reglab/housing_qa huggingface dataset:
NH Rev Stat § 420-A:3 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:3 - Incorporation.

    420-A:3 Incorporation. –||Persons desiring to form a health service corporation may incorporate under RSA 292, but subject to the following provisions:||I. The certificate of incorporation of each health service corporation shall have endorsed upon it or attached to it the approval of the commissioner, if the commissioner finds the same to be in accordance with this chapter.||II. The certificate shall include a statement of the territory in which the health service corporation will operate and a statement of the purposes of such corporation.|||Source. 1997, 190:1, eff. Jan. 1, 1998.|
NH Rev Stat § 420-A:4 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:4 - License to Health Service Corporation.

    420-A:4 License to Health Service Corporation. –||I. No health service corporation organized under the laws of this state shall do business unless it has obtained a license from the commissioner.||II. No health service corporation organized under the laws of any other state or country shall be licensed to do business in this state except as provided in RSA 420-A:29.||III. Application for such license shall be made in the form required by the commissioner and shall contain the information the commissioner deems necessary. The application shall be accompanied by a copy of each of the following documents:||(a) Articles of incorporation.||(b) Bylaws.||(c) Proposed contracts to be issued to subscribers showing a table of rates to be charged and the benefits to which they will be entitled.||(d) Proposed contracts, if any, between the health service corporation and providers.||(e) Financial statements.||IV. The commissioner shall issue a license when the commissioner finds:||(a) The applicant is established as a bona fide nonprofit health service corporation;||(b) The applicant has paid an annual license fee in accordance with RSA 400-A:29;||(c) The contracts between the applicant and providers, if any, obligate the respective providers to provide the service or thing to which the subscriber may be entitled under the terms of the contract to be issued to subscribers;||(d) The rates to be charged and the benefits to be provided are reasonable and nondiscriminatory;||(e) The financial condition of the applicant is sound and provides assurance of its ability to meet its obligations; and||(f) The applicant is reliable, entitled to public confidence and has complied with the laws of the state applicable to it.||V. Any such license may be revoked for cause shown and after notice and hearing upon failure to maintain the requirements of this chapter.||VI. All such licenses shall expire on June 14, but may be renewed upon payment of the annual license fee.|||Source. 1997, 190:1. 2000, 162:4, eff. July 22, 2000.|
NH Rev Stat § 420-A:5 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:5 - Directors.

    420-A:5 Directors. –||The directors of a health service corporation:||I. Shall at all times include representation from the following groups:||(a) The general public exclusive of those falling within subparagraphs (b) and (c) and paragraph II.||(b) Physicians actively engaged in practice.||(c) Administrators or trustees of hospitals, if any, which have contracted with the health service corporation to render nonprofit hospital service or indemnity to subscribers.||II. May include representatives of other health care providers. The number of directors described in subparagraph I(a) shall exceed the combined total of the number of directors described in subparagraphs I(b) and (c) and this paragraph.|||Source. 1997, 190:1, eff. Jan. 1, 1998.|
NH Rev Stat § 420-A:6 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:6 - Liability of Directors, Officers, and Trustees.

    420-A:6 Liability of Directors, Officers, and Trustees. –||I. A health service corporation may indemnify any person who serves as director, officer, or trustee of such corporation by contract or by including an indemnity provision in its articles of agreement or bylaws substantially in accordance with RSA 293-A:8.50 through RSA 293-A:8.58. Indemnity may be offered for any and all damages occurring on or after January 1, 1991.||II. A health service corporation may amend its articles of agreement to contain a provision eliminating or limiting the personal liability of a director, officer, or trustee to such corporation and its members and subscribers for monetary damages for breach of fiduciary duty as a director, an officer, or both, except with respect to:||(a) Any breach of the director's, officer's or trustee's duty of loyalty to the corporation and its members and subscribers.||(b) Acts or omissions which are not in good faith or which involve intentional misconduct or a knowing violation of law.||(c) Actions for which a director, officer, or trustee derived an improper personal benefit.||III. Paragraph II shall not be construed to eliminate or limit the liability of a director, an officer, a trustee or any combination thereof, for any act or omission occurring prior to July 13, 1991.|||Source. 1997, 190:1, eff. Jan. 1, 1998.|
NH Rev Stat § 420-A:7 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:7 - License to Agents.

