reglab/housing_qa huggingface dataset:
NE Code § 44-4110 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4110 - Development of preferred provider organizations; conditions.

44-4110.  Development of preferred provider organizations; conditions.All providers of health services in Nebraska may develop preferred provider organizations and contract with insurers and participants in insurance arrangements if such providers have met all licensure and certification requirements necessary to practice a specific profession or to operate a specific health care facility pursuant to the Health Care Facility Licensure Act and the Uniform Credentialing Act. An organization of preferred providers may limit itself to one or more specific professions or specialties within a profession, as defined in the Uniform Credentialing Act, and may limit the number of participating providers to that required to adequately meet the need for its particular program and the purpose of sections 44-4101 to 44-4113 to furnish health services in a manner reasonably expected to contain or lower costs.Source   Laws 1984, LB 902, § 10;   Laws 1995, LB 473, § 6;  Laws 2007, LB463, § 1139. Cross References   Health Care Facility Licensure Act, see section 71-401.  Uniform Credentialing Act, see section 38-101.
NE Code § 44-4110.01 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4110.01 - Confidential information; disclosure prohibited; exception.

44-4110.01.  Confidential information; disclosure prohibited; exception.Any data or information pertaining to the diagnosis, treatment, or health of any insured or applicant obtained from such person or from any provider by any preferred provider organization shall be held in confidence and shall not be disclosed to any person except (1) upon the express consent of the insured or applicant, (2) pursuant to statute or court order for the production of evidence or the discovery thereof, or (3) in the event of a claim or litigation between such person and the preferred provider organization in which such data or information is pertinent. A preferred provider organization shall be entitled to claim any statutory privileges against such disclosure which the provider who furnished such information to the preferred provider organization is entitled to claim.Source  Laws 1990, LB 1136, § 101.
NE Code § 44-4110.02 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4110.02 - Health care review committee; preferred provider organization; exemption from liability.

44-4110.02.  Health care review committee; preferred provider organization; exemption from liability.A person who, in good faith and without malice, takes any action or makes any decision or recommendation as a member, agent, or employee of a health care review committee or who furnishes any records, information, or assistance to such a committee shall not be subject to liability for civil damages or any legal action in consequence of such action, nor shall the preferred provider organization which established the committee or the officers, directors, employees, or agents of the preferred provider organization be liable for the activities of any such person. This section shall not be construed to relieve any person of liability arising from treatment of a patient.Source  Laws 1990, LB 1136, § 102.
NE Code § 44-4110.03 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4110.03 - Health care review committee; information and records; confidentiality.

44-4110.03.  Health care review committee; information and records; confidentiality.(1) The information considered by a health care review committee and the records of their actions and proceedings shall be confidential and not subject to subpoena or order to produce except in proceedings before the appropriate state licensing or certifying agency or in an appeal from the committee's findings or recommendations. No member of a health care review committee, no officer, director, or other member of a preferred provider organization or its staff engaged in assisting such committee, and no person assisting or furnishing information to such committee may be subpoenaed to testify in any judicial or quasi-judicial proceeding if such subpoena is based solely on such activities.(2) Information considered by a health care review committee and the records of its actions and proceedings which are used pursuant to subsection (1) of this section by a state licensing or certifying agency or in an appeal shall be kept confidential and shall be subject to the same provisions concerning discovery and use in legal actions as the original information and records in the possession and control of a health care review committee.Source  Laws 1990, LB 1136, § 103.
NE Code § 44-4111 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4111 - Contracts with preferred providers; procedure; discrimination prohibited.

