Rhode Island General Laws
Chapter 27-18 - Accident and Sickness Insurance Policies
Section 27-18-5. - Inapplicable or inconsistent provisions.

§ 27-18-5. Inapplicable or inconsistent provisions.
If any provision of §§ 27-18-3 — 27-18-10 is in whole or in part inapplicable to or inconsistent with the coverage provided by a particular form of policy, the insurer, with the approval of the commissioner, shall omit from that policy any inapplicable provision or part of a provision, and shall modify any inconsistent provision or part of the provision in a manner as to make the provision as contained in the policy consistent with the coverage provided by the policy.
History of Section.P.L. 1956, ch. 3808, § 3; G.L. 1956, § 27-18-5.

Structure Rhode Island General Laws

Rhode Island General Laws

Title 27 - Insurance

Chapter 27-18 - Accident and Sickness Insurance Policies

Section 27-18-1. - “Policy of accident and sickness insurance” construed.

Section 27-18-1.1. - Definitions.

Section 27-18-2. - Form of policy.

Section 27-18-2.1. - Uniform explanation of benefits and coverage.

Section 27-18-3. - Required provisions.

Section 27-18-3.1. - Alternative coverage by employer.

Section 27-18-3.2. - Rules and regulations.

Section 27-18-3.3. - Penalties.

Section 27-18-3.4. - Judicial review.

Section 27-18-3.5. - Non-applicability.

Section 27-18-4. - Optional provisions.

Section 27-18-5. - Inapplicable or inconsistent provisions.

Section 27-18-6. - Sequence of provisions.

Section 27-18-7. - Third party ownership.

Section 27-18-8. - Filing of accident and sickness insurance policy forms.

Section 27-18-8.1. - Waiting period — Effective date of filings.

Section 27-18-8.2. - Notice of disapproval.

Section 27-18-8.3. - Withdrawal of approval.

Section 27-18-8.4. - Rules as to filing.

Section 27-18-9. - Policies of foreign insurers.

Section 27-18-10. - Compliance by domestic insurer with laws of other states.

Section 27-18-11. - Application of provisions to policy issued to nonresident.

Section 27-18-12. - Less favorable provisions prohibited.

Section 27-18-13. - Effect of policies inconsistent with chapter.

Section 27-18-14. - Copies of applications.

Section 27-18-15. - Alteration of application.

Section 27-18-16. - False statements in application.

Section 27-18-17. - Acts not constituting waiver of insurer’s defenses.

Section 27-18-18. - Acceptance of premiums after effective period of policy.

Section 27-18-19. - Insurance exempt from chapter.

Section 27-18-20. - Penalties for violations.

Section 27-18-21. - Appeals from commissioner.

Section 27-18-22. - Effect on other law.

Section 27-18-23. - Severability.

Section 27-18-24. - Immunity of benefits from process.

Section 27-18-25. - Unfair discrimination prohibited.

Section 27-18-26. - Physical examinations by insurance company.

Section 27-18-27. - Adoptive children.

Section 27-18-28. - [Repealed.]

Section 27-18-29. - Changing coverage.

Section 27-18-30. - Health insurance contracts — Infertility.

Section 27-18-31. - Insurance coverage for services of licensed midwives.

Section 27-18-32. - Discontinuance of coverage — Chronic disabilities.

Section 27-18-33. - Drug coverage.

Section 27-18-33.1. - Insurance coverage for post-partum hospital stays.

Section 27-18-33.2. - Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies.

Section 27-18-34. - Health insurance contracts — Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists.

Section 27-18-35. - Certified counselors in mental health and therapists in marriage and family practice.

Section 27-18-36. - Repealed.

Section 27-18-36.1. - Repealed.

Section 27-18-36.2. - Repealed.

Section 27-18-36.3. - Repealed.

Section 27-18-37. - Repealed.

Section 27-18-38. - Diabetes treatment.

Section 27-18-39. - Mastectomy treatment.

Section 27-18-40. - Insurance coverage for mastectomy hospital stays.

Section 27-18-41. - Mammograms and pap smears — Coverage mandated.

Section 27-18-42. - Mammograms — Quality assurance standards.

Section 27-18-43. - Pap smears — Quality assurance standards.

Section 27-18-44. - Primary and preventive obstetric and gynecological care.

Section 27-18-44.1. - Hysterectomy or myomectomy treatment.

Section 27-18-45. - Whistleblowers protection.

Section 27-18-46. - Penalties and remedies.

Section 27-18-47. - Additional relief and damages — Reinstatement.

Section 27-18-48. - Third party reimbursement for services of certain healthcare workers.

Section 27-18-48.1. - Third party reimbursement for services of registered nurse first assistants.

Section 27-18-49. - Human leukocyte antigen testing.

Section 27-18-50. - Drug coverage.

Section 27-18-50.1. - Medication synchronization.

Section 27-18-51. - Restricted annual rate payments prohibited.

Section 27-18-52. - Genetic testing.

Section 27-18-52.1. - Genetic information.

Section 27-18-53. - Magnetic resonance imaging — Quality assurance standards.

Section 27-18-54. - Health insurance rates.

Section 27-18-55. - Acupuncture services.

Section 27-18-56. - Prohibition against dentists being required to indemnify provider.

Section 27-18-57. - F.D.A. approved prescription contraceptive drugs and devices.

Section 27-18-58. - Prostate and colorectal examinations — Coverage mandated — The Maryellen Goodwin Colorectal Cancer Screening Act.

Section 27-18-59. - Eligibility for children’s benefits.

Section 27-18-60. - Hearing aids.

Section 27-18-61. - Prompt processing of claims.

Section 27-18-62. - Mandatory coverage for certain lyme disease treatments.

Section 27-18-63. - Dental insurance assignment of benefits.

Section 27-18-64. - Coverage for early intervention services.

Section 27-18-65. - Post-payment audits.

Section 27-18-66. - Tobacco cessation programs.

Section 27-18-67. - Reimbursement for orthotic and prosthetic services.

Section 27-18-68. - Mandatory coverage for scalp hair prosthesis.

Section 27-18-69. - Licensed ambulance service.

Section 27-18-70. - Enteral nutrition products.

Section 27-18-71. - Prohibition on preexisting condition exclusions.

Section 27-18-72. - Prohibition on rescission of coverage.

Section 27-18-73. - Prohibition on annual and lifetime limits.

Section 27-18-74. - Coverage for individuals participating in approved clinical trials.

Section 27-18-75. - Medical loss ratio reporting and rebates.

Section 27-18-76. - Emergency services.

Section 27-18-77. - Internal and external appeal of adverse benefit determinations.

Section 27-18-78. - Primary care provider designation requirement.

Section 27-18-79. - Discretionary clauses.

Section 27-18-80. - Orally administered anticancer medication — Cost-sharing requirement.

Section 27-18-81. - Consumer notification.

Section 27-18-82. - Opioid antagonists.

Section 27-18-83. - Healthcare provider credentialing.

Section 27-18-84. - Health insurance contracts — Full year coverage for contraception.

Section 27-18-85. - Prohibition on discrimination in organ transplants.

Section 27-18-86. - Health insurance contracts — Copayments exemption for COVID-19 vaccinations.

Section 27-18-87. - Perinatal doulas.

Section 27-18-88. - Gender rating. [Effective January 1, 2023.]

Section 27-18-89. - Coverage for biomarker testing.

Section 27-18-90. - Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. [Expires December 31, 2025.]