reglab/housing_qa huggingface dataset:
NH Rev Stat § 420-A:31 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:31 - Rules.

    420-A:31 Rules. –||The commissioner is authorized and empowered to adopt such rules in accordance with RSA 541-A which are reasonable and necessary to administer and enforce the provisions of this chapter.|||Source. 1997, 190:1, eff. Jan. 1, 1998.|
NH Rev Stat § 420-A:32 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-A - Health Service Corporations|Section 420-A:32 - Workers' Compensation Law Not Affected.

    420-A:32 Workers' Compensation Law Not Affected. –||No provision of this chapter or any contract for hospital service by such health service corporation shall in any way affect the operation of workers' compensation laws of the state.|||Source. 1997, 190:1, eff. Jan. 1, 1998.|
NH Rev Stat § 420-B:1 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:1 - Definitions.

    420-B:1 Definitions. –||In this chapter:||I. "Advertising" means:||(a) Printed and published material and descriptive literature of an insurer used in newspapers, magazines, radio and television scripts, billboards, and similar displays;||(b) Descriptive literature and sales aids of all kinds issued by an insurer for presentation to members of the public, including, but not limited to, marketing, educational, or information letters; and||(c) Sales talks, presentations and material prepared by insurers for use by agents and brokers, and representations made by agents and brokers in accordance therewith.||II. "Commissioner" means the insurance commissioner.||II-a. "Date of enrollment" means the first day of coverage under the plan, or, if there is a waiting period, the first day of the waiting period, which is typically the first day of work.||III. "Enrolled participant" means a person who has entered into a contractual arrangement or on whose behalf a contractual arrangement has been entered into with a health maintenance organization to receive health care services.||IV. "Evidence of coverage" means any certificate, agreement, or contract issued to an enrolled participant setting out the coverage to which such participant is entitled including those issued pursuant to a contract under section 1876 or section 1833 of the federal Social Security Act (42 U.S.C. section 1395 et seq.) as amended.||V. "Health care services" means physician, hospitalization, laboratory, x-ray service and medical equipment and supplies, which may include but are not limited to: medical, surgical, and dental care; psychological, obstetrical, osteopathic, optometric, optic, podiatric, chiropractic, nursing, physical therapy services, and pharmaceutical services; health education; preventive medical, rehabilitative, and home health services; inpatient and outpatient hospital services, extended care, nursing home care, convalescent institutional care, laboratory and ambulance services, appliances, drugs, medicines, and supplies; and any other care, service, or treatment of disease, correction of defects, or the maintenance of the physical and mental well-being of enrolled participants.||VI. "Health maintenance organization" means a public or private organization, organized under the laws of this state or the laws of another state which:||(a) Provides or otherwise makes available to enrolled participants health care services;||(b) Is compensated for the provision of one or more health care services to an enrolled participant on a primarily predetermined periodic rate basis;||(c) Provides physicians' services directly through physicians who are either employees or partners of such an organization, or under arrangements with one or more physicians or groups of physicians.||VII. "Provider" means any physician, hospital or other institution, organization, or other person who furnishes health care services.|||Source. 1977, 282:1. 1997, 282:1. 2007, 289:14, eff. Jan. 1, 2008.|
NH Rev Stat § 420-B:2 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:2 - Certificate of Authority.

    420-B:2 Certificate of Authority. –||I. No person may operate a health maintenance organization without obtaining a certificate of authority from the commissioner. A foreign corporation may qualify under this chapter subject to its registration to do business in this state as a foreign corporation under RSA 293-A.||II. Every health maintenance organization, as of August 21, 1977, shall submit an application for a certificate of authority within 120 days of August 21, 1977. Each such applicant may continue to operate without certificate of authority until the commissioner acts upon the application.|||Source. 1977, 282:1, eff. Aug. 21, 1977.|
NH Rev Stat § 420-B:3 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:3 - Application for Certificate of Authority.

    420-B:3 Application for Certificate of Authority. –||Each application for a certificate of authority shall be verified by an officer or authorized representative of the applicant and shall be in a form prescribed by the commissioner, containing such information as the commissioner may require.|||Source. 1977, 282:1, eff. Aug. 21, 1977.|
NH Rev Stat § 420-B:4 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:4 - Jurisdictional Power of Attorney.

    420-B:4 Jurisdictional Power of Attorney. –||Any applicant for a certificate of authority who is not domiciled in this state shall file with its application a power of attorney duly executed appointing the commissioner and his successors in office, and duly authorized deputies, as the true and lawful attorney of such applicant in and for the state upon whom all lawful process in any legal action or proceeding against the health maintenance organization on a cause of action arising in this state may be served.|||Source. 1977, 282:1, eff. Aug. 21, 1977.|
NH Rev Stat § 420-B:5 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:5 - Issuance of Certificate of Authority.