44-4111.  Contracts with preferred providers; procedure; discrimination prohibited.(1) Insurers and participants may contract for health services with preferred providers through a process of competitive bidding or through individual negotiations with preferred providers. After completion of such bidding process or individual negotiations, an insurer or participant may offer to providers the terms and conditions of a preferred provider contract. Providers willing and qualified to meet the terms and conditions of a preferred provider contract offered by an insurer or participant may agree to provide health services pursuant to such contract.(2) The terms and conditions of the policies or contracts specified in section 44-4109 shall not discriminate against or among health providers. Differences in prices among providers based on individual negotiations with such providers, market conditions, patient mix, method of payment, or price differences among providers in different geographical areas shall not be deemed discrimination.Source  Laws 1984, LB 902, § 11.
NE Code § 44-4112 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4112 - Mandated providers; opportunity to bid, contract, provide services.

44-4112.  Mandated providers; opportunity to bid, contract, provide services.Mandated types of providers whose services are required to be made available to insureds pursuant to section 44-513 shall, to the extent required by such section, have the same opportunity to bid and negotiate contracts for health services as a preferred provider or to provide health services as a nonpreferred provider.Source  Laws 1984, LB 902, § 12.
NE Code § 44-4113 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4113 - Use of nonpreferred providers; effect.

44-4113.  Use of nonpreferred providers; effect.Insurers and participants in insurance arrangements shall provide for payment for services rendered by nonpreferred providers or providers who have not negotiated a contract with the insurer or participants in the insurance arrangement. Insureds under an insurance arrangement shall use the preferred providers who have contracted with the group to obtain coverage under the plan at the least direct expense to the insured. Insureds selecting nonpreferred providers may be held financially responsible for the difference between the benefits available under a preferred provider contract and the charges of the nonpreferred provider and may be subject to larger coinsurance or deductible provisions. Under a prepaid dental service plan as defined in section 44-3802, a participant's premium contribution for health services provided by nonpreferred providers to an insured shall be an amount equal to the participant's contribution pursuant to a preferred provider contract.Source  Laws 1984, LB 902, § 13.
NE Code § 44-4201 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4201 - Act, how cited.

44-4201.  Act, how cited.Sections 44-4201 to 44-4235 shall be known and may be cited as the Comprehensive Health Insurance Pool Act.Source   Laws 1985, LB 391, § 1;   Laws 1997, LB 862, § 20;  Laws 2001, LB 360, § 20;  Laws 2004, LB 1047, § 9;  Laws 2009, LB358, § 1.
NE Code § 44-4202 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4202 - Legislative purpose and intent.

44-4202.  Legislative purpose and intent.It is the purpose and intent of the Legislature to provide access to health insurance coverage at an affordable premium to all residents of Nebraska, including those individuals denied coverage due to a preexisting medical condition or whose policy includes a restrictive rider limiting coverage for such a condition. The purpose of the Comprehensive Health Insurance Pool Act is to provide a mechanism to ensure the availability of health insurance coverage to individuals unable to purchase such coverage for a preexisting medical condition either on an individual or group basis directly from an insurer. It is the intent of the Legislature that adequate levels of health insurance coverage be made available to residents of Nebraska who are otherwise considered uninsurable or who are underinsured due to a medical condition creating a high risk. It is the intent of the Comprehensive Health Insurance Pool Act to provide affordable insurance for individuals with such medical conditions by making such health insurance coverage available.Source   Laws 1985, LB 391, § 2;  Laws 2000, LB 1253, § 2.
NE Code § 44-4203 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4203 - Definitions, where found.

44-4203.  Definitions, where found.For the purposes of the Comprehensive Health Insurance Pool Act, the definitions found in sections 44-4204 to 44-4215.02 shall be used.Source   Laws 1985, LB 391, § 3;   Laws 1997, LB 862, § 21;  Laws 2000, LB 1253, § 3;  Laws 2001, LB 360, § 21;  Laws 2004, LB 1047, § 10.
NE Code § 44-4204 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4204 - Agent or insurance agent, defined.

