reglab/housing_qa huggingface dataset:
AR Code § 23-79-504 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 5 - Comprehensive Health Insurance Pool Act|§ 23-79-504. Arkansas Comprehensive Health Insurance Pool

 (a) There is created a nonprofit legal entity to be known as the “Arkansas Comprehensive Health Insurance Pool” as the successor entity to the nonprofit legal entity established by Acts 1995, No. 1339.  (b)  (1) The pool shall operate subject to the supervision and control of the Board of Directors of the Arkansas Comprehensive Health Insurance Pool. The pool is created as a political subdivision, instrumentality, and body politic of the State of Arkansas, and, as such, is not a state agency.  (2) Except to the extent defined in this subchapter, the pool will be exempt from:  (A) All state, county, and local taxes;  (B) The Arkansas Procurement Law, § 19-11-201 et seq.;  (C) The Freedom of Information Act of 1967, § 25-19-101 et seq.; and  (D) The Arkansas Administrative Procedure Act, § 25-15-201 et seq.    (3) The board shall consist of the following seven (7) members to be appointed by the Insurance Commissioner:  (A) Two (2) current or former representatives of insurance companies licensed to do business in the State of Arkansas;  (B) Two (2) current or former representatives of health maintenance organizations licensed to do business in the State of Arkansas;  (C) One (1) member of a health-related profession licensed in the State of Arkansas;  (D) One (1) member from the general public who is not associated with the medical profession, a hospital, or an insurer; and  (E) One (1) member to represent a group considered to be uninsurable.    (4) In making appointments to the board, the commissioner shall strive to ensure that at least one (1) person serving on the board is at least sixty (60) years of age.  (5) All terms shall be for three (3) years.  (6) The board shall elect one (1) of its members as chair.  (7) Any vacancy in the board occurring for any reason other than the expiration of a term shall be filled for the unexpired term in the same manner as the original appointment.  (8) Members of the board may be reimbursed from moneys of the pool for actual and necessary expenses incurred by them in the performance of their official duties as members of the board but shall not otherwise be compensated for their services.    (c) All insurers, as a condition of doing business in the State of Arkansas, shall participate in the pool by paying the assessments, submitting the reports, and providing the information required by the board or the commissioner to implement the provisions of this subchapter.  (d)  (1) Neither the board nor its employees shall be liable for any obligations of the pool.  (2) No board member or employee of the board shall be liable, and no cause of action of any nature may arise against them, for any act or omission related to the performance of their powers and duties under this subchapter.  (3) The board may provide in its bylaws or rules for indemnification of, and legal representation for, the board members and employees.
AR Code § 23-79-505 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 5 - Comprehensive Health Insurance Pool Act|§ 23-79-505. Plan of operation

 (a)  (1) The Board of Directors of the Arkansas Comprehensive Health Insurance Pool shall adopt a plan of operation pursuant to this subchapter and shall submit to the Insurance Commissioner for approval the plan of operation including the Arkansas Comprehensive Health Insurance Pool's articles, bylaws and operating rules, and any amendments thereto necessary or suitable to assure the fair, reasonable, and equitable administration of the pool. The plan of operation shall become effective upon approval in writing by the commissioner.  (2) If the board fails to submit a suitable plan of operation within one hundred eighty (180) days after the appointment of the board of directors, or at any time thereafter fails to submit suitable amendments to the plan of operation, the commissioner shall adopt and promulgate such rules as are necessary or advisable to effectuate the provisions of this section. The rules shall continue in force until modified by the commissioner or superseded by a plan of operation submitted by the board and approved by the commissioner.    (b) The plan of operation shall:  (1) Establish procedures for operation of the pool;  (2) Establish procedures for selecting a plan administrator in accordance with § 23-79-508;  (3) Create a fund, under management of the board, to pay administrative claims and other expenses of the pool;  (4) Establish procedures for the handling, accounting, and auditing of assets, moneys, and claims of the pool and the plan administrator;  (5) Develop and implement a program to publicize the existence of the plan, the eligibility requirements, and the procedures for enrollment and to maintain public awareness of the plan;  (6)  (A) Establish procedures under which applicants and participants may have grievances reviewed by a grievance committee appointed by the board. The grievances shall be reported to the board after completion of the review.  (B) The board shall retain all written complaints regarding the plan for at least three (3) years; and    (7) Provide for other matters as may be necessary and proper for the execution of the board's powers, duties, and obligations under this subchapter.
AR Code § 23-79-508 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 5 - Comprehensive Health Insurance Pool Act|§ 23-79-508. Plan administrator

