reglab/housing_qa huggingface dataset:
NH Rev Stat § 420-M:10 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-M - Purchasing Alliances|Section 420-M:10 - Marketing Health Benefit Plans.

    420-M:10 Marketing Health Benefit Plans. –||I. The alliance shall establish marketing standards for use by participating carriers.||II. Any marketing, advertisement, or educational material for health coverage sold through the alliance shall be approved by the alliance prior to its use.||III. The alliance shall make approved marketing materials available to member employers in an efficient and standardized manner. These materials shall include, but not be limited to, an accurate summary of benefit plans, rates, cost, and accreditation information relating to the offerings of the participating carrier.||IV. This section shall not be construed to prohibit or to compel the alliance or a participating carrier from using the services of an agent or broker.|||Source. 2010, 346:1, eff. July 20, 2010.|
NH Rev Stat § 420-M:11 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-M - Purchasing Alliances|Section 420-M:11 - Conflict of Interest.

    420-M:11 Conflict of Interest. –||No officer or board member or director or contract administrator of a purchasing alliance or members of their households may be employed by, be a consultant for, be a member of the board of directors of, or be affiliated with, or otherwise be a representative of a carrier or other insurer. This section shall not preclude an officer or board member or director or contract administrator of a purchasing alliance from purchasing health coverage through the alliance.|||Source. 2010, 346:1, eff. July 20, 2010.|
NH Rev Stat § 420-M:12 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-M - Purchasing Alliances|Section 420-M:12 - Purchasing Alliance Distinguished From Multiple Employer Welfare Arrangement.

    420-M:12 Purchasing Alliance Distinguished From Multiple Employer Welfare Arrangement. –||Purchasing alliances shall not be risk bearing entities, and shall not enter into a self-insured arrangement.|||Source. 2010, 346:1, eff. July 20, 2010.|
NH Rev Stat § 420-M:13 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-M - Purchasing Alliances|Section 420-M:13 - Qualified Purchasing Alliance.

[RSA 420-M:13 effective until 60 days after certification by the insurance commissioner that 29 C.F.R. section 2510.3-5(b) is valid and that issues raised in State of New York v. United States Department of Labor have been resolved, but not later than December 1, 2021; see also RSA 420-M:13 set out below.] |    420-M:13 Qualified Purchasing Alliance. –||A purchasing alliance that has a minimum of 3,000 enrollees may elect to obtain certification from the commissioner as a qualified purchasing alliance. To obtain certification, a purchasing alliance shall demonstrate:||I. Either that membership in the alliance is open to all employers without discrimination or that the alliance has established membership criteria that limit membership in the alliance to employers that are members of or affiliated with an association, trade group, or other entity that has been in existence for at least 10 years and was established and maintained for purposes other than the provision of health coverage; and||II. That the health benefit plan or plans offered to its members and the provider payment policies associated with those plans will promote more cost effective use of health care services by providing a better alignment of financial incentives with:||(a) Health care quality improvement and efficiency; and||(b) Health promotion and disease prevention.|||[RSA 420-M:13 effective 60 days after certification by the insurance commissioner that 29 C.F.R. section 2510.3-5(b) is valid and that issues raised in State of New York v. United States Department of Labor have been resolved, but not later than December 1, 2021; see also RSA 420-M:13 above.] ||||420-M:13 Qualified Purchasing Alliance. –||A purchasing alliance that has a minimum of 500 enrollees may elect to obtain certification from the commissioner as a qualified purchasing alliance. To obtain certification, a purchasing alliance shall demonstrate:||I. That the purchasing alliance meets all requirements under RSA 415-E to operate as a bona fide pathway II association; and||II. That certification of the applicant as a qualified purchasing alliance will promote the purposes set out in RSA 420-M:1; and||III. That the purchasing alliance has the capacity to monitor and screen sole proprietor members purchasing pathway II association coverage to ensure that they meet all requirements to qualify as an "employee" under 29 C.F.R. section 2510.3-5(b) and meets the per month hourly work requirement contained in RSA 126-AA:2, III.||||Source. 2010, 346:1. 2011, 155:2, eff. Aug. 7, 2011. 2019, 346:411.|
NH Rev Stat § 420-N:1 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:1 - Purpose and Scope.

    420-N:1 Purpose and Scope. –||The intent of this chapter is to preserve the state's status as the primary regulator of the business of insurance within New Hampshire and the constitutional integrity and sovereignty of the state of New Hampshire under the Tenth Amendment to the United States Constitution and part I, article 7 of the New Hampshire constitution and to create a legislative oversight committee to supervise the insurance commissioner's administration of the insurance reforms required under the Patient Protection and Affordable Care Act of 2009, Public Law 111-148, as amended by the Health Care and Education Reconciliation Act of 2010, Public Law 111-152, including any federal regulations, interpretations, standards, or guidance issued thereunder (hereinafter "the Act").|||Source. 2011, 264:1. 2012, 231:1, eff. June 18, 2012. 2017, 221:5, eff. July 10, 2017; 221:9, eff. July 1, 2020.|
NH Rev Stat § 420-N:2 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:2 - Definitions.

