reglab/housing_qa huggingface dataset:
V.I. Code tit. 22, § 1431 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 55 - Virgin Islands International Insurers Act|Subchapter II - Protected Cell Exempt International Insurance Company|§ 1431. Purpose

 The purpose of this subchapter is to provide a basis for the creation of protected cells by an Exempt International Insurer for one or more of the following uses: (a) As one means of accessing alternative sources of capital and alternative vehicles for insurance programs; (b) For providing some or all of the benefits of an international insurance company for insureds for which the creation of a stand-alone international insurance company is not feasible or practical; (c) As one means of providing access to a program of insurance.
V.I. Code tit. 22, § 1432 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 55 - Virgin Islands International Insurers Act|Subchapter II - Protected Cell Exempt International Insurance Company|§ 1432. Definitions

 As used in this Subchapter: (a) “Commissioner” means the Commissioner of Insurance. (b) “Company” means Protected Cell Company. (c) “General Account” means the assets and liabilities of a protected cell company other than Protected Cell Assets and Protected Cell Liabilities. (d) “International Insurance Company” means an insurance company established under the provisions of this chapter. (e) “Protected Cell” means an entity created either by the allocation of one or more shares in an International Insurance Company, or as a separate corporation subject to an operating agreement with an International Insurance Company. A protected cell shall have attributed to it assets and liabilities that are segregated and insulated from the assets and liabilities of the International Insurance Company that formed it and of all of the other protected cells that have been or may be formed by that International Insurance Company pursuant to the provisions of this subchapter. (f) “Protected Cell Account” means a specifically identified bank or custodial account established by a Protected Cell for the purpose of physically segregating the Protected Cell Assets of one Protected Cell from the Protected Cell Assets of other protected cells within the same company and from the assets of the International Insurance Company with which it is associated. A Protected Cell may hold assets, including but not limited to, real estate and shares in any other corporation, in which case the title to such assets will be held in the name of the Protected Cell and will form part of its Protected Cell Account. (g) “Protected Cell Assets” means all assets identified with and attributable to a specific protected cell of a Protected Cell Company, including assets physically segregated in a Protected Cell Account. (h) “Protected Cell Company” means an International Insurance Company which has one or more Protected Cells. (i) “Protected Cell Liabilities” means all liabilities identified with and attributable to a specific Protected Cell Company. (j) “SAM” means the Superintendent of Alternative Markets of the Office of the Commissioner of Insurance, Division of Alternative Markets and International Reinsurance, or the SAM’s designee as established in VI Code Title 22 Chapter 4.
V.I. Code tit. 22, § 1434 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 55 - Virgin Islands International Insurers Act|Subchapter II - Protected Cell Exempt International Insurance Company|§ 1434. Use and operation of protected cells

 (a) The Protected Cell Assets of any Protected Cell may not be charged with liabilities arising out of any other business of the International Insurance Company that formed it or of any of the other Protected Cells that are or may be formed by that International Insurance Company. All contracts or other documentation reflecting obligations of a Protected Cell to the General Account shall clearly indicate that only the assets of the Protected Cell are available for the obligations of the Protected Cell. (b) Unless otherwise approved by the SAM, assets attributed to a Protected Cell must be valued at their market value on the date of valuation, or if there is no readily available market, then as provided in the contract or the rules or other written agreement applicable to the Protected Cell. (c) The income, gains and losses, realized or unrealized, from Protected Cell Assets and Protected Cell Liabilities must be credited to or charged against the Protected Cell without regard to other income, gains, or losses of the International Insurance Company that formed it, including income, gains, or losses of other Protected Cells. Amounts attributed to any Protected Cell and accumulations thereon may be invested and reinvested at the discretion of the International Insurance Company that formed it and the investments in any Protected Cell or Cells may not be taken into account in applying the investment limitations otherwise applicable to the investments of the International Insurance Company that formed it. (d) In all cases where a Protected Cell engages in an insurance securitization or reinsurance transaction, the financial instrument or reinsurance agreement effecting such securitization or transaction shall contain provisions identifying the Protected Cell to which the securitization or transaction will be attributed. In addition, the financial instrument or reinsurance agreement shall clearly disclose that the assets of that Protected Cell are only available to pay obligations of that Protected Cell. Notwithstanding the foregoing, and subject to the provisions of this Act and any other applicable law, rule or regulation, the failure to include such language in the financial instrument or reinsurance agreement shall not be used as the sole basis by creditors, reinsurers, or other claimants to circumvent the provisions of this subchapter. (e) At the cessation of business of a Protected Cell, and in the absence of any placement under administrative supervision or order of rehabilitation or liquidation attributable to that Protected Cell or the Protected Cell Company, the Protected Cell Company shall voluntarily wind up the Protected Cell in accordance with a plan approved by the SAM.
V.I. Code tit. 22, § 1435 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 55 - Virgin Islands International Insurers Act|Subchapter II - Protected Cell Exempt International Insurance Company|§ 1435. Reach of creditors

