medical necessity, or (2) a coinsurance, copayment, deductible or other out-of-pocket expense for such coverage which places a greater financial burden on an insured for access to the diagnosis and treatment of an autism spectrum disorder than for the diagnosis and treatment of any other medical, surgical or physical health condition under the policy.
V.I. Code tit. 22, § 1734 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter II - Coverage for Autism Spectrum Disorders in Health Care Plans|§ 1734. Limitations; review of treatment plan; diagnosis period

 (a) The insurer may limit the coverage in the insurance health care plan for behavioral therapy to a yearly benefit of $50,000 for a child who is younger than nine years of age, $35,000 for a child who is at least nine years of age but younger than thirteen years of age and $25,000 for a child who is at least thirteen years of age but younger than twenty-six years of age. (b) Except for treatments and services received by an insured in an inpatient setting, an insure health care center, hospital service corporation, medical service corporation or fraternal benefit society may review a treatment plan developed under section 1732(b) for an insured, in accordance with its utilization review requirements, not more than once every six months unless the insured’s licensed physician, licensed psychologist or licensed clinical social worker agrees that a more frequent review is necessary or changes such insured’s treatment plan. (c) For the purposes of this section, the results of a diagnosis are valid for a period of not less than twelve months, unless the insured’s licensed physician, licensed psychologist or licensed clinical social worker determines a shorter period is appropriate or changes the results of such insured’s diagnosis.
V.I. Code tit. 22, § 1735 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter II - Coverage for Autism Spectrum Disorders in Health Care Plans|§ 1735. Obligation to pay

 (a) This subchapter does not limit benefits that are otherwise available to an individual under a health benefit plan. (b) Nothing in this subchapter relieves an insurer from an otherwise valid obligation to provide or to pay for services provided to an individual with a disability.
V.I. Code tit. 22, § 1801 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter III - Coverage of Hearing AIDS for Children|§ 1801. Definitions

 For the purposes of this subchapter the term, (1) “Children” means persons under the under eighteen years of age, or under twenty-one years of age if still attending high school. (2) “Hearing aid” means durable medical equipment that is of a design and circuitry to compensate for impaired human hearing and optimize audibility and listening skills in the environment commonly experienced by children.
V.I. Code tit. 22, § 1802 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter III - Coverage of Hearing AIDS for Children|§ 1802. Coverage for hearing aid

 (a) An individual or group health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in the Virgin Islands must provide coverage for a hearing aid and any related services for the full cost of one hearing aid per hearing-impaired ear up to $2,200 per ear, every thirty-six months for hearing aids for insured children. (b) The insured may choose a higher priced hearing aid and may pay the difference in cost above the $2,200 limit, as provided in this subsection without financial or contractual penalty to the insured or to the provider of the hearing aid.
V.I. Code tit. 22, § 1803 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter III - Coverage of Hearing AIDS for Children|§ 1803. Additional coverage; benefits included

 (a) An insurer that delivers, issues for delivery or renews in the Virgin Islands an individual or group health insurance policy, health care plan or certificate of health insurance may make available to the policyholder the option of purchasing additional hearing aid coverage that exceeds the services described in this section. (b) Hearing aid coverage offered must include: the hearing aid evaluation; hearing aid selection; fitting and dispensing services; programming; repairs and modification; auditory training; and ear molds, as necessary to maintain optimal fit provided by a Certified Audiologist licensed in the Virgin Islands.
V.I. Code tit. 22, § 1804 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter III - Coverage of Hearing AIDS for Children|§ 1804. Deductibles and coinsurance

 Coverage for hearing aids may be subject to deductibles and coinsurance consistent with those imposed on other benefits under the same policy, plan or certificate.
V.I. Code tit. 22, § 1805 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter III - Coverage of Hearing AIDS for Children|§ 1805. Exclusions

 This subchapter does not apply to short-term travel, accident-only or limited or specified disease policies.
V.I. Code tit. 22, § 1901 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter IV - Telemedicine Coverage|§ 1901. Definitions

