Rhode Island Code of Regulations › Title 230 - Department of Business Regulation › Chapter 20 - Insurance › Subchapter 30 - Health Insurance › Part 1 - Minimum Standards for Health Benefit Plans (230-RICR-20-30-1) › Section 230-RICR-20-30-1.3 - Definitions

Current through June 14, 2024
A. "Accident and sickness insurance" means
				  Accident and sickness insurance as defined in R.I. Gen. Laws Chapter
				  27-18.
B. "Agent" means an
				  insurance agent, broker or solicitor as defined in R.I. Gen. Laws Chapters
				  27-2.4. 27-2.4 and 27-3 or any person who acts or aids in negotiation for a
				  Health Benefits Plan on behalf of an insurer, as defined herein. Where this
				  Part requires notices or printed statements referring to "your agent," such
				  notice may refer to the agent as a "sales representative" or use other
				  appropriate terms.
C. "Approval by
				  the Director of Business Regulation" means personal approval by the Director or
				  approval by any duly authorized deputy acting on behalf of the
				  Director.
D. "Blanket health
				  benefit contract" means any health benefit contract which is issued or intended
				  to be issued in at least one of the following manners:
1. Under any contract issued to any railroad,
				  steamship, motorbus or airplane carrier of passengers, which shall be deemed
				  the contractholder, to provide health benefits for a group defined as all
				  persons who become such passengers, insuring them while being such
				  passengers;
2. Under a contract
				  issued to an employer, who shall be deemed the contractholder, to provide
				  health benefits for any group of employees defined by reference to exceptional
				  hazards incident to such employment insuring such employees with respect to
				  such exceptional hazards;
3. Under
				  a contract issued to a college, school or other institution of learning, a
				  school district or districts, or school jurisdictional unit, or to the head,
				  principal or governing board of any such educational unit, who or which shall
				  be deemed the contractholder, covering students, teachers or
				  employees.
4. Under a contract
				  issued to any religious, charitable, recreational, educational, or civic
				  organization, or branch thereof, which shall be deemed the contractholder,
				  covering any group of members or participants defined by reference to specified
				  hazards incident to an activity or activities or operations sponsored or
				  supervised by such contractholder.
5. Under a contract issued to a sports team,
				  camp or sponsor thereof, which shall be deemed the contractholder, covering
				  members, campers, employees, officials or supervisors.
6. Under a contract issued to any volunteer
				  fire department, first aid, civil defense, or other such volunteer
				  organization, which shall be deemed the contractholder, covering any group of
				  members or participants defined by reference to specified hazards incident to
				  an activity or activities or operations sponsored or supervised by such
				  contractholder.
7. Under a contract
				  issued to a newspaper or other publisher, which shall be deemed the
				  contractholder, covering its carriers.
8. Under a contract issued to an association
				  of persons having a common interest or calling which shall have a constitution
				  and bylaws and which has been organized and is maintained in good faith for
				  purposes other than that of obtaining insurance and which shall be deemed the
				  contractholder to provide health benefits for such persons with respect to
				  specific hazards arising out of such common interest or calling.