 (a) Protected Cell Assets shall only be available to the creditors of the Company who are the creditors in respect of that Protected Cell and shall thereby be entitled, in conformity with the provisions of this subchapter, to have recourse to the Protected Cell Assets attributable to that Protected Cell, and shall be absolutely protected from the creditors of the Company who are not creditors in respect of that Protected Cell and, who accordingly, shall not be entitled to have recourse to the Protected Cell Assets attributable to that Protected Cell. Creditors of a Protected Cell shall not be entitled to have recourse against the Protected Cell Assets of other Protected Cells or the assets of the Company’s General Account. (b) Where an obligation of a Protected Cell Company to a person arises from a transaction, or is otherwise imposed, in respect of a particular Cell, (1) that obligation of the Company shall extend only to, and the person shall, in respect of that obligation, be entitled to have recourse only to the Protected Cell Assets attributable to that Protected Cell, and (2) that obligation of the Company shall not extend to, and that person shall not, in respect of that obligation, be entitled to have recourse to the Protected Cell Assets of any other Protected Cell or the assets of the Company’s General Account. (c) Where an obligation of a Protected Cell Company relates solely to the General Account, the obligation of the Company shall extend only to, and that creditor shall, in respect of that obligation, be entitled to have recourse only to the Company’s General Account. (d) A Protected Cell shall only be authorized to assume an insurance obligation directly from another Protected Cell or the Company’s General Account and under no circumstances shall a Protected Cell be authorized to issue insurance policies or contracts directly to policyholders or have any obligation to the policyholders of the Company’s General Account. Nothing in this section shall affect the activities or obligations of a Company’s General Account. (e) In no event shall the establishment of one or more Protected Cells alone constitute or be deemed to be a fraudulent conveyance, an intent by the Company to defraud creditors or the carrying out of business by the Company under any other fraudulent purpose.
V.I. Code tit. 22, § 1436 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 55 - Virgin Islands International Insurers Act|Subchapter II - Protected Cell Exempt International Insurance Company|§ 1436. Conservation, rehabilitation or liquidation of protected cell companies

 (a) Notwithstanding any contrary provision of this title, the rules and regulations promulgated thereunder, or any other applicable law or regulation, upon any order of conservation, rehabilitation, or liquidation of a Protected Cell Company, the receiver shall be bound to deal with the Protected Cell Company’s assets and liabilities, including Protected Cell Assets and Protected Cell Liabilities, in accordance with the requirements set forth in this subchapter. (b) With respect to amounts recoverable under any insurance securitization or reinsurance transaction entered into or outstanding in any Protected Cell Company the amount recoverable by the receiver shall not be reduced or diminished as a result of the placement under an order of conservation, rehabilitation, or liquidation of a Protected Cell Company or any of its Protected Cells, notwithstanding any provisions to the contrary in the financial instrument governing such securitization, insurance or reinsurance transaction.
V.I. Code tit. 22, § 1437 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 55 - Virgin Islands International Insurers Act|Subchapter II - Protected Cell Exempt International Insurance Company|§ 1437. Authority to adopt regulations

 The SAM may promulgate rules and regulations necessary to effectuate the purposes of this Act.
V.I. Code tit. 22, § 1448 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 55A - The Virgin Islands Credit for Reinsurance|Subchapter I - Life and Health Reinsurance Agreements|§ 1448. Short title

 This subchapter is entitled “Life and Health Reinsurance Agreements”.
V.I. Code tit. 22, § 1448a (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 55A - The Virgin Islands Credit for Reinsurance|Subchapter I - Life and Health Reinsurance Agreements|§ 1448a. Scope

 This subchapter applies to all domestic life and accident and health insurers and to all other licensed life and accident and health insurers which are not subject to a substantially similar law or regulation in their domiciliary state. This subchapter also similarly applies to licensed property and casualty insurers with respect to their accident and health business. This subchapter does not apply to assumption reinsurance, yearly renewable term reinsurance or certain nonproportional reinsurance such as stop loss or catastrophe reinsurance.
V.I. Code tit. 22, § 1448c (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 55A - The Virgin Islands Credit for Reinsurance|Subchapter I - Life and Health Reinsurance Agreements|§ 1448c. Written agreements