 As used in this subchapter the term— (a) “Telemedicine” means the use of medical information exchanged from one distant site to another via electronic communications to improve, maintain, or assist patients’ health status. Videoconferencing, transmission of still images, and e-health including patient centers are all considered part of telemedicine and telehealth. (b) “Telemedicine services” means specialist referral services, patient consultations, remote patient monitoring, medical education, and consumer medical and health information, that are performed as part of a telemedicine procedure.
V.I. Code tit. 22, § 1902 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter IV - Telemedicine Coverage|§ 1902. Mandatory plan coverage

 A health care insurer that offers, issues for delivery, delivers, executes, adjusts, uses, or renews a health care insurance plan shall provide coverage for the costs of telemedicine services and treatment that arc medically necessary.
V.I. Code tit. 22, § 6602 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 66 - Alternative Markets Act|Subchapter I - The Alternative Market Act|§ 6602. Creation of alternative markets and international reinsurance section

 There is established within the Office of the Commissioner of Insurance the Division of Alternative Markets and International Reinsurance. The Commissioner of Insurance, with the advice and consent of the Governor, shall appoint the SAM and determine the SAM's compensation, and the SAM shall report to the Commissioner of Insurance.
V.I. Code tit. 22, § 6603 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 66 - Alternative Markets Act|Subchapter I - The Alternative Market Act|§ 6603. Authority of the SAM

 (a) The SAM may: (1) generally supervise the alternative market business being carried on in or from the Territory; (2) ensure compliance with and enforcement of the laws and regulations relating to the conduct of the alternative market businesses; (3) examine and prepare reports pursuant to section 6604 of this title from time to time on all matters connected with the alternative market; (4) summon or subpoena persons to attend a hearing or to testify as a witness, to enforce attendance, and to compel production of books and evidence relevant to an inquiry necessary or appropriate under this chapter; (5) require examination of witnesses under oath, and to administer oaths; (6) at all reasonable times have access to and may take copies of all the books, securities, records, and documents of any SPFC, Securitization Entity, manager, agent, adjuster or broker which relate to the alternative market business and any officer, agent or person in charge, possession, custody or control of any of those books, securities, records or documents and to issue fines against any person or entity who refuses or neglects to afford such access; (7) make an inquiry to any Securitization Entity or its manager relating to the conduct of its business or its financial affairs and to require such Securitization Entity or manager to make prompt and explicit answers and to issue fines against any person or entity which fails or refuses to provide such information and to suspend the license of the person or entity; (8) issue licenses to Securitization Entities and Managers in accordance with this chapter; and (9) appoint an advisory board to review all applications for licenses which may be issued under this chapter. (b) The SAM, or any of the SAM's employees, must not be directly or indirectly: (1) a shareholder, member, manager or partner in any company or business entity that is licensed under this chapter; or (2) a shareholder, member, manager or partner in a company or business entity that is authorized under this chapter to act as a manager, agent or broker. (c) The SAM or any of the SAM's employees who has a conflict of interest as defined in subsection (b) of this section shall recuse himself from addressing any such matter before the Office of the Commissioner of Insurance, Division of Alternative Markets and International Reinsurance.
V.I. Code tit. 22, § 6604 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 66 - Alternative Markets Act|Subchapter I - The Alternative Market Act|§ 6604. Registers

 The SAM shall keep the following registers: (a) A register of all licenses issued to Securitization Entities under this chapter, in which must appear: (1) the name of the Securitization Entity; (2) the address of the Securitization Entity's principal office within the Territory; the Qualified Manager's office may serve as the principal office of the Securitization Entity; (3) the details of the Securitization Entity business; and (4) any and all other information the SAM may consider necessary or appropriate to keep for purposes of this chapter. (b) A register of all licenses issued under this chapter to managers, intermediaries, brokers and agents, in which must appear the names and addresses of the Securitization Entities for whom they are authorized to act; (c) A register of the names and addresses of all directors and officers of every Securitization Entity licensed under this chapter; and (d) A register of all actuaries approved by the SAM to provide actuarial services under this chapter.
V.I. Code tit. 22, § 6605 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 66 - Alternative Markets Act|Subchapter I - The Alternative Market Act|§ 6605. Public information and confidential information

