§ 27-7.1-20. Cost control — Insurers.
The director is authorized, at his or her discretion, to conduct audits and investigations to examine the insurer’s utilization of adequate programs to control costs or expenses or to collect the appropriate premium charges. On the basis of information submitted in any filing made pursuant to this chapter, or obtained from the department of labor and training and/or by independent investigation, the director shall make a finding whether or not the insurer or insurers employ cost control programs and techniques that meet the standards of the rating agency, or any other standards as may, after notice and a hearing, be approved by the director, which have had or are expected to have a substantial impact on fraudulent claim costs, unnecessary health care costs, and any other unreasonable costs and expenses, and on the collection of the appropriate premium charges owed to the insurer or insurers. If the director does not find adequate utilization of cost control, the director may impose an appropriate penalty not to exceed five percent (5%) of the insurer’s annual premium.
History of Section.P.L. 1992, ch. 31, § 25.
Structure Rhode Island General Laws
Chapter 27-7.1 - Workers’ Compensation Insurance
Section 27-7.1-1. - Applicability.
Section 27-7.1-1.1. - Definitions.
Section 27-7.1-2. - Approval of policies.
Section 27-7.1-3, 27-7.1-4. - Repealed.
Section 27-7.1-4.1. - Standards for approval of rates.
Section 27-7.1-5.1. - Rate filings.
Section 27-7.1-6.1. - Disapproval of rates.
Section 27-7.1-6.2. - Consent to rate.
Section 27-7.1-7.1. - Information to be furnished insureds.
Section 27-7.1-7.2. - Repealed.
Section 27-7.1-8.1. - Services of advisory organizations.
Section 27-7.1-9.1. - Membership in rating organization.
Section 27-7.1-10. - Repealed.
Section 27-7.1-10.1. - Procedural rules — Rate administration — Consultation with other states.
Section 27-7.1-11. - Repealed.
Section 27-7.1-11.1. - Challenge and review of application of rating system.
Section 27-7.1-12. - Repealed.
Section 27-7.1-12.1. - Acts reducing competition prohibited.
Section 27-7.1-13.1. - False or misleading information.
Section 27-7.1-13.2. - Group workers’ compensation insurance.
Section 27-7.1-14 - — 27-7.1-17. Repealed.
Section 27-7.1-19. - Midterm notice of cancellation.
Section 27-7.1-20. - Cost control — Insurers.
Section 27-7.1-21. - Cost control — Insured.
Section 27-7.1-22. - Repealed.
Section 27-7.1-23. - Repealed.