    420-A:7 License to Agents. –||I. No person, for himself or in behalf of any person, shall sell or offer to sell any such health service as is provided for in this chapter without being licensed therefor by the commissioner pursuant to RSA 402-J.||II. Upon written notice by a health service corporation licensed to do business in this state of its appointment of a person to act as its agent under this chapter, the commissioner shall, if the commissioner is first satisfied that the appointee is a suitable person and intends to hold himself out in good faith as an agent, upon payment of the proper fee by the applicant, issue to the appointee a license to act as such agent.||III. A license previously issued may be renewed upon the application of the health service corporation upon payment of the proper fee.||IV. The commissioner may at any time after granting such license, for cause shown and after notice and hearing, determine such licensee to be unsuitable to act as such agent, and shall thereupon revoke such license and notify both the health service corporation and the agent of such revocation.||V. Unless revoked by the commissioner, or unless the health service corporation by written notice to the commissioner cancels the agent's authority to act for it, such license issued to an agent, or any renewal of such license, shall expire on June 14 of the second year after its issue.||VI. If a person acts or aids in any manner in the negotiation of health insurance contracts, or solicits or receives any risk or application for such service, without a license from the insurance commissioner, or if the license granted to such person or to the health service corporation for which the person acts as agent has been revoked, such person shall be guilty of a class A misdemeanor if a natural person, or guilty of a felony if any other person; but any contract issued on an application thus procured shall bind the health service corporation if otherwise valid. This paragraph shall not apply to any office employee of the health service corporation, or to any persons rendering their services without compensation.|||Source. 1997, 190:1. 2000, 315:22. 2005, 206:8, eff. Jan. 1, 2006.|
NH Rev Stat § 420-A:8 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:8 - Filing and Approval of Contracts and Rates.

    420-A:8 Filing and Approval of Contracts and Rates. –||I. No health service corporation shall enter into any contract with subscribers until it shall have filed with the commissioner a copy of the form of such contract, including all riders and endorsements to the contract and until the commissioner's approval thereof shall have been obtained. Any form of contract not disapproved by the commissioner within 90 days after the filing shall be deemed to have been approved as filed.||II. No health service corporation shall enter into any contract with subscribers until it shall have filed with the commissioner a full schedule of rates to be paid by the subscribers and shall have obtained the said commissioner's approval. The commissioner may refuse such approval if the commissioner finds such rates are excessive, inadequate, or discriminatory. For the purpose of determining the proper rates to be charged for such services, the commissioner may employ a competent actuary who shall be paid by the health services corporation for which the services are rendered.|||Source. 1997, 190:1, eff. Jan. 1, 1998.|
NH Rev Stat § 420-A:10 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:10 - Part-Time Employees.

    420-A:10 Part-Time Employees. –||A health service corporation shall not exclude part-time employees and shall offer the same insurance benefits to part-time employees as it offers to the employee groups of which the part-time employees would be members if they were full-time employees. The insurer shall offer to include the part-time employees as part of the employer's employee group, at the full rate to be paid by the employer, at a rate prorated between the employer and the employee, or at the employee's expense. A part-time employee shall be any employee who regularly works at least half of the weekly hours of the full-time employee in the employee group of which the part-time employee would be a member if such employee were a full-time employee, but who works a minimum of at least 15 hours per week.|||Source. 1997, 190:1, eff. Jan. 1, 1998.|
NH Rev Stat § 420-A:10-a (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:10-a - Dependent Coverage.