 (a) The Board of Directors of the Arkansas Comprehensive Health Insurance Pool shall select an insurer through a competitive bidding process to administer the plan. However, the administering insurer designated by the board created by Acts 1995, No. 1339, shall serve as the plan administrator under this subchapter until the expiration of the current contract of the administering insurer. The board shall evaluate bids submitted under this section based upon criteria established by the board which shall include, but not be limited to, the following:  (1) The plan administrator's proven ability to handle large group accident and health benefit plans;  (2) The efficiency and timeliness of the plan administrator's claim processing procedures;  (3) An estimate of total charges for administering the plan;  (4) The plan administrator's ability to apply effective cost containment programs and procedures and to administer the plan in a cost efficient manner; and  (5) The financial condition and stability of the plan administrator.    (b)  (1) The plan administrator shall serve for a period of three (3) years subject to removal for cause and subject to the terms, conditions, and limitations of the contract between the board and the plan administrator.  (2) The board shall advertise for and accept bids to serve as the plan administrator for the succeeding three-year periods.    (c) The plan administrator shall perform functions related to the plan as may be assigned to it, including:  (1) Determination of eligibility;  (2) Payment and processing of claims;  (3) Establishment of a premium billing procedure for collection of premiums. Billings shall be made on a periodic basis as determined by the board; and  (4) Other necessary functions to assure timely payment of benefits to covered persons under the plan, including:  (A) Making available information relating to the proper manner of submitting a claim for benefits under the plan and distributing forms upon which submissions shall be made; and  (B) Evaluating the eligibility of each claim for payment under the plan.      (d)  (1) The plan administrator shall submit regular reports to the board regarding the operation of the plan.  (2) Frequency, content, and form of the report shall be determined by the board.    (e)  (1) The plan administrator shall pay claim expenses from the premium payments received from or on behalf of plan participants and allocated by the board for claim expenses.  (2) If the plan administrator's payments for claims expenses exceed the portion of premiums allocated by the board for payment of claims expenses, the board shall provide additional funds to the plan administrator for payment of claims expenses.    (f) The plan administrator shall be governed by the requirements of this subchapter and shall be compensated as provided in the contract between the board and the plan administrator.
AR Code § 23-79-511 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 5 - Comprehensive Health Insurance Pool Act|§ 23-79-511. Confidentiality

 (a)  (1) All steps necessary under state and federal law to protect confidentiality of applicants and covered persons shall be undertaken by the Board of Directors of the Arkansas Comprehensive Health Insurance Pool to prevent the identification of individual records of covered persons under the plan, rejected by the plan, or who may become ineligible for further participation in the plan.  (2) Procedures shall be written by the board to assure the confidentiality of records of persons covered under, rejected by, or who became ineligible for further participation in the plan when gathering and submitting data to the board or any other entity.    (b) Any information submitted to the board by hospitals or any other provider pursuant to this subchapter from which the identity of a particular individual can be determined shall be privileged and confidential and shall not be disclosed in any manner. The foregoing includes, but shall not be limited to, disclosure, inspection, or copying under the Freedom of Information Act of 1967, § 25-19-101 et seq.
AR Code § 23-79-512 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 5 - Comprehensive Health Insurance Pool Act|§ 23-79-512. Collective action

 Neither the participation in the plan as insurers, the establishment of rates, forms, or procedures nor any other joint or collective action required by this subchapter shall be the basis of any legal action, criminal or civil liability, or penalty against the plan or any insurer.
AR Code § 23-79-513 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 5 - Comprehensive Health Insurance Pool Act|§ 23-79-513. Unfair referral to plan — Prohibited practices by employers

 (a) It shall constitute an unfair trade practice under the Trade Practices Act, § 23-66-201 et seq., for an insurer, agent, broker, or third-party administrator to refer an individual to the Arkansas Comprehensive Health Insurance Pool or arrange for an individual to apply to the pool for the purpose of:  (1) Separating the individual from group health insurance coverage provided by a group health plan; or  (2) Facilitating enrollment in the pool by any of the following individuals associated with an employer, with the knowledge that the employer intends to pay or is paying all or part of the premium payments owed by the individual for pool coverage:  (A) An employee of the employer;  (B) A retired employee of the employer; or  (C) A dependent of an employee or retired employee of the employer.      (b) Because pool coverage is not intended to cover participants who are eligible for a group health plan, an individual described in subdivision (a)(2) of this section is not eligible:  (1) For pool coverage if the employer associated with the applicant intends to pay for all or part of the pool premium payments for the individual; or  (2) To continue pool coverage if the employer associated with the individual directly or indirectly pays all or part of the pool premium payments for the individual.
AR Code § 23-79-516 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 5 - Comprehensive Health Insurance Pool Act|§ 23-79-516. Statute of limitations and repose