44-4204.  Agent or insurance agent, defined.Agent or insurance agent means any person licensed as an insurance agent by the department and duly appointed and authorized by an insurer to solicit applications for insurance and to discharge such other duties as may be vested in or required of the agent by the insurer.Source   Laws 1985, LB 391, § 4;  Laws 2000, LB 1253, § 4.
NE Code § 44-4205 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4205 - Benefits plan, defined.

44-4205.  Benefits plan, defined.Benefits plan means the coverages to be offered by the pool to eligible individuals meeting the requirements of section 44-4221.Source   Laws 1985, LB 391, § 5;  Laws 2000, LB 1253, § 5.
NE Code § 44-4206 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4206 - Board, defined.

44-4206.  Board, defined.Board means the Board of Directors of the pool.Source   Laws 1985, LB 391, § 6;   Laws 1992, LB 1006, § 29;  Laws 2000, LB 1253, § 6.
NE Code § 44-4206.01 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4206.01 - Church plan, defined.

44-4206.01.  Church plan, defined.Church plan means a plan as defined under 29 U.S.C. 1002.Source   Laws 1997, LB 862, § 22;  Laws 2000, LB 1253, § 7.
NE Code § 44-4206.02 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4206.02 - Creditable coverage, defined.

44-4206.02.  Creditable coverage, defined.(1) Creditable coverage means, with respect to an individual, coverage of the individual under any of the following:(a) A group health plan;(b) Health insurance coverage;(c) Medicare;(d) Title XIX of the Social Security Act, 42 U.S.C. 1396 et seq., other than coverage consisting solely of benefits under section 1928 of the act, 42 U.S.C. 1396s;(e) 10 U.S.C. chapter 55, as such chapter existed on January 1, 2003;(f) A medical care program of the Indian Health Service or of a tribal organization;(g) A state health benefits risk pool;(h) A health plan offered under 5 U.S.C. 8901 et seq.;(i) A public health plan as defined under regulations promulgated by the federal Secretary of Health and Human Services; and(j) A health benefit plan under 22 U.S.C. 2504.(2) Creditable coverage does not include any coverage that occurs before a significant break in coverage. For purposes of this section, a significant break in coverage means any period of sixty-three consecutive days during all of which the individual does not have any creditable coverage, except that neither a waiting period nor an affiliation period shall be taken into account in determining a significant break in coverage.(3) Creditable coverage does not include coverage consisting solely of coverage of excepted benefits as that term is defined in the federal Health Insurance Portability and Accountability Act of 1996, 29 U.S.C. 1191b, and regulations adopted pursuant to the act and in effect on April 19, 1998.Source   Laws 1997, LB 862, § 23;   Laws 1998, LB 1035, § 6;  Laws 2000, LB 1253, § 8;  Laws 2003, LB 6, § 1.
NE Code § 44-4207 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4207 - Department, defined.

44-4207.  Department, defined.Department means the Department of Insurance.Source   Laws 1985, LB 391, § 7;  Laws 2000, LB 1253, § 9.
NE Code § 44-4208 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4208 - Director, defined.

44-4208.  Director, defined.Director means the Director of Insurance.Source   Laws 1985, LB 391, § 8;  Laws 2000, LB 1253, § 10.
NE Code § 44-4208.01 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4208.01 - Governmental plan, defined.

44-4208.01.  Governmental plan, defined.Governmental plan means a plan as defined under 29 U.S.C. 1002 and any plan maintained for its employees by the United States Government or by any agency or instrumentality of the United States Government.Source   Laws 1997, LB 862, § 24;  Laws 2000, LB 1253, § 11.
NE Code § 44-4208.02 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4208.02 - Group health plan, defined.

44-4208.02.  Group health plan, defined.Group health plan means an employee welfare benefit plan as defined by 29 U.S.C. 1002 to the extent that the plan provides any hospital, surgical, or medical expense benefits to employees or their dependents, as defined under the terms of the plan, directly or through insurance, reimbursement, or otherwise.Source   Laws 1997, LB 862, § 25;  Laws 2000, LB 1253, § 12.
NE Code § 44-4209 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4209 - Health insurance, defined.