    420-A:10-a Dependent Coverage. –||I. A policy may, at the election of the carrier, insure, originally or by subsequent amendment, upon application of an adult member of a family who shall be deemed the policyholder, any 2 or more eligible members of that family, including husband, wife, dependent children, or any other person dependent upon the policyholder. In the event a carrier elects to provide coverage for dependent children, the term "dependent child" shall include a subscriber's child by blood or by law, who is under age 26.||I-a. The coverage of any family member insured by such policy, pursuant to paragraph I, who is mentally or physically incapable of earning his or her own living as of the date on which such dependent's status as a covered family member would otherwise expire because of age, shall continue under such policy while such policy remains in force or is replaced by another policy as long as such incapacity continues and as long as such dependent remains chiefly financially dependent on the policyholder or the employee or his or her estate is chargeable for the care of such dependent; provided, that due proof of such incapacity is received by the insurer within 31 days of such expiration date. If such coverage is continued in accordance with this paragraph, such dependent shall be entitled upon the termination of such incapacity to coverage offered by the New Hampshire high risk pool under RSA 404-G.||II. Nothing in this section shall be construed to require:||(a) Coverage for services provided to a dependent before the effective date of this section; or||(b) That an employer pay all or part of the cost of family coverage that includes a dependent as provided pursuant to this section.||III. A subscriber that elects family coverage during any applicable open enrollment period may enroll any dependent eligible pursuant to this section.||IV. Coverage for a dependent provided pursuant to this section shall be provided until the earlier of the following:||(a) The dependent is disqualified for dependent status as set forth in paragraph I of this section; or||(b) The date upon which the employer under whose contract coverage is provided to a dependent ceases to provide coverage to the subscriber.||V. Nothing in this section shall be construed to permit a health insurance carrier to refuse an election for coverage by a dependent pursuant to paragraph III, based upon the dependent's prior disqualification pursuant to subparagraph IV(a).||VI. (a) Notice regarding coverage for a dependent as provided pursuant to this section shall be provided to a subscriber:||(1) In the certificate of coverage prepared for subscribers on or about the date of commencement of coverage; and||(2) Within 30 days following the effective date of this section.||(b) Such notice shall include information regarding the required special open enrollment period.|||Source. 2007, 352:2. 2009, 235:9. 2010, 243:9, eff. Sept. 23, 2010.|
NH Rev Stat § 420-A:11 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:11 - Cancellation or Nonrenewal of Group Insurance Contracts.

    420-A:11 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 health service corporation, except for nonpayment of premium, unless the group contract holder 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 contract holder or mailed to the group contract holder's last address as shown in the records of the health service corporation 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 contract, shall be delivered to the group contract holder or mailed to the group contract holder's last address as shown in the records of the health service corporation, at least 30 days prior to the effective date of the cancellation.|||Source. 1997, 190:1, eff. Jan. 1, 1998.|
NH Rev Stat § 420-A:12 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:12 - Cancellation or Nonrenewal of Non-Group Insurance Contracts.

    420-A:12 Cancellation or Nonrenewal of Non-Group Insurance Contracts. –||No non-group accident or health insurance contract, authorized under this chapter, may be cancelled or nonrenewed by the health service corporation except for nonpayment of premium, unless the insured 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 insured or mailed to the insured's last address as shown in the records of the health service corporation at least 30 days prior to the renewal date of the contract.|||Source. 1997, 190:1, eff. Jan. 1, 1998.|
NH Rev Stat § 420-A:13 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:13 - Repealed by 2010, 61:3, II, eff. May 18, 2010.

    420-A:13 Repealed by 2010, 61:3, II, eff. May 18, 2010. –|
NH Rev Stat § 420-A:14 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:14 - Coverage for Scalp Hair Prostheses.

    420-A:14 Coverage for Scalp Hair Prostheses. –||I. Every health service corporation and every other similar corporation licensed under the laws of another state, which 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. 1997, 190:1. 2001, 276:4, eff. Sept. 14, 2001.|
NH Rev Stat § 420-A:15 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:15 - Coverage During Adoption Proceedings.