 Because winding up the operations of the Arkansas Comprehensive Health Insurance Pool requires the expeditious determination of its outstanding liabilities, a cause of action against the pool or the Board of Directors of the Arkansas Comprehensive Health Insurance Pool shall be commenced within the earlier of one (1) year after the cause of action accrues or December 31, 2015.
AR Code § 23-79-517 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 5 - Comprehensive Health Insurance Pool Act|§ 23-79-517. Individuals moving to Arkansas and previously covered by another qualified high-risk pool

 (a) Notwithstanding § 23-79-510(f), if a resident eligible person is eligible for plan coverage because the person previously was covered under a qualified high-risk pool of another state, a preexisting condition exclusion otherwise applicable to the resident eligible person:  (1) Shall be reduced by each month of coverage in which the resident eligible person was subject to a preexisting condition exclusion in the other state's qualified high-risk pool; or  (2) Does not apply if the resident eligible person was not subject to a preexisting condition exclusion in the other state's qualified high-risk pool.    (b) This section expires on the last day an individual may be enrolled into plan coverage under this subchapter.
AR Code § 23-79-601 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 6 - Coverage for Diabetes Treatment|§ 23-79-601. Definitions

 As used in this subchapter:   (1) “Diabetes self-management training” means instruction in an inpatient or outpatient setting including medical nutrition therapy relating to diet, caloric intake and diabetes management, excluding programs the primary purposes of which are weight reduction, which enables diabetic patients to understand the diabetic management process and daily management of diabetic therapy as a method of avoiding frequent hospitalizations and complications when the instruction is provided in accordance with a program in compliance with the National Standards for Diabetes Self-Management Education and Support as developed by the American Diabetes Association;  (2) “Healthcare insurer” means any insurance company, fraternal benefit society, hospital and medical services corporation, or health maintenance organization issuing or delivering a health insurance policy subject to any of the following laws:  (A) The Arkansas Insurance Code;  (B) Section 23-74-101 et seq., relating to fraternal benefit societies;  (C) Section 23-75-101 et seq., pertaining to hospital medical service corporations;  (D) Section 23-76-101 et seq., pertaining to health maintenance organizations; and  (E) Any successor law of the foregoing; and    (3) “Health insurance policy” means a group insurance policy, contract, or plan or an individual policy, contract, or plan which provides medical coverage on an expense incurred, service, or prepaid risk-sharing basis. The term includes, but is not limited to, a policy, contract, or plan issued by an entity subject to any of the following laws:  (A) The Arkansas Insurance Code;  (B) Section 23-74-101 et seq., relating to fraternal benefit societies;  (C) Section 23-75-101 et seq., pertaining to hospital medical service corporations;  (D) Section 23-76-101 et seq., pertaining to health maintenance organizations; and  (E) Any successor law of the foregoing.
AR Code § 23-79-602 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 6 - Coverage for Diabetes Treatment|§ 23-79-602. Diabetes self-management training — Licensed providers — Prescription by physician

 (a) Every health insurance policy shall include coverage for a one-per-lifetime training program per insured for diabetes self-management training when medically necessary as determined by a physician and when provided by an appropriately licensed healthcare professional upon certification by the healthcare professional providing the training that the insured patient has successfully completed the training.  (b) Every healthcare insurer shall offer, in addition to the one-lifetime-training program provided in subsection (a) of this section, additional diabetes self-management training in the event that a physician prescribes additional diabetes self-management training and it is medically necessary because of a significant change in the insured's symptoms or conditions.  (c) A licensed healthcare professional shall only provide diabetes self-management training within his or her scope of practice after having demonstrated expertise in diabetes care and treatment and after having completed an educational program required by his or her licensing board when that program is in compliance with the National Standards for Diabetes Self-Management Education and Support as developed by the American Diabetes Association.  (d) Diabetes self-management training shall be provided only upon prescription by a physician licensed under the Arkansas Medical Practices Act, § 17-95-201 et seq., § 17-95-301 et seq., and § 17-95-401 et seq.  (e) Nothing in this subchapter shall be construed to prohibit healthcare insurers from selectively negotiating contracts with qualified providers of diabetes self-management training programs.
AR Code § 23-79-603 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 6 - Coverage for Diabetes Treatment|§ 23-79-603. Requirements

