reglab/housing_qa huggingface dataset:
NE Code § 44-4706 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4706 - Effect on organizations operating without a certificate of authority.

44-4706.  Effect on organizations operating without a certificate of authority.Within one hundred eighty days after August 25, 1989, every prepaid limited health service organization operating in this state without a certificate of authority shall submit an application for a certificate of authority to the director. Each such organization may continue to operate during the pendency of its application. In the event an application is denied under this section, the applicant shall then be treated as a prepaid limited health service organization whose certificate of authority has been revoked.Source  Laws 1989, LB 320, § 6.
NE Code § 44-4707 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4707 - Filing requirements for authorized entities; disapproval.

44-4707.  Filing requirements for authorized entities; disapproval.(1) Any entity authorized pursuant to the laws of this state to operate a health maintenance organization, an accident and health insurance company, or a fraternal benefit society and which is not otherwise authorized pursuant to the laws of this state to offer limited health services on a per capita or fixed prepayment basis may do so by filing for approval with the director the information described in subdivisions (4), (5), (7), (8), (10), (11), (12), and (14) of section 44-4704 and any subsequent material modification or addition thereto.(2) If the director disapproves the filing, the procedures set forth in subsection (2) of section 44-4705 shall be followed.Source  Laws 1989, LB 320, § 7.
NE Code § 44-4708 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4708 - Changes in rates or benefits; material modifications; addition of a limited health service; notices; hearing.

44-4708.  Changes in rates or benefits; material modifications; addition of a limited health service; notices; hearing.(1) A prepaid limited health service organization shall file with the director prior to use a notice of any change in rates, charges, or benefits and of any material modification of any matter or document furnished pursuant to section 44-4704, together with such supporting documents as are necessary to fully explain the change or modification. If the director does not disapprove such filing within thirty days of its filing, such filing shall be deemed approved.(2) If a prepaid limited health service organization desires to add one or more limited health services, it shall file a notice with the director and, at the same time, shall submit the information required by section 44-4704 if different from that filed with the prepaid limited health service organization's application and shall demonstrate compliance with sections 44-4717, 44-4718, and 44-4724. If the director does not disapprove such filing within thirty days of its filing, such filing shall be deemed approved.(3) If the director does not approve the change, modification, or addition of a limited health service, the director shall notify the prepaid limited health service organization by certified mail and shall specify the reasons for disapproval in the notice. The prepaid limited health service organization shall have ten days from the date of receipt of the notice to request a hearing before the director pursuant to the Administrative Procedure Act.Source  Laws 1989, LB 320, § 8. Cross References  Administrative Procedure Act, see section 84-920.
NE Code § 44-4709 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4709 - Evidence of coverage.

44-4709.  Evidence of coverage.(1) Every subscriber shall be issued an evidence of coverage which shall contain a clear and complete statement of:(a) The services to which each enrollee is entitled;(b) Any limitation of the services, kind of services, or benefits to be provided and exclusions, including any deductible, copayment, or other charges;(c) Where and in what manner information is available as to where and how services may be obtained; and(d) The method for resolving complaints.(2) Any amendment to the evidence of coverage may be provided to the subscriber in a separate document.Source  Laws 1989, LB 320, § 9.
NE Code § 44-4710 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4710 - Rates and charges.

44-4710.  Rates and charges.The rates and charges shall be reasonable in relation to the services provided. The director may request a statement from the prepaid limited health service organization describing the appropriateness of the rates and charges.Source  Laws 1989, LB 320, § 10.
NE Code § 44-4711 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4711 - Construction with other laws.

44-4711.  Construction with other laws.(1) A prepaid limited health service organization shall be subject to the Unfair Insurance Trade Practices Act and the Unfair Insurance Claims Settlement Practices Act. No other provision of Chapter 44 shall apply unless specifically mentioned in the Prepaid Limited Health Service Organization Act or unless prepaid limited health service organizations are specifically mentioned in the provisions of Chapter 44.(2) The provision of limited health services by a prepaid limited health service organization or other entity pursuant to the Prepaid Limited Health Service Organization Act shall not be deemed to be the practice of medicine or other healing arts.(3) Solicitation to arrange for or provide limited health services in accordance with the Prepaid Limited Health Service Organization Act shall not be construed to violate any provision of law relating to solicitation or advertising by health professionals.(4) A prepaid limited health service organization organized under the laws of this state shall be deemed to be a domestic insurer for purposes of the Insurance Holding Company System Act unless specifically exempted in writing from one or more of the provisions of the act by the director.Source   Laws 1989, LB 320, § 11;   Laws 1991, LB 236, § 58;   Laws 1991, LB 234, § 38.  Cross References   Insurance Holding Company System Act, see section 44-2120.  Unfair Insurance Claims Settlement Practices Act, see section 44-1536.  Unfair Insurance Trade Practices Act, see section 44-1521.
NE Code § 44-4712 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4712 - Nonduplication of coverage.