44-4209.  Health insurance, defined.Health insurance means any hospital, surgical, or medical expense-incurred policy or health maintenance organization contract. Health insurance does not include (1) accident-only, disability income, hospital confinement indemnity, dental, or credit insurance, (2) coverage issued as a supplement to liability insurance, (3) medicare or insurance provided as a supplement to medicare, (4) insurance arising from workers' compensation provisions, (5) automobile medical payment insurance, (6) any other specific limited coverage, or (7) insurance under which benefits are payable with or without regard to fault and which is statutorily required to be contained in any liability insurance policy.Source   Laws 1985, LB 391, § 9;   Laws 1989, LB 92, § 266;  Laws 2000, LB 1253, § 13.
NE Code § 44-4210 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4210 - Insurer, defined.

44-4210.  Insurer, defined.Insurer means any insurance company as defined in section 44-103 or health maintenance organization as defined in section 44-32,105 authorized to transact health insurance business in the State of Nebraska.Source   Laws 1985, LB 391, § 10;   Laws 1989, LB 92, § 267;   Laws 1990, LB 1136, § 104;  Laws 2000, LB 1253, § 14.
NE Code § 44-4211 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4211 - Medicare, defined.

44-4211.  Medicare, defined.Medicare means coverage under parts A and B of Title XVIII of the Social Security Act, 42 U.S.C. 1395 et seq., as amended.Source   Laws 1985, LB 391, § 11;  Laws 2000, LB 1253, § 15.
NE Code § 44-4212 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4212 - Member, defined.

44-4212.  Member, defined.Member means any insurer participating in the pool.Source   Laws 1985, LB 391, § 12;  Laws 2000, LB 1253, § 16.
NE Code § 44-4213 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4213 - Net loss, defined.

44-4213.  Net loss, defined.Net loss means the excess of incurred claims plus expenses over the sum of written and renewed premiums and other appropriate revenue.Source   Laws 1985, LB 391, § 13;  Laws 2000, LB 1253, § 17.
NE Code § 44-4214 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4214 - Plan of operation, defined.

44-4214.  Plan of operation, defined.Plan of operation means the plan of operation of the pool, including articles, bylaws, and operating rules, submitted by the board pursuant to section 44-4218.Source   Laws 1985, LB 391, § 14;  Laws 2000, LB 1253, § 18.
NE Code § 44-4215 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4215 - Pool, defined.

44-4215.  Pool, defined.Pool means the Comprehensive Health Insurance Pool.Source   Laws 1985, LB 391, § 15;  Laws 2000, LB 1253, § 19.
NE Code § 44-4215.01 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4215.01 - Resident, defined.

44-4215.01.  Resident, defined.Resident means an individual who is legally domiciled in this state.Source Laws 2001, LB 360, § 22.
NE Code § 44-4215.02 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4215.02 - Qualified trade adjustment assistance eligible individual, defined.

44-4215.02.  Qualified trade adjustment assistance eligible individual, defined.Qualified trade adjustment assistance eligible individual shall mean an individual who is eligible for the credit for health insurance costs under section 35 of the Internal Revenue Code.Source Laws 2004, LB 1047, § 11.
NE Code § 44-4217 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4217 - Board; pool administrator; selection.

44-4217.  Board; pool administrator; selection.The director shall select the board. The board shall select a pool administrator pursuant to section 44-4223.Source   Laws 1985, LB 391, § 17;   Laws 1989, LB 279, § 6;   Laws 1992, LB 1006, § 31;  Laws 2000, LB 1253, § 21;  Laws 2011, LB73, § 1.
NE Code § 44-4218 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4218 - Administration of pool; submit plan of operation; procedure.

