Rhode Island General Laws
Chapter 27-20 - Nonprofit Medical Service Corporations
Section 27-20-5.2. - Repealed.

§ 27-20-5.2. Repealed.

Structure Rhode Island General Laws

Rhode Island General Laws

Title 27 - Insurance

Chapter 27-20 - Nonprofit Medical Service Corporations

Section 27-20-1. - Definitions.

Section 27-20-1.1. - Applicability.

Section 27-20-2. - Organization as charitable corporation — Insurance laws inapplicable.

Section 27-20-3. - Qualifications of directors.

Section 27-20-4. - Approval of articles of association.

Section 27-20-5. - Contracts with subscribers.

Section 27-20-5.1. - Cancellation of coverage by employers.

Section 27-20-5.2. - Repealed.

Section 27-20-5.3. - Patient responsibility — Administrative requirements.

Section 27-20-6. - Rates charged subscribers — Reserves — Hearing by commissioner. [Effective until January 1, 2023.]

Section 27-20-6.1. - Uniform explanation of benefits and coverage.

Section 27-20-6.2. - Filing of policy forms.

Section 27-20-7. - Relationship of physician and patient — Actions against corporation.

Section 27-20-8. - Annual and quarterly statements.

Section 27-20-9. - Examination of affairs of corporation.

Section 27-20-10. - Commission plans for solicitors or insurance producers.

Section 27-20-11. - Investment standards.

Section 27-20-12. - Corporation deemed public charitable institution.

Section 27-20-13. - Adoption of chapter by hospital service corporation.

Section 27-20-14. - Coverage for adoptive children.

Section 27-20-15. - Itemized bills for services rendered.

Section 27-20-16. - Changing coverage.

Section 27-20-17. - Mammograms and pap smears — Coverage mandated.

Section 27-20-17.1. - Insurance coverage for post-partum hospital stays.

Section 27-20-18. - Mammograms — Quality assurance standards.

Section 27-20-19. - Pap smears — Quality assurance standards.

Section 27-20-20. - Coverage for infertility.

Section 27-20-21. - Nonprofit medical service corporation assessment.

Section 27-20-22. - Discontinuance of coverage — Chronic disabilities.

Section 27-20-23. - Drug coverage.

Section 27-20-23.1. - Medication synchronization.

Section 27-20-23.2. - Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies.

Section 27-20-24. - Rehabilitation, liquidation, or conservation.

Section 27-20-25. - Holding company systems.

Section 27-20-25.1. - No derogation of attorney general.

Section 27-20-25.2. - Health insurance rates.

Section 27-20-26. - Regulations.

Section 27-20-27. - New cancer therapies — Under investigation. [Repealed on effective date of § 27-20-64.]

Section 27-20-27.1. - “Reliable evidence” defined. [Repealed on effective date of § 27-20-64.]

Section 27-20-27.2. - Conditions of coverage. [Repealed on effective date of § 27-20-64.]

Section 27-20-27.3. - Managed care. [Repealed on effective date of § 27-20-64.]

Section 27-20-28. - Repealed.

Section 27-20-29. - Mastectomy treatment.

Section 27-20-29.1. - Insurance coverage for mastectomy hospital stays.

Section 27-20-30. - Diabetes treatment.

Section 27-20-31. - Primary and preventive obstetric and gynecological care.

Section 27-20-31.1. - Hysterectomy or myomectomy treatment.

Section 27-20-32. - Whistleblowers protection.

Section 27-20-33. - Penalties and remedies.

Section 27-20-34. - Additional relief and damages — Reinstatement.

Section 27-20-35. - Third-party reimbursement for services of certain healthcare workers.

Section 27-20-35.1. - Third party reimbursement for services of registered nurse first assistants.

Section 27-20-36. - Human leukocyte antigen testing.

Section 27-20-37. - Drug coverage.

Section 27-20-38. - Restricted annual rate payments prohibited.

Section 27-20-39. - Genetic testing.

Section 27-20-39.1. - Genetic information.

Section 27-20-40. - Repealed.

Section 27-20-41. - Magnetic resonance imaging — Quality assurance standards.

Section 27-20-42. - Acupuncture services.

Section 27-20-43. - F.D.A. approved prescription contraceptive drugs and devices.

Section 27-20-44. - Prostate and colorectal examinations — Coverage mandated — The Maryellen Goodwin Colorectal Cancer Screening Act.

Section 27-20-45. - Eligibility for children’s benefits.

Section 27-20-46. - Hearing aids.

Section 27-20-47. - Prompt processing of claims.

Section 27-20-48. - Mandatory coverage for certain lyme disease treatments.

Section 27-20-49. - Dental insurance assignment of benefits.

Section 27-20-50. - Coverage for early intervention services.

Section 27-20-51. - Post-payment audits.

Section 27-20-52. - Reimbursement for orthotics and prosthetic services.

Section 27-20-53. - Tobacco cessation programs.

Section 27-20-54. - Mandatory coverage for scalp hair prosthesis.

Section 27-20-55. - Licensed ambulance service.

Section 27-20-56. - Enteral nutrition products.

Section 27-20-57. - Prohibition on preexisting condition exclusions.

Section 27-20-58. - Prohibition on rescission of coverage.

Section 27-20-59. - Annual and lifetime limits.

Section 27-20-60. - Coverage for individuals participating in approved clinical trials.

Section 27-20-61. - Medical loss ratio reporting and rebates.

Section 27-20-62. - Emergency services.

Section 27-20-63. - Internal and external appeal of adverse benefit determinations.

Section 27-20-64. - Reserved.

Section 27-20-65. - Primary care provider designation requirement.

Section 27-20-66. - Discretionary clauses.

Section 27-20-67. - Orally administered anticancer medication — Cost-sharing requirement.

Section 27-20-68. - Consumer notification.

Section 27-20-69. - Opioid antagonists.

Section 27-20-70. - Healthcare provider credentialing.

Section 27-20-71. - Unfair discrimination prohibited.

Section 27-20-72. - Health insurance contracts — Full year coverage for contraception.

Section 27-20-73. - Prohibition on discrimination in organ transplants.

Section 27-20-74. - Health insurance contracts — Copayments exemption for COVID-19 vaccinations.

Section 27-20-75. - Perinatal doulas.

Section 27-20-76. - Gender rating. [Effective January 1, 2023.]

Section 27-20-77. - Coverage for biomarker testing.

Section 27-20-78. - Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. [Expires December 31, 2025.]