44-4712.  Nonduplication of coverage.Notwithstanding any other law of this state, no prepaid limited health service organization, health maintenance organization, accident and health insurance company, or fraternal benefit society shall be required to include, in any contract or policy issued to a group, any coverage that would duplicate the coverage for limited health services, whether in the form of services, supplies, or reimbursement, which is provided in accordance with the Prepaid Limited Health Service Organization Act under a contract or policy issued to the same group or to a part of that group by a prepaid limited health service organization, a health maintenance organization, an accident and health insurance company, or a fraternal benefit society.Source  Laws 1989, LB 320, § 12.
NE Code § 44-4713 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4713 - Complaint system.

44-4713.  Complaint system.Every prepaid limited health service organization shall establish and maintain a complaint system to provide reasonable procedures for the resolution of written complaints initiated by enrollees or providers. This section shall not be construed to preclude an enrollee or a provider from filing a complaint with the director or as limiting the director's ability to investigate such complaints.Source  Laws 1989, LB 320, § 13.
NE Code § 44-4714 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4714 - Examination of organization.

44-4714.  Examination of organization.(1) The director may make an examination of the affairs of any prepaid limited health service organization as often as is reasonably necessary for the protection of the interests of the people of this state but not less frequently than once every four years.(2) Every prepaid limited health service organization shall make its relevant books and records available for such examination and in every way cooperate with the director to facilitate such examination.(3) The expenses of examinations under this section shall be charged to the prepaid limited health service organization being examined, and the prepaid limited health service organization shall remit the charges to the director.(4) In lieu of such examination, the director may accept the report of an examination made by the chief administrative officer of an insurance department of another state.Source  Laws 1989, LB 320, § 14.
NE Code § 44-4715 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4715 - Investments.

44-4715.  Investments.The funds of a prepaid limited health service organization shall be invested only in cash, certificates of deposit, or obligations of a state or of the United States.Source  Laws 1989, LB 320, § 15.
NE Code § 44-4716 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4716 - Agents.

44-4716.  Agents.No individual may apply, procure, negotiate, or place for others any policy or contract of a prepaid limited health service organization unless that individual holds a license pursuant to the Insurance Producers Licensing Act to sell accident and health insurance policies or health maintenance organization contracts.Source  Laws 1989, LB 320, § 16. Cross References  Insurance Producers Licensing Act, see section 44-4047.
NE Code § 44-4717 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4717 - Provider agreements.

44-4717.  Provider agreements.All contracts with providers or with entities subcontracting for the provision of limited health services to enrollees on a prepayment or other basis shall contain or shall be construed to contain the following terms and conditions:(1) In the event the prepaid limited health service organization fails to pay for limited health services for any reason whatsoever, including, but not limited to, insolvency or breach of this contract, the enrollees shall not be liable to the provider for any sums owed to the provider under this contract;(2) No provider or an agent, trustee, or assignee thereof may maintain an action at law or attempt to collect from the enrollee sums owed to the provider by the prepaid limited health service organization;(3) These provisions shall not prohibit collection of copayments from enrollees;(4) These provisions shall survive the termination of this contract, regardless of the reason giving rise to the termination;(5) Termination of this contract shall not release the provider from the obligations and duties imposed by this contract to complete procedures in progress on enrollees then receiving treatment for a specific condition for a period not to exceed thirty days at the same schedule of copayment or other applicable charge in effect upon the effective date of termination of this contract; and(6) Any amendment to the provisions of this contract shall be submitted to and be approved by the director prior to becoming effective.Source  Laws 1989, LB 320, § 17.
NE Code § 44-4719 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4719 - Officers and employees; fidelity bond or deposit.

44-4719.  Officers and employees; fidelity bond or deposit.(1) A prepaid limited health service organization shall maintain in force a fidelity bond in its own name on its officers and employees in an amount not less than fifty thousand dollars or in any other amount prescribed by the director. Except as otherwise provided by subsection (2) of this section, the bond shall be issued by an insurance company that is licensed to do business in this state, or if the fidelity bond required by this subsection is not available from an insurance company that holds a certificate of authority in this state, a fidelity bond procured by a surplus lines licensee resident in this state in compliance with section 44-5504 shall satisfy the requirements of this subsection.(2) In lieu of the bond specified in subsection (1) of this section, a prepaid limited health service organization may deposit with the director fifty thousand dollars in cash or securities or other investments of the types set forth in section 44-4715. Such a deposit shall be maintained in joint custody with the director in the amount and subject to the same conditions required for a bond under this section.Source   Laws 1989, LB 320, § 19;   Laws 1992, LB 1006, § 54.
NE Code § 44-4720 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4720 - Reports required; contents; fine.