    420-N:2 Definitions. –||In this chapter:||I. "Act" means the Patient Protection and Affordable Care Act of 2009, Public Law 111-148, as amended by the Health Care and Education Reconciliation Act of 2010, Public Law 111-152, including any federal regulations, interpretations, standards, or guidance issued thereunder.||II. "Commissioner" means the insurance commissioner.||III. "Oversight committee" means the joint health care reform oversight committee established in RSA 420-N:3.|||Source. 2011, 264:1, eff. July 1, 2011. 2017, 221:6, eff. July 10, 2017; 221:10, eff. July 1, 2020.|
NH Rev Stat § 420-N:3 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:3 - Joint Health Care Reform Oversight Committee Established.

    420-N:3 Joint Health Care Reform Oversight Committee Established. –||I. There is established a joint health care reform oversight committee consisting of 6 members as follows:||(a) Three members of the senate, appointed by the senate president.||(b) Three members of the house of representatives, appointed by the speaker of the house of representatives.||II. The terms of the members shall be for the biennium and shall be coterminous with their membership in the general court. The oversight committee shall elect a chairperson from its membership. The oversight committee shall meet at the call of the chairperson who may call a meeting as often as necessary. The oversight committee shall require 4 members for a quorum.||III. The committee shall provide legislative oversight, policy direction, and recommendations for legislation with respect to the Act as it determines appropriate. The committee shall also review existing rules, bulletins, or policies adopted pursuant to 2010, 243 and may require the repeal of such rules, bulletins, or policies.||IV. The committee shall make a report, together with any recommendations for legislation, to the president of the senate, the speaker of the house of representatives, the chairpersons of the house commerce and consumer affairs and the health, human services and elderly affairs committees and the senate commerce and health and human services committees by December 1, 2011 and annually thereafter.|||Source. 2011, 264:1, eff. July 1, 2011.|
NH Rev Stat § 420-N:4 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:4 - Implementation of the Act.

    420-N:4 Implementation of the Act. –||I. The oversight committee established under RSA 420-N:3 shall determine all policies within the state of New Hampshire regarding implementation of the Act, as directed by this chapter and by any future law enacted by the general court with respect to implementation of the Act.||II. Before establishing any standard for enforcing or implementing the Act, and before initiating any rulemaking proceeding relating to the Act, the commissioner shall obtain approval for the standard or rule from the oversight committee.||III. The commissioner shall make periodic reports as requested by the oversight committee on the provisions of the Act that have taken legal effect in New Hampshire and on the status of the commissioner's implementation and enforcement efforts under the Act.||IV. The commissioner shall not implement or enforce any provision of the Act that has been ruled unconstitutional or invalid by the United States Supreme Court.|||Source. 2011, 264:1, eff. July 1, 2011.|
NH Rev Stat § 420-N:5 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:5 - Authority of the Commissioner.

    420-N:5 Authority of the Commissioner. –||Only with such prior approvals from the oversight committee as are required under RSA 420-N:4, the commissioner shall have authority to:||I. Make, adopt, and amend rules and regulations pursuant to RSA 541-A for, or as an aid to, the administration of any provision of the Act relating to insurance;||II. Apply for any public or private grant funds available under the Act;||III. Apply for any waiver available under any specific provision of the Act;||IV. Adopt and apply standards consistent with the Act for form and rate review of insurance products and any other regulatory oversight functions performed by the department; and||V. Enforce the consumer protections and market reforms set forth in the Act that relate to insurance. This shall not include the medical assistance program under RSA 167.|||Source. 2011, 264:1, eff. July 1, 2011.|
NH Rev Stat § 420-N:5-a (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:5-a - Repealed by 2014, 201:2, eff. Jan. 1, 2019.

    420-N:5-a Repealed by 2014, 201:2, eff. Jan. 1, 2019. –|
NH Rev Stat § 420-N:6 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:6 - Repealed by 2012, 231:3, I, eff. June 18, 2012.

    420-N:6 Repealed by 2012, 231:3, I, eff. June 18, 2012. –|
NH Rev Stat § 420-N:6-a (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:6-a - Waiver.