44-4218.  Administration of pool; submit plan of operation; procedure.The board shall submit to the department a plan of operation for the pool and any amendments thereto necessary or suitable to assure the fair, reasonable, and equitable administration of the pool. The director shall, after notice and hearing, approve the plan of operation if the plan assures the fair, reasonable, and equitable administration of the pool. The plan of operation shall become effective upon approval in writing by the director consistent with the date on which the coverage under the Comprehensive Health Insurance Pool Act is required to be made available. If the board fails to submit an acceptable plan of operation or fails to submit acceptable amendments to the plan, the director shall, after notice and hearing, adopt and promulgate such reasonable rules and regulations as are necessary or advisable to effectuate the Comprehensive Health Insurance Pool Act pursuant to the Administrative Procedure Act. Such rules and regulations shall continue in force until modified by the director or superseded by a plan submitted by the board and approved by the director.Source   Laws 1985, LB 391, § 18;   Laws 1992, LB 1006, § 32.  Cross References  Administrative Procedure Act, see section 84-920.
NE Code § 44-4219 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4219 - Plan of operation; contents.

44-4219.  Plan of operation; contents.In its plan of operation, the board shall:(1) Establish procedures for the handling and accounting of assets and funds of the pool;(2) Select a pool administrator in accordance with section 44-4223;(3) Establish procedures for the selection, replacement, term of office, and qualifications of the directors of the board and rules of procedures for the operation of the board; and(4) Develop and implement a program to publicize the existence of the pool, the eligibility requirements, and the procedures for enrollment and to maintain public awareness of the pool.Source   Laws 1985, LB 391, § 19;   Laws 1992, LB 1006, § 33;  Laws 2000, LB 1253, § 22;  Laws 2011, LB73, § 2.
NE Code § 44-4220 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4220 - Board; powers; enumerated.

44-4220.  Board; powers; enumerated.The board shall have the general powers and authority granted under the laws of this state to insurance companies licensed to transact the business of health insurance and, in addition thereto, the power to carry out the provisions and purposes of the Comprehensive Health Insurance Pool Act, including the specific authority to:(1)(a) Enter into contracts as are necessary or proper, including the authority, with the approval of the director, to enter into contracts with similar pools from other states for the joint performance of common administrative functions or with persons or other organizations for the performance of administrative functions; and(b) Enter into contracts, with the approval of the director, with any physician, hospital, or other person licensed or otherwise authorized in this state to furnish health care services for participating in an insurance arrangement as defined in section 44-4104;(2) Sue or be sued, including taking any legal actions necessary or proper for recovery of any assessments for, on behalf of, or against members;(3) Take such legal action as necessary to avoid the improper issuance of pool coverage;(4) Subject to the requirements of section 44-4227, establish appropriate rates and rate schedules, expense allowances, agents' solicitation and referral fees, claim reserves and formulas, and any other actuarial functions appropriate to the operation of the pool;(5) Issue policies of insurance in accordance with the requirements of the plan of operation and the act and, with the approval of the director, refuse to renew all policy forms for a class of contract and offer a conversion privilege to any covered individual;(6) Appoint from among members appropriate legal, actuarial, and other committees as necessary to provide technical assistance in the operation of the pool, the policy and other contract design, and any other function within the authority of the pool;(7) Borrow money to effectuate the purposes of the act. Any notes or other evidence of indebtedness of the pool not in default shall be legal investment for insurers and may be carried as admitted assets; and(8) Enter into reinsurance agreements and establish rules, conditions, and procedures for reinsuring risks under the act.Source   Laws 1985, LB 391, § 20;   Laws 1989, LB 279, § 7;   Laws 1990, LB 1136, § 105;   Laws 1992, LB 1006, § 34;  Laws 2000, LB 1253, § 23.
NE Code § 44-4220.01 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4220.01 - Review of operation; report.

44-4220.01.  Review of operation; report.Following the close of each calendar year, the board shall conduct a review of the operation of the pool and report to the director the board's recommendations for cost savings in the operation of the pool.Source Laws 2009, LB358, § 2.