44-4720.  Reports required; contents; fine.(1) Every prepaid limited health service organization shall file with the director annually, on or before March 1, a report verified by at least two principal officers covering the preceding calendar year.(2) Such report shall be on forms prescribed by the director and shall include:(a) A financial statement of the organization, including its balance sheet, income statement, and statement of changes in financial position for the preceding year, audited by an independent certified public accountant, or the director may in lieu of such statement accept a consolidated audited financial statement of its parent company audited by an independent certified public accountant, attached to which shall be consolidating financial statements of the prepaid limited health service organization;(b) Any material changes in the information submitted pursuant to section 44-4704;(c) The number of subscribers at the beginning of the year, the number of subscribers as of the end of the year, and the number of enrollments terminated during the year; and(d) Such other information relating to the performance of the prepaid limited health service organization as is necessary to enable the director to carry out his or her duties under the Prepaid Limited Health Service Organization Act.(3) The director may require more frequent reports containing such information as is necessary to enable the director to carry out his or her duties under the act.(4) The director may assess a fine of up to one hundred dollars per day for each day any required report is late, and the director may suspend the organization's certificate of authority pending the proper filing of the required report by the organization.Source  Laws 1989, LB 320, § 20.
NE Code § 44-4722 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4722 - Violations; cease and desist order; penalty.

44-4722.  Violations; cease and desist order; penalty.In lieu of any penalty specified elsewhere in the Prepaid Limited Health Service Organization Act or when no penalty is specifically provided, whenever any prepaid limited health service organization or other person, corporation, partnership, limited liability company, or entity subject to the act has been found, pursuant to the Administrative Procedure Act, to have violated any provision of the Prepaid Limited Health Service Organization Act, the director may:(1) Issue and cause to be served upon the organization, person, or other entity charged with the violation a copy of such findings and an order requiring such organization, person, or other entity to cease and desist from engaging in the act or practice which constitutes the violation; and(2) Impose a monetary penalty of not more than one thousand dollars for each violation but not to exceed an aggregate penalty of ten thousand dollars.Source   Laws 1989, LB 320, § 22;   Laws 1993, LB 121, § 257.  Cross References  Administrative Procedure Act, see section 84-920.
NE Code § 44-4723 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4723 - Supervision, rehabilitation, conservation, or liquidation; proceedings authorized.

44-4723.  Supervision, rehabilitation, conservation, or liquidation; proceedings authorized.Any supervision, rehabilitation, conservation, or liquidation of a prepaid limited health service organization shall be deemed to be the supervision, rehabilitation, conservation, or liquidation of an insurance company and shall be conducted pursuant to the Nebraska Insurers Supervision, Rehabilitation, and Liquidation Act. No prepaid limited health service organization shall be subject to the insurance laws, rules, and regulations governing insurance insolvency guaranty funds, nor shall any insurance insolvency guaranty fund provide protection to any individuals entitled to receive limited health services from a prepaid limited health service organization.Source   Laws 1989, LB 320, § 23;   Laws 1989, LB 319, § 79.  Cross References  Nebraska Insurers Supervision, Rehabilitation, and Liquidation Act, see section 44-4862.
NE Code § 44-4724 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4724 - Fees.

44-4724.  Fees.Every prepaid limited health service organization subject to the Prepaid Limited Health Service Organization Act shall pay to the director the following fees:(1) For filing an application for certificate of authority or amendment thereto, one hundred dollars;(2) For filing a change in rates, charges, or benefits, material modification of any matter or document, or addition of a limited health service, fifty dollars;(3) For filing each annual report, fifty dollars; and(4) For filing periodic reports as required by the director, fifty dollars.Source  Laws 1989, LB 320, § 24.
NE Code § 44-4725 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4725 - Confidentiality; exceptions.

44-4725.  Confidentiality; exceptions.(1) Any information pertaining to the diagnosis, treatment, or health of any enrollee or applicant obtained from such person or from any provider by any prepaid limited health service organization and any contract submitted pursuant to the requirements of the Prepaid Limited Health Service Organization Act shall be held in confidence and shall not be disclosed to any person except:(a) To the extent that it may be necessary to carry out the purposes of the act;(b) Upon the express consent of the enrollee, applicant, provider, or prepaid limited health service organization, whichever is applicable;(c) Pursuant to statute or court order for the production of evidence or the discovery thereof; or(d) In the event of claim or litigation in which such data or information is relevant.(2) With respect to any information pertaining to the diagnosis, treatment, or health of any enrollee or applicant, a prepaid limited health service organization shall be entitled to claim any statutory privileges against disclosure which the provider who furnished such information to the prepaid limited health service organization is entitled to claim.(3) Any information provided to the director which constitutes a trade secret, is privileged information, or is part of an investigation or examination by the director shall be held in confidence.Source  Laws 1989, LB 320, § 25.
NE Code § 44-4726 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4726 - Taxes.