    420-N:6-a Waiver. –||If such action is supported by the recommendations of actuarial experts retained by the department as being consistent with the purposes of RSA 404-G:1, I, the commissioner shall, at the earliest practicable date, submit an application on behalf of the state to the United States Secretary of the Treasury, and if required, to the United States Secretary of Health and Human Services, to waive certain provisions of the Act, as provided in section 1332 of the Act, or any other applicable waiver provision in order to create a risk sharing or reinsurance mechanism for the individual market under RSA 404-G which is eligible to draw down federal pass-through funding to support such mechanism. The commissioner shall publish and accept public comment on the 1332 waiver application and the plan of operation for the individual market mechanism prior to approving such plans. Upon approval of the joint health care reform oversight committee, the commissioner shall implement any federally approved waiver, including but not limited to overseeing the implementation of a revised plan of operations under RSA 404-G:12.|||Source. 2017, 221:7, eff. July 10, 2017. 2019, 346:421, eff. July 1, 2019.|
NH Rev Stat § 420-N:7 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:7 - Prohibition on State-Based Health Exchange; Guidelines for Interaction With Federally-Facilitated Health Exchange.

    420-N:7 Prohibition on State-Based Health Exchange;  Guidelines for Interaction With Federally-Facilitated Health Exchange. –||I. No New Hampshire state agency, department, or political subdivision shall plan, create, participate in or enable a state-based exchange for health insurance under the Act, or contract with any private entity to do so.||II. State agencies or departments may interact with the federal government with respect to the creation of a federally-facilitated exchange for New Hampshire.||III. Subject to the requirements of this chapter with respect to oversight committee approval, state agencies or departments may operate specific functions of a federally-facilitated exchange consistent with this subdivision to enable the continuation of traditional areas of state regulation and authority.||IV. State agency activities relating to any federally-facilitated exchange for New Hampshire shall be consistent with the following objectives:||(a) Promoting preservation of the private, commercial delivery of health coverage through carriers and producers to the greatest degree possible under the Act and minimizing interference with the operation of commercial markets.||(b) Minimizing overhead and administrative expenses.||(c) Promoting competition and consumer choice, for example by advocating for allowing all health and dental plans that meet the minimum requirements necessary to be certified as qualified plans under the Act to be offered in the exchange.||(d) Preserving to the greatest extent possible the state's insurance regulatory authority and the state's flexibility in determining Medicaid eligibility standards and program design and operation.|||Source. 2012, 231:2, eff. June 18, 2012.|
NH Rev Stat § 420-N:8 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:8 - Federally-Facilitated Exchange; Authority of the Commissioner.

[RSA 420-N:8 contingently repealed by 2012, 231:3, II; see contingency note in main volume.]|    420-N:8 Federally-Facilitated Exchange;  Authority of the Commissioner. –||I. In the event a federally-facilitated exchange is established for New Hampshire, the commissioner shall retain authority with respect to insurance products sold in New Hampshire on the federally-facilitated exchange to the maximum extent possible by law as provided in title XXXVII, including but not limited to producer and insurer licensing, form and rate approval, reinsurance and other risk-sharing mechanisms, network adequacy, industry assessments, internal grievance standards, external review, and unfair trade practices.||II. Any person who sells, solicits, or negotiates insurance within the meaning of RSA 402-J:3 through a federally-facilitated exchange shall be licensed as a producer under RSA 402-J; provided, that nothing in this subdivision shall prohibit the sale of health coverage by an exchange or health carrier directly to the consumer without the use of a producer. This paragraph shall not be interpreted to require that all navigators as defined under the Act be licensed as producers, but rather that any individual who in fact performs a producer function be licensed, whether or not that person is employed by a navigator.||III. The commissioner may establish standards and training requirements for navigators on a federally-facilitated exchange consistent with section 1311(i) of the Act and regulations implemented under the Act, including provisions to ensure that any private or public entity that is selected as a navigator avoids conflicts of interest and is appropriately qualified to engage in navigator activities.||IV. The commissioner shall, consistent with the requirements of the Act, allow producers to enroll individuals, employers, or employees in qualified health plans offered through a federally-facilitated exchange in this state, including enrollment using Internet websites.||V. The commissioner may adopt rules, pursuant to RSA 541-A and in accordance with RSA 420-N:4, II, as necessary to perform the duties specified in this section and to protect against adverse selection by creating a level playing field between a federally-facilitated exchange and the commercial health insurance market.|||Source. 2012, 231:2, eff. June 18, 2012.|
NH Rev Stat § 420-N:9 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:9 - Federally-Facilitated Exchange; Authority of the Health and Human Services Commissioner.

