Note
The amendments made to this chapter by L 2011, c 230 have a transitional effective date and are subject to the insurance commissioner's emergency rulemaking authority for conformance to the federal Patient Protection and Affordable Care Act and a conditional repeal and reenactment provision. L 2011, c 230, § §14, 17.
§432E-31 Applicability and scope. (a) Except as provided in subsection (b), this part shall apply to all health carriers.
(b) This part shall not apply to a policy or certificate that provides coverage only for a specified disease, specified accident or accident-only coverage, credit, dental, disability income, hospital indemnity, long-term care insurance, vision care, or any other limited supplemental benefit; to a medicare supplemental policy of insurance, coverage under a plan through medicare, medicaid, or the federal employees health benefits program, any federal medical and dental care coverage issued under chapter 55 of title 10 United States Code and any coverage issued as supplemental to that coverage; any coverage issued as supplemental to liability insurance, workers' compensation, or similar insurance; automobile medical-payment insurance; any insurance under which benefits are payable with or without regard to fault, whether written on a group blanket or individual basis; or the employer union health benefits trust fund so long as it is self-funded. [L 2011, c 230, pt of §2]
Structure Hawaii Revised Statutes
432E. Patients' Bill of Rights and Responsibilities Act
432E-1.5 Licensure of managed care plan medical directors.
432E-2 Conflict with other laws.
432E-4 Enrollee participation in treatment decisions.
432E-5 Complaints and appeals procedure for enrollees.
432E-6.5 Expedited internal appeal, when authorized; standard for decision.
432E-7 Information to enrollees.
432E-10 Managed care plan performance measurement and data reporting standards.
432E-11 Accreditation of managed care plans.
432E-31 Applicability and scope.
432E-32 Notice of right to external review.
432E-33 Request for external review.
432E-34 Standard external review.
432E-35 Expedited external review.
432E-36 External review of experimental or investigational treatment adverse determinations.
432E-37 Binding nature of external review decision.
432E-38 Approval of independent review organizations.
432E-39 Minimum qualifications for independent review organizations.
432E-40 Hold harmless for independent review organizations.
432E-41 External review reporting requirements.
432E-42 Funding of external review.