 (1) No reinsurance agreement or amendment to any agreement may be used to reduce any liability or to establish any asset in any financial statement filed with the Commissioner, unless the agreement, amendment or a binding letter of intent has been duly executed by both parties no later than the “as of date” of the financial statement. (2) In the case of a letter of intent, a reinsurance agreement or an amendment to a reinsurance agreement must be executed within a reasonable period of time, not exceeding ninety (90) days from the execution date of the letter of intent, in order for credit to be granted for the reinsurance ceded. (3) The reinsurance agreement must contain provisions which provide that: (A) The agreement must constitute the entire agreement between the parties with respect to the business being reinsured thereunder and that there are no understandings between the parties other than as expressed in the agreement; and (B) Any change or modification to the agreement shall be null and void unless made by amendment to the agreement and signed by both parties.
V.I. Code tit. 22, § 1448d (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 55A - The Virgin Islands Credit for Reinsurance|Subchapter I - Life and Health Reinsurance Agreements|§ 1448d. Existing agreements

 Insurers subject to this subchapter shall reduce to zero no later than nine months following the effective date of this subchapter any reserve credits or assets established with respect to reinsurance agreements entered into prior to the effective date of this subchapter which, under the provisions of this subchapter would not be entitled to recognition of the reserve credits or assets; provided, however, that the reinsurance agreements shall have been in compliance with laws or regulations in existence immediately preceding the effective date of this subchapter.
V.I. Code tit. 22, § 1721 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter I - General Provisions|§ 1721. Purpose

 The Legislature of the Virgin Islands believes that many residents of the Virgin Islands who are covered by a recognized health insurance plan are nevertheless prevented from enjoying the benefits of such a plan by the high up-front cost of obtaining healthcare, and the prospect of having to wait for a reimbursement of those costs. As a result, the Legislature has enacted this plan to require health care providers to look for payment first to health insurance carriers rather than the patients who are covered by such plans.
V.I. Code tit. 22, § 1722 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter I - General Provisions|§ 1722. Definitions

 (a) “Commissioner” means the Commissioner of Insurance. (b) “Health care provider” means a person, corporation, facility or institution who must be licensed by this territory to provide health care or professional medical services including but not limited to any physician, osteopath, hospital, dentist, registered or licensed practical nurse, optometrist, podiatrist, physical therapist, psychologist, chiropractor, par-medical personnel and emergency medical technician, pharmacist and laboratory technicians, or any health care facility, including but not limited to a medical center, hospital, clinic, health center and/or group practice that are licensed or certified under the Virgin Islands Code to provide treatment for injuries, diseases, pain or deformity of the human body. (c) “Insurer” means a corporation or association which is engaged as a principal in the business of making contracts of insurance, but shall not include an insurance broker acting as a broker. (d) “Recognized health insurer” means an insurer licensed to do business in the Virgin Islands that offers health insurance to the public. (e) “Uncontested claim” means a claim from a health care provider for services that are covered under a health insurance plan, is adequately documented and medically appropriate, and which charges reasonable fees for services rendered. (f) “Preferred Provider Organization” means a network of health care providers that has entered into a written agreement with an insurer to provide benefits under a health insurance plan issued under this chapter, and which shall provide reasonable access to such health care providers.
V.I. Code tit. 22, § 1723 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter I - General Provisions|§ 1723. Filing and approval

 (a) No health insurance plan, upon passage of this act, shall be issued, delivered or used unless it has been filed with and approved by the Commissioner. The health insurance for employees of the Government of the Virgin Islands and any group health insurance plan contracted by any semi-autonomous agency or instrumentality of the Government of the Virgin Islands, shall be immediately accepted by health care providers. The Commissioner shall issue interim rules and regulations to implement this section until final rules and regulations have been adopted. (b) Such filing, the approval or disapproval thereof, shall be in conformity with the provisions of section 810 of this title.
V.I. Code tit. 22, § 1724 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter I - General Provisions|§ 1724. Initial billing