[RSA 420-N:9 contingently repealed by 2012, 231:3, II; see contingency note in main volume.]|    420-N:9 Federally-Facilitated Exchange;  Authority of the Health and Human Services Commissioner. –||I. The commissioner of health and human services shall have authority to establish New Hampshire eligibility standards, enrollment procedures, and outreach mechanisms for persons who are enrolled through a federally-facilitated exchange in this state in the Medicaid program under title XIX of the Social Security Act or the Children's Health Insurance Program (CHIP) under title XXI of the Social Security Act.||II. The commissioner of health and human services may establish navigator guidelines for New Hampshire consistent with section 1311(i) of the Act, and regulations implemented under the Act, to ensure that navigators are qualified to reach and assist the Medicaid-eligible and other populations served by a federally-facilitated exchange in New Hampshire.||III. The commissioner of health and human services may adopt rules, pursuant to RSA 541-A and subject to oversight committee approval under RSA 161:11, as necessary to fulfill the purposes of this subdivision.|||Source. 2012, 231:2, eff. June 18, 2012.|
NH Rev Stat § 420-N:10 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-N - Federal Health Care Reform 2010|Section 420-N:10 - Repealed by 2020, 37:52, eff. Sept. 27, 2020.

    420-N:10 Repealed by 2020, 37:52, eff. Sept. 27, 2020. –|
NH Rev Stat § 420-O:1 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-O - Self-Funded Student Health Benefit Plans|Section 420-O:1 - Purpose and Scope.

    420-O:1 Purpose and Scope. –||I. The purpose of this chapter is to set forth standards and procedures for not-for-profit private and public institutions of higher education which provide 4 year bachelor's degree programs and graduate or professional degree programs, and which have a history of providing for the health insurance needs of their students by implementing self-funded student health benefit plans, to obtain authorization to continue this practice.||II. This chapter shall apply only to self-funded student health benefit plans, not to fully-insured student major medical expense coverage, which is governed by RSA 415:19-a and other applicable provisions of Title XXXVII. Nothing in this chapter shall be construed to prohibit an educational institution from purchasing fully-insured student health coverage offered pursuant to RSA 415:19-a.|||Source. 2016, 257:1, eff. Jan. 1, 2017.|
NH Rev Stat § 420-O:2 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-O - Self-Funded Student Health Benefit Plans|Section 420-O:2 - Definitions.

    420-O:2 Definitions. –||In this chapter:||I. "Commissioner" means the insurance commissioner.||II. "Plan document" means evidence of coverage furnished to a student that sets forth all benefits and terms and conditions, with regard to a student health plan.||III. "Qualified actuary" means an actuary who is a member in good standing of the American Academy of Actuaries or Society of Actuaries, with experience in establishing rates for self-insured trusts providing health benefits or other similar experience.||IV. "Institution of higher education" or "institution" means an educational institution in New Hampshire that:||(a) Admits as regular students only persons having a certificate of graduation from a school providing secondary education, or the recognized equivalent of such a certificate, or persons who have completed a secondary school education in a home school setting that is treated as a home school or private school under the laws of this state;||(b) Is legally authorized within New Hampshire to provide a program of education beyond secondary education;||(c) Provides an educational program for which the institution awards a bachelor's degree, graduate degree, or professional degree;||(d) Is a public or other nonprofit institution;||(e) Is accredited by a nationally recognized accrediting agency or association; and||(f) Has a history of providing for the health insurance needs of its students through a self-funded student health benefit plan.||V. "Student" means a person enrolled in a degree program in an institution of higher education and may include a postdoctoral fellow.||VI. "Student health plan" or "plan" means any self-funded plan established or maintained by an institution of higher education for the purpose of providing medical, surgical, or hospital services to a student, the student's spouse or domestic partner, the student's child or children, or other persons chiefly dependent upon the student for support and maintenance.|||Source. 2016, 257:1, eff. Jan. 1, 2017.|
NH Rev Stat § 420-O:4 (2021)
2021 New Hampshire Revised Statutes|Title XXXVII - Insurance|Title 420-O - Self-Funded Student Health Benefit Plans|Section 420-O:4 - Minimum Loss Ratio; Reporting.

    420-O:4 Minimum Loss Ratio;  Reporting. –||I. A plan under this chapter shall have an expected loss ratio of not less than 85 percent. In reviewing a rate filing or application by a plan, the commissioner may modify the expected minimum loss ratio requirement if the commissioner determines the modification to be in the interests of the people of this state or if the commissioner determines that a modification is necessary to maintain plan solvency.||II. No later than 120 days after the close of a plan's fiscal year, a plan shall annually report the actual loss ratio for the previous plan fiscal year in a format acceptable to the commissioner. If the expected loss ratio is not met, the commissioner may direct the plan to take corrective action. Mandatory uniform student administrative health fees paid by the students irrespective of whether the student is a plan member to an institution shall not be deemed to be included in the premiums paid by students for health benefit coverage under a plan.|||Source. 2016, 257:1, eff. Jan. 1, 2017.|