Rhode Island General Laws 27-19-65. Medical loss ratio reporting and rebates
(a) A nonprofit hospital service corporation offering group or individual health insurance coverage of a health benefit plan, including a grandfathered health plan, shall comply with the provisions of Section 2718 of the Public Health Service Act as amended by the federal Patient Protection and Affordable Care Act [42 U.S.C. § 300gg-18], in accordance with regulations adopted thereunder.
Terms Used In Rhode Island General Laws 27-19-65
- Affordable Care Act: means the federal Patient Protection and Affordable Care Act, Pub. See Rhode Island General Laws 27-19-1
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Grandfathered health plan: means any group health plan or health insurance coverage subject to Rhode Island General Laws 27-19-1
- health benefit plan: means health insurance coverage and a group health plan, including coverage provided through an association plan if it covers Rhode Island residents. See Rhode Island General Laws 27-19-1
(b) Health insurance carriers required to report medical loss ratio and rebate calculations and other medical loss ratio and rebate information to the U.S. Department of Health and Human Services shall concurrently file such information with the commissioner.
History of Section.
P.L. 2012, ch. 256, § 6; P.L. 2012, ch. 262, § 6.