 (a) Except as provided in paragraphs (1) and (2) of this subsection, information submitted pursuant to the provisions of this chapter is confidential and may not be made public by the SAM or an agent or employee of the SAM, without the written consent of the entity, except that: (1) information may be discoverable by a party in a civil action or contested case to which the submitting Securitization Entity or SPFC is a party, upon a showing by the party seeking to discover the information that: (A) the information sought is relevant to and necessary for the furtherance of the action or case; (B) the information sought is unavailable from other nonconfidential sources or (C) a subpoena issued by a judicial or administrative law officer of competent jurisdiction has been submitted to the SAM; and (2) the SAM may disclose the information to the public officer having jurisdiction over asset securitization and insurance securitization in a state or territory if: (A) the public official agrees in writing to maintain the confidentiality of the information; and (B) the laws of the state or territory in which the public official serves do not require the information to be confidential. (b) The SAM shall post on a website and maintain on line: (1) a list of all current regulations related to the alternative market; (2) a current list of all licensed Securitization Entities and managers, along with their principal place of business in the Territory; and (3) a current list of all licensed actuaries, auditors, insurance managers and intermediaries, and their principal place of business in the Territory.
V.I. Code tit. 22, § 6606 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 66 - Alternative Markets Act|Subchapter I - The Alternative Market Act|§ 6606. Revolving fund established

 (a) There is established in the Treasury of the Virgin Islands a special account known as the “Alternative Market Revolving Fund” for providing the financial means for the SAM to administer this chapter and for reasonable expenses incurred in promoting the asset securitization and insurance securitization industries in the Territory. (b) The Fund consists of all fees, fines and other sums collected by the SAM under this chapter as well as sums appropriated to it from time to time from the Legislature. All funds deposited in the Fund remain available until expended. The SAM, the Commissioner of Insurance and the Commissioner of Insurance's designee are the certifying officers for expenditures under the Fund. (c) The SAM shall have deposited into the Alternative Market Revolving Fund: (1) all application fees, license fees, renewal fees, assessments and taxes collected by the SAM under this chapter; and (2) all administrative penalties and fines; (d) All payments from the Fund for the hiring, training, maintenance of staff and associated expenses, including contractual services as necessary, may be disbursed from the Treasury only upon requests issued by the SAM, after receipt of proper documentation regarding services rendered and expenses incurred or to be incurred. (e) The interest on the monies on deposit in the Fund must also be deposited into the Fund until the balance in the fund exceeds $10,000,000. Whenever the balance in the Fund exceeds $10,000,000, the dollar amount of the balance above $10,000,000 must be deposited into the General Fund.
V.I. Code tit. 22, § 6607 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 66 - Alternative Markets Act|Subchapter I - The Alternative Market Act|§ 6607. License and Registration fees

 (a) The following initial license application fees and initial annual license fees, subject to regulation and with full discretion of the SAM, must be charged by and collected by the SAM and deposited in the Alternative Market Revolving Fund: (1) Annual License Fees: (A) Qualified Manager: 5% of net revenue (gross revenues less expenses). (B) A complete list of fees will be posted on the website of the SAM. (b) The SAM by regulation may set and alter reasonable fees, pursuant to the notice requirements of title 3 Virgin Islands Code, chapter 35.
V.I. Code tit. 22, § 6608 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 66 - Alternative Markets Act|Subchapter I - The Alternative Market Act|§ 6608. Licensing; required information and documentation; fee; renewal

 (a) The Qualified Manager, intermediary, broker, actuary or auditor when permitted by its articles of incorporation, articles of organization, operating agreement, or charter, may apply to the SAM for a license to do all alternative business. (b) To conduct asset securitization and insurance securitization business in this Territory, the Qualified Manager, intermediary broker, actuary and auditor shall: (1) obtain from the SAM a license authorizing it to conduct business in this Territory; (2) hold at least one board of directors meeting, or in the case of a limited liability company a meeting of the managing board, each year in this Territory; (3) maintain its principal place of business in this Territory, including books and records; and (4) appoint a resident agent to accept service of process and to otherwise act on its behalf in this Territory. (c) Before receiving a license the Qualified Manager, intermediary, broker, actuary, or auditor: (1) if formed as a corporation or a nonprofit corporation, shall: file with the SAM a certified copy of its articles of incorporation and bylaws, a statement under oath of its treasurer or other authorized officer showing its financial condition, and any other statements or documents required by the SAM; or (2) if formed as a limited liability company, shall file with the SAM a certified copy of its articles of organization and operating agreement, a statement under oath by its managers showing its financial condition, and any other statements or documents required by the SAM.