 (a) Every health insurance policy shall include medical coverage for medically necessary equipment, supplies, and services for the treatment of Type I diabetes, Type II diabetes, and gestational diabetes, when prescribed by a physician licensed under § 17-95-201 et seq.  (b) The coverage required by this section shall be consistent with that established for other services covered by a given health insurance policy in regard to any of the following:  (1) Deductibles, coinsurance, other patient cost-sharing amounts or out-of-pocket limits; or  (2) Prior authorization or other utilization review requirements or processes.
AR Code § 23-79-604 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 6 - Coverage for Diabetes Treatment|§ 23-79-604. Exclusions

 This subchapter shall not be construed as prohibiting a health insurance policy from excluding from coverage diabetes self-management training or equipment or supplies and related services for the treatment of Type I diabetes, Type II diabetes, or gestational diabetes when the training, equipment, supplies, and services are not medically necessary, provided that the medical necessity determination is made in accordance with generally accepted standards of the medical profession and other applicable laws and rules.
AR Code § 23-79-605 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 6 - Coverage for Diabetes Treatment|§ 23-79-605. Rules

 The State Insurance Department shall develop and promulgate rules to implement the provisions of this subchapter.
AR Code § 23-79-606 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 6 - Coverage for Diabetes Treatment|§ 23-79-606. Applicability — Delivery within state

 (a) This subchapter shall apply to any health insurance policy that is delivered, issued for delivery, renewed, extended, or modified in this state on or after August 1, 1997.  (b) If a health insurance policy provides coverage or benefits to an Arkansas resident, the health insurance policy shall be deemed to be delivered in this state within the meaning of this subchapter, regardless of whether the healthcare insurer or other entity that provides the coverage is located within or outside of Arkansas.
AR Code § 23-79-607 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 6 - Coverage for Diabetes Treatment|§ 23-79-607. Applicability — Exceptions

 This subchapter shall not apply to:   (1) Long-term care plans;  (2) Disability income plans;  (3) Short-term nonrenewable individual health insurance policies that expire after six (6) months;  (4) Medical payments under homeowner or automobile insurance policies; and  (5) Workers' compensation insurance.
AR Code § 23-79-701 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 7 - Tax Credits for Medically Necessary Foods|§ 23-79-701. Definitions

 As used in this subchapter:   (1) “Healthcare services” means any services included in the furnishing to any individual of medical or hospitalization or services incident to the furnishing of care or hospitalization, as well as the furnishing to any person of any and all other services or goods for the purpose of preventing, alleviating, curing, or healing human illness or injury;  (2) “Health plan” means any group, blanket, or individual accident and health insurance policy, contract, or plan issued in this state by an insurance company, hospital medical service corporation, or health maintenance organization, provided that nothing in this subchapter shall apply to accident only, specified disease, hospital indemnity, medicare supplement, long-term care, disability income, or other limited benefit health insurance policies;  (3) “Inherited metabolic disease” means a disease caused by an inherited abnormality of body chemistry;  (4) “Low protein modified food product” means a food product that is specifically formulated to have less than one gram (1 g) of protein per serving and intended to be used under the direction of a physician for the dietary treatment of an inherited metabolic disease;  (5) “Medical food” means a food that is intended for the dietary treatment of a disease or condition for which nutritional requirements are established by recognized scientific principles and formulated to be consumed or administered enterally under the direction of a physician; and  (6) “Provider” means any person who is licensed in this state to furnish healthcare services as a health professional.
AR Code § 23-79-702 (2020)
2020 Arkansas Code|Title 23 - Public Utilities and Regulated Industries|Subtitle 3 - Insurance|Chapter 79 - Insurance Policies Generally|Subchapter 7 - Tax Credits for Medically Necessary Foods|§ 23-79-702. Tax credit for medically necessary medical foods and low protein modified food products

 (a) A credit of up to two thousand four hundred dollars ($2,400) per year per child shall be allowed to individuals or to families with a dependent child or children with phenylketonuria, galactosemia, organic acidemias, and disorders of amino acid metabolism against the income tax imposed by the Income Tax Act of 1929, § 26-51-101 et seq., for expenses for the purchase of medically necessary medical foods and low protein modified food products.  (b) The credit allowed in this section shall be effective for taxable years beginning January 1, 1999.  (c) To the extent that the credit fully available under this subchapter is not fully utilized in this first year, it may be carried forward for an additional two (2) years. Any credit remaining thereafter shall expire.