 (a) If a patient, at the time of requesting health care services, presents to the health care provider evidence of coverage by a recognized health insurer, then the health care provider shall apply the following procedure when requiring payment for any services rendered: (1) The health care provider may require payment at or before the time services are rendered of any deductibles and co-payments required by the patient's health insurance plan. (2) The health care provider shall file a claim with the insurer directly for any amounts in excess of the deductible and co-payment which the patient is responsible. (3) Notwithstanding the provisions of this section, if a patient has not met his deductible under the plan, the health care provider may require payment for service rendered in sums up to but not exceeding the amount of the remaining deductible if less than the service being provided, or the fee if less than the deductible. (b) The patient shall demonstrate current membership in a health insurance plan, and provide evidence that deductibles, if applicable, have been satisfied.
V.I. Code tit. 22, § 1725 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter I - General Provisions|§ 1725. Prompt payment by insurer

 (a) Any insurer providing health insurance coverage shall be required to process and pay any uncontested claim, within thirty (30) calendar days from the date of receiving the claim. (b) If there is a contested claim, the insurer shall, within the same thirty (30) day calendar period notify the health care provider of its decision not to reimburse that amount, which notice shall provide a clear and concise statement to the health care provider of all the reasons for the insurer's decision. (c) Any insurance payment which is not made within the thirty day period shall accrue interest at the rate of 10% or the prevailing prime rate applicable on the date of payment, pursuant to Title 11, section 951 of this Code, or whichever is greater, from the date the services were provided to the date of payment. (d) The health care provider shall be entitled to receive payment from the patient for any services rendered which are not reimbursable by the insurer within sixty days after service is rendered. (e) The Commissioner of Insurance may review any contested claim to determine whether (1) the services are covered under a health insurance plan, (2) the fees are reasonable for the services, and any other matter necessary to determine how the claim should be handled.
V.I. Code tit. 22, § 1726 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter I - General Provisions|§ 1726. Information and dispute resolution requirements

 (a) Each insurer providing coverage under a health insurance plan shall establish and maintain an accessible information service which health care providers may contact telephonically and electronically to ascertain immediately whether a patient, service or procedure is covered under the plan, and whether a patient has satisfied any deductible amounts under the plan. The health care provider may utilize this service in the event that the patient is unable to demonstrate satisfaction of deductible amounts. (b) Each insurer providing coverage under a recognized health care plan shall provide each person covered by their plan a written explanation of benefits, which a patient may also use to demonstrate the satisfaction of any deductible amounts. (c) Within sixty (60) days of the execution of a contract between the insurer and the employer or within sixty (60) days of the individuals enrollment in a recognized health care plan, each enrollee shall be provided with a benefit booklet or package outlining all benefits under the insurance plan.
V.I. Code tit. 22, § 1727 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter I - General Provisions|§ 1727. Failure to comply; penalties

 (a) Any health care provider or recognized health insurer who willfully violate the provisions of this chapter shall be subject to the following penalties: (1) A health care provider or recognized health insurer who intentionally or negligently fails to comply with the provisions of this chapter shall be fined by the Commissioner not less than 100% of the disputed amount nor more than five thousand dollars ($5,000.00) for each violation. (2) The Commissioner shall forward to the appropriate governing board the name of any health care provider who has been cited by the Commissioner for a second violation of this chapter. Upon referral the governing board may suspend the license of the health care provider for a violation of this chapter. (b) Any insurer that fails to comply with the provisions of this chapter shall be subjected to the penalty set forth in subsection (a) above for each violation and may be subject to the provisions of section 212 of this title.
V.I. Code tit. 22, § 1728 (2019)
2019 US Virgin Islands Code|Title 22 - Insurance|Chapter 65 - Health Insurance Plans|Subchapter I - General Provisions|§ 1728. Preferred Provider Organization

 (a) Notwithstanding the provisions of this chapter, any physician who is a member of a Preferred Provider Organization (“PPO”) which meets, the requirements set forth below, shall not be subject to the requirements of section 1724 of this title: (1) The PPO physician shall require no more than a reasonable co- payment by the patient at the time the services are rendered, which co-payment shall not exceed co-payments generally required under other health insurance plans; (2) The PPO shall require the health care provider to file claims with the insurer for payment and shall prohibit the practice of billing the patient directly for any covered services or for any costs in excess of the schedule of fees agreed upon and paid by the insurer; (3) The PPO shall cancel the membership of any individual health care provider who fails to adhere to any of the requirements of this section or any reasonable rules and regulations of the PPO which are not in conflict herewith; (4) The PPO shall include within its network no less than 25% of the health care providers in each of the St. Thomas-St. John and the St. Croix districts, representing the major medical specialties; (5) The PPO shall be available to any insurers offering health insurance plans. (b) Any insurer offering a recognized health insurance plan in the Virgin Islands shall offer as part of its plan access to a PPO which meets the requirements of subsection (a).