    420-B:5 Issuance of Certificate of Authority. –||The commissioner shall issue a certificate of authority to any person filing an application within 90 days after filing of a completed application, payment of all required fees and receipt of endorsement or approval of the state health planning and development agency, as provided by law or regulation, if he is satisfied that the applicant is safe, reliable, entitled to confidence, in sound financial condition and that issuing the certificate of authority would be in the public interest.|||Source. 1977, 282:1, eff. Aug. 21, 1977.|
NH Rev Stat § 420-B:5-a (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:5-a - Renewal of Certificate of Authority.

    420-B:5-a Renewal of Certificate of Authority. –||The certificate shall be renewed annually on June 14 if the company complies with the requirements of this chapter, the commissioner regards it as safe, reliable, and entitled to confidence, and the company continues to conduct a meaningful business in New Hampshire, as determined by the commissioner.|||Source. 1989, 186:2, eff. July 1, 1989.|
NH Rev Stat § 420-B:5-b (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:5-b - New License Required for Changed Conditions.

    420-B:5-b New License Required for Changed Conditions. –||The commissioner shall require a health maintenance organization to apply for a new certificate in accordance with this chapter, if, after notice and hearing, the commissioner finds that the organization has undergone a substantial change in finances or managerial control since its last application for a certificate. The current certificate shall expire upon approval of the new application or 30 days after the decision of the commissioner that a substantial change has occurred, whichever is sooner.|||Source. 1989, 186:2, eff. July 1, 1989.|
NH Rev Stat § 420-B:6 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:6 - Pre-Certificate Activities.

    420-B:6 Pre-Certificate Activities. –||I. Upon request of any applicant, and subject to any regulations the commissioner may impose, the commissioner, in his discretion, may permit an applicant to contact potential enrolled participants prior to the issuance of a certificate of authority, to discuss the health care services the applicant proposes to offer and the proposed evidences of coverage.||II. The commissioner may, in his discretion in accordance with such regulations as he may impose, permit an organization to contact potential enrolled participants prior to the granting of a certificate of authority, to discuss the health care services such health maintenance organization proposes to offer if a certificate of authority is granted.|||Source. 1977, 282:1, eff. Aug. 21, 1977.|
NH Rev Stat § 420-B:8-a (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:8-a - Repealed by 1996, 188:14, IV, eff. Jan. 1, 1997.

    420-B:8-a Repealed by 1996, 188:14, IV, eff. Jan. 1, 1997. –|
NH Rev Stat § 420-B:8-aa (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:8-aa - Dependent Coverage.

    420-B:8-aa 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.||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 child 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, 352:3. 2009, 235:11. 2010, 243:10, eff. Sept. 23, 2010.|
NH Rev Stat § 420-B:8-c (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:8-c - Cancellation or Nonrenewal of Group Health Maintenance Organization Contracts.

    420-B:8-c Cancellation or Nonrenewal of Group Health Maintenance Organization Contracts. –||No group health maintenance organization contract, authorized under this chapter, may be cancelled or nonrenewed by the health maintenance organization, 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 maintenance organization 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 maintenance organization, at least 30 days prior to the effective date of the cancellation.|||Source. 1990, 194:4. 1991, 23:4, eff. Jan. 1, 1992.|
NH Rev Stat § 420-B:8-d (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:8-d - Cancellation or Nonrenewal of Non-Group Health Maintenance Organization Contracts.

    420-B:8-d Cancellation or Nonrenewal of Non-Group Health Maintenance Organization Contracts. –||No non-group health maintenance organization contract, authorized under this chapter, may be cancelled or nonrenewed by the health maintenance organization except for nonpayment of premium, unless the enrolled participant 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 enrolled participant or mailed to the enrolled participant's last address as shown in the records of the health maintenance organization at least 30 days prior to the renewal date of the contract.|||Source. 1990, 194:4. 1991, 23:5, eff. Jan. 1, 1992.|
NH Rev Stat § 420-B:8-e (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:8-e - Repealed by 2010, 61:3, III, eff. May 18, 2010.

    420-B:8-e Repealed by 2010, 61:3, III, eff. May 18, 2010. –|
NH Rev Stat § 420-B:8-ee (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:8-ee - Coverage for Dental Procedures.

    420-B:8-ee Coverage for Dental Procedures. –||I. Every health maintenance organization and every other similar corporation licensed under the laws of another state that issues or renews any group policy of accident or health insurance providing benefits for medical or hospital expenses, shall provide to each covered individual or certificate holder who is a resident of New Hampshire coverage for the medically necessary hospital or surgical day care facility charges and administration of general anesthesia administered by a licensed anesthesiologist or anesthetist for dental procedures performed on a covered person who:||(a) Is a child under the age of 13 who is determined by a licensed dentist in conjunction with a licensed primary care physician to have a dental condition of significant dental complexity which requires certain dental procedures to be performed in a surgical day care facility or hospital setting; or||(b) Is a person who has exceptional medical circumstances or a developmental disability as determined by a licensed primary care physician which place the person at serious risk.||II. All of the terms and conditions of the covered person's policy shall apply to these services.|||Source. 1998, 280:4. 2003, 278:4. 2010, 188:10, eff. Aug. 20, 2010. 2018, 188:8, eff. Aug. 7, 2018.|
NH Rev Stat § 420-B:8-f (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:8-f - Benefits for Scalp Hair Prostheses.