    420-A:15 Coverage During Adoption Proceedings. –||All contracts issued by a health service corporation which provide coverage for a family member of the subscriber shall, as to such family member's coverage, also provide that health insurance benefits applicable for children are payable with respect to any minor from the date such minor is placed in the custody of the subscriber pursuant to an adoption proceeding under the provisions of RSA 170-B. Such health insurance benefits shall terminate upon dismissal or withdrawal of the petition for adoption.|||Source. 1997, 190:1, eff. Jan. 1, 1998.|
NH Rev Stat § 420-A:15-a (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:15-a - Third-Party Payment of Covered, Court-Ordered Services.

    420-A:15-a Third-Party Payment of Covered, Court-Ordered Services. –||The existence of a court order under RSA 169-B, RSA 169-C, or RSA 169-D for a service, program, or placement that is covered under any insurance for the minor shall not be considered in determining qualification for third-party payment under such insurance. Benefits for such services shall be subject to the same dollar limits, deductibles, co-payments and co-insurance factors and to the terms and conditions of the policy or certificate, including any managed care provisions. However, the claimant or claimant's representative shall have 48 hours from the commencement of a court-ordered service, placement, or program to seek any pre-authorization, pre-certification, or referral required under the terms of the policy. The determination of these preservice claims for court-ordered services for a minor shall be made as soon as possible, taking into account the medical exigencies, but in no event later than 48 hours after receipt of the request and sufficient information, unless the claimant or claimant's representative fails to provide sufficient information to determine whether, or to what extent, benefits are covered or payable. In the case of such failure, the insurer shall notify the claimant or claimant's representative within 24 hours of receipt of the request and shall advise the claimant or claimant's representative of the specific information necessary to determine to what extent benefits are covered or payable. The claimant or claimant's representative shall be afforded a reasonable amount of time, taking into account the circumstances, but not less than 48 hours, to provide the specified information. Thereafter, notification of the claim determination shall be made as soon as possible, but in no case later than 48 hours after the earlier of:||I. The insurer's receipt of the specified additional information; or||II. The end of the period afforded the claimant or claimant's representative to provide the specified additional information.|||Source. 2004, 117:2, eff. Aug. 15, 2004.|
NH Rev Stat § 420-A:15-b (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:15-b - Coverage for Dependents.

    420-A:15-b Coverage for Dependents. –||If the coverage for dependent children includes coverage for dependent children who are full-time students, as defined by the appropriate educational institution, beyond the age of 18, such dependent coverage shall include coverage for a dependent's medically necessary leave of absence from school for a period not to exceed 12 months or the date on which coverage would otherwise end pursuant to the terms and conditions of the policy, whichever comes first. Any breaks in the school semester shall not disqualify the dependent child from coverage under this section. Documentation and certification of the medical necessity of a leave of absence shall be submitted to the insurer by the student's attending physician and shall be considered prima facie evidence of entitlement to coverage under this section. The date of the documentation and certification of the medical necessity of a leave of absence shall be the date the insurance coverage under this section commences.|||Source. 2007, 289:13, eff. Jan. 1, 2008.|
NH Rev Stat § 420-A:16 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:16 - Notification of Allowable Benefit.

    420-A:16 Notification of Allowable Benefit. –||All health service corporations and every other similar corporation licensed under the laws of another state shall provide to each subscriber, on request, a written statement of the dollar amount of allowable benefit for any procedure which is requested by the appropriate procedure code.|||Source. 1997, 190:1, eff. Jan. 1, 1998.|
NH Rev Stat § 420-A:16-a (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:16-a - Patients' Bill of Rights.

    420-A:16-a Patients' Bill of Rights. –||Every health service corporation and every other similar corporation licensed under the laws of another state shall provide to each new subscriber who is a resident of this state a copy of the patients' bill of rights law under RSA 151:21.|||Source. 1997, 331:19, eff. Jan. 1, 1998 at 12:01 a.m.|