44-4726.  Taxes.(1) The same taxes provided for in section 44-32,180 shall be imposed upon each prepaid limited health service organization, and such organizations also shall be entitled to the same tax deductions, reductions, abatements, and credits that health maintenance organizations are entitled to receive.(2) Any capitation payment made in accordance with the Medical Assistance Act shall be excluded from computation of any tax obligation imposed by subsection (1) of this section.Source   Laws 1989, LB 320, § 26;   Laws 1990, LB 1136, § 110;   Laws 1996, LB 969, § 8;  Laws 2002, Second Spec. Sess., LB 9, § 2;  Laws 2006, LB 1248, § 64;  Laws 2010, LB698, § 2. Cross References  Medical Assistance Act, see section 68-901.
NE Code § 44-4727 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4727 - Rules and regulations.

44-4727.  Rules and regulations.The director may adopt and promulgate rules and regulations to carry out the Prepaid Limited Health Service Organization Act.Source  Laws 1989, LB 320, § 27.
NE Code § 44-4801 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4801 - Purpose of act.

44-4801.  Purpose of act.The purpose of the Nebraska Insurers Supervision, Rehabilitation, and Liquidation Act is to protect the interests of insureds, claimants, creditors, and the public with minimum interference with the normal prerogatives of the owners and managers of insurers through:(1) Early detection of any potentially dangerous condition in an insurer and prompt application of appropriate corrective measures;(2) Improved methods for rehabilitating insurers involving the cooperation and management expertise of the insurance industry;(3) Enhanced efficiency and economy of liquidation, through clarification of the law, to minimize legal uncertainty and litigation;(4) Equitable apportionment of any unavoidable loss;(5) Lessening the problems of interstate rehabilitation and liquidation by facilitating cooperation between states in the liquidation process and by extending the scope of personal jurisdiction over debtors of the insurer outside this state;(6) Regulation of the insurance business by the impact of the law relating to delinquency procedures and substantive rules on the entire insurance business; and(7) Providing for a comprehensive scheme for the supervision, rehabilitation, and liquidation of insurers and those subject to the act as part of the regulation of the business of insurance, insurance industry, and insurers in this state. Proceedings in cases of insurer insolvency and delinquency are deemed an integral aspect of the business of insurance and are of vital public interest and concern.The act shall be liberally construed to effect the purposes enumerated in this section and shall not be interpreted to limit the powers granted the director by other provisions of the law.Source   Laws 1989, LB 319, § 1;   Laws 1991, LB 236, § 59.  Annotations Proceedings under the Nebraska Insurers Supervision, Rehabilitation, and Liquidation Act are equitable in nature, and therefore, the liquidation court's determinations of claims disputes are reviewed de novo on the record. State ex rel. Wagner v. Amwest Sur. Ins. Co., 274 Neb. 121, 738 N.W.2d 813 (2007).
NE Code § 44-4802 (2021)
2021 Nebraska Revised Statutes|Chapter 44 - Insurance|44-4802 - Act; applicability.

44-4802.  Act; applicability.The proceedings authorized by the Nebraska Insurers Supervision, Rehabilitation, and Liquidation Act may be applied to:(1) All insurers who are doing or have done an insurance business in this state and against whom claims arising from that business may exist now or in the future;(2) All insurers who purport to do an insurance business in this state;(3) All insurers who have insureds who are residents of this state;(4) All other persons organized or in the process of organizing with the intent to do an insurance business in this state;(5) All fraternal benefit societies subject to Chapter 44, article 10;(6) All title insurers subject to the Title Insurers Act;(7) All health maintenance organizations subject to the Health Maintenance Organization Act;(8) All legal service insurance corporations subject to Chapter 44, article 33;(9) All prepaid dental service corporations subject to Chapter 44, article 38; and(10) All prepaid limited health service organizations subject to the Prepaid Limited Health Service Organization Act.Source   Laws 1989, LB 319, § 2;   Laws 1990, LB 984, § 3;   Laws 1990, LB 1136, § 111;   Laws 1991, LB 235, § 57;   Laws 1997, LB 53, § 49.  Cross References   Health Maintenance Organization Act, see section 44-3292.  Prepaid Limited Health Service Organization Act, see section 44-4701.  Title Insurers Act, see section 44-1978.