    420-B:8-f Benefits for Scalp Hair Prostheses. –||I. Benefits for scalp hair prostheses shall conform to the requirements of RSA 415:18-d. Such benefits shall not be subject to any greater deductible than any other prostheses benefits provided by the health maintenance organization. The coinsurance required by the enrolled participant shall not exceed the amount allowed under the contract for the reasonable and customary charge for the services provided. 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.||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. 1992, 246:5. 2001, 276:5, eff. Sept. 14, 2001.|
NH Rev Stat § 420-B:8-ff (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:8-ff - Coverage for Nonprescription Enteral Formulas.

    420-B:8-ff Coverage for Nonprescription Enteral Formulas. –||I. Every health maintenance organization and every other similar corporation licensed under the laws of another state that issues or renews any policy of individual or group health insurance providing benefits for medical or hospital expenses, shall provide to each individual or group, or to the portion of each group comprised of certificate holders of such insurance who are residents of this state, coverage for the provision of nonprescription enteral formulas for the treatment of impaired absorption of nutrients caused by disorders affecting the absorptive surface, functional length, or motility of the gastrointestinal tract. Such coverage shall be provided when the prescribing physician has issued a written order stating that the enteral formula is needed to sustain life, is medically necessary, and is the least restrictive and most cost effective means for meeting the needs of the patient.||II. Every health maintenance organization and every other similar corporation licensed under the laws of another state that issues or renews any policy of individual or group health insurance providing benefits for medical or hospital expenses, shall provide to each individual or group, or to the portion of each group comprised of certificate holders of such insurance who are resident of this state, coverage for the provision of nonprescription enteral formulas and food products required for persons with inherited diseases of amino acids and organic acids. Such coverage shall be provided when the prescribing physician has issued a written order stating that the enteral formula or food product is medically necessary and is the least restrictive and most cost effective means for meeting the needs of the patient. Coverage for inherited diseases of amino acids and organic acids shall, in addition to the enteral formula, include food products modified to be low protein in an amount not to exceed $1,800 annually for any insured individual.||III. The benefits included in this section shall not be subject to any greater deductible than any other benefits provided by the insurer. The coinsurance required by the enrolled participant shall not exceed the amount allowed under the contract for the reasonable and customary charge for the service provided.|||Source. 1995, 235:5. 1996, 131:6. 2010, 188:11, eff. Aug. 20, 2010.|
NH Rev Stat § 420-B:8-g (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:8-g - Coverage During Adoption Proceedings.

    420-B:8-g Coverage During Adoption Proceedings. –||All contracts issued by a health maintenance 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. 1992, 222:9, eff. Jan. 1, 1993.|
NH Rev Stat § 420-B:8-gg (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:8-gg - Coverage for Prescription Contraceptive Drugs and Prescription Contraceptive Devices and for Contraceptive Services.

    420-B:8-gg Coverage for Prescription Contraceptive Drugs and Prescription Contraceptive Devices and for Contraceptive Services. –||Every health maintenance organization and every other similar corporation licensed under the laws of another state that issues or renews any policy of group health insurance providing benefits for medical or hospital expenses, which provides coverage for outpatient services 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, coverage for outpatient contraceptive services under the same terms and conditions as for other outpatient services. "Outpatient contraceptive services" means consultations, examinations, and medical services, provided on an outpatient basis, including the initial screening provided through a pharmacy pursuant to RSA 318:47-l at a rate established by contract between the pharmacy and the insurer or its pharmacy benefits manager, and related to the use of contraceptive methods to prevent pregnancy which has been approved by the U.S. Food and Drug Administration. Each health maintenance organization and every other similar corporation licensed under the laws of another state that issues or renews any group health insurance providing benefits for medical or hospital expenses which provides a prescription rider shall cover all prescription contraceptive drugs and prescription contraceptive devices approved by the U.S. Food and Drug Administration under the same terms and conditions as other prescription drugs. Nothing in this section shall be construed as altering the terms and conditions of a contract relating to prescription drugs and outpatient services.|||Source. 1999, 252:3. 2010, 188:13, eff. Aug. 20, 2010. 2018, 205:6, eff. Jan. 1, 2019.|
NH Rev Stat § 420-B:8-h (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-B - Health Maintenance Organizations|Section 420-B:8-h - Notification of Allowable Benefit.

    420-B:8-h Notification of Allowable Benefit. –||All health maintenance organizations 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. 1993, 102:6, eff. Jan. 1, 1994.|