Chapter 17:48E

Section 17:48E-1 - Definitions
Section 17:48E-2 - Establishment of health service corporation
Section 17:48E-3 - Health service corporations
Section 17:48E-4 - Certificate of authority
Section 17:48E-5 - Merger procedure
Section 17:48E-6 - Board of health service corporation formed through merger
Section 17:48E-7 - Board of directors of health service corporation
Section 17:48E-8 - Vacancy procedure
Section 17:48E-9 - Executive committee
Section 17:48E-10 - Agreements with service providers
Section 17:48E-10.1 - Health service corporation to receive, transmit transactions electronically; standards
Section 17:48E-10.2 - Payment of out-of-network dental benefits by health service corporation
Section 17:48E-11 - Professional Advisory Committee
Section 17:48E-12 - Eligible providers' services
Section 17:48E-13 - Approval of forms
Section 17:48E-13.1 - Health service corporation contract; compliance
Section 17:48E-13.2 - Filing of contract or related form
Section 17:48E-13.3 - Contract forms; certification memorandum
Section 17:48E-14 - Individual contract requirements
Section 17:48E-15 - Classification permitted
Section 17:48E-15.1 - Eligibility for enrollment in health service corporation
Section 17:48E-15.2 - Health service corporation contract, exclusion, rates, terms based on genetic information prohibited
Section 17:48E-16 - Joint ventures
Section 17:48E-17 - Expense limits; investments; administrative services
Section 17:48E-17.1 - Two special contingent surplus accounts
Section 17:48E-17.2 - Special contingent surplus required for health service corporation
Section 17:48E-17.3 - Examination of annual regulatory filings; annual audit
Section 17:48E-17.4 - Health service corporation, aggregate benefits
Section 17:48E-18 - Annual contract, renewal; family coverage
Section 17:48E-19 - Provisions of subscription certificates
Section 17:48E-20 - Coverage for newborn child
Section 17:48E-21 - Coverage for former spouse
Section 17:48E-22 - Coverage for child with intellectual disability, physical handicap
Section 17:48E-22.1 - [Repealed]
Section 17:48E-22.2 - [Repealed]
Section 17:48E-23 - Group contracts
Section 17:48E-24 - Provisions of group contract forms
Section 17:48E-25 - "Employee" coverage
Section 17:48E-26 - Experience rating
Section 17:48E-27 - Rate schedule filing
Section 17:48E-27.1 - Individual contract rate changes
Section 17:48E-28 - Group coverage for newborn child
Section 17:48E-29 - Nongroup coverage for former spouse
Section 17:48E-30 - Group coverage for child with intellectual disability, physical handicap
Section 17:48E-30.1 - Coverage for certain dependents until age 31 by health service corporation
Section 17:48E-31 - Family coverage after member's death
Section 17:48E-32 - Continuation of coverage for totally disabled
Section 17:48E-32.1 - Coverage provided by health service corporation for subscriber's child
Section 17:48E-32.2 - Requirements applicable to State Medicaid
Section 17:48E-33 - Second, third surgical opinions
Section 17:48E-34 - [Repealed]
Section 17:48E-35 - Reconstructive breast surgery benefits
Section 17:48E-35.1 - Benefits for home treatment of hemophilia
Section 17:48E-35.2 - Health service corporation insurance benefits for preexisting condition
Section 17:48E-35.3 - Health service corporation to pay benefits for treatment of Wilm's tumor
Section 17:48E-35.4 - Health service corporation contract, mammogram examination benefits
Section 17:48E-35.5 - Health service corporation, benefits for "off-label" drugs required
Section 17:48E-35.6 - Health service corporation, benefits for health promotion
Section 17:48E-35.7 - Requirements for health service corporation providing benefits for pharmacy services
Section 17:48E-35.8 - Benefits for certain cancer treatments
Section 17:48E-35.9 - Coverage for birth and natal care; health service corporation
Section 17:48E-35.10 - Health service corporation contracts, child screening, blood lead, hearing loss; immunizations
Section 17:48E-35.11 - Coverage for diabetes treatment by individual group health service corporation
Section 17:48E-35.12 - Health service corporation contract, Pap smear benefits
Section 17:48E-35.13 - Health service corporation contract, prostate cancer testing
Section 17:48E-35.14 - Coverage for minimum inpatient care following mastectomy by individual, group health service corporation
Section 17:48E-35.15 - Applicability of Health Care Quality Act
Section 17:48E-35.16 - Coverage for treatment of inherited metabolic diseases by health service corporation
Section 17:48E-35.17 - Health service corporation to cover certain audiology, speech-language pathology services
Section 17:48E-35.18 - Coverage for treatment of domestic violence injuries by health service corporation
Section 17:48E-35.19 - Coverage for certain dental procedures for the severely disabled or child age five or under by health service corporation
Section 17:48E-35.20 - Health service corporation to provide coverage for mental health conditions, substance use disorders; collaborative care model
Section 17:48E-35.21 - Coverage for hemophilia services by health service corporation
Section 17:48E-35.22 - [Effective Until 8/1/2024] Health service corporation to provide coverage for treatment of infertility
Section 17:48E-35.22 - [Effective 8/1/2024] Health service corporation to provide coverage for treatment of infertility
Section 17:48E-35.23 - Health service corporation to provide coverage for colorectal cancer screening
Section 17:48E-35.24 - Health service corporation prescription drug plans to cover certain infant formulas
Section 17:48E-35.25 - Contract issued under C.17:48E-1 et seq required to cover certain out-of-network services
Section 17:48E-35.26 - Health service corporation to offer coverage for domestic partner
Section 17:48E-35.27 - Health service corporation, high deductible, coverage for preventive care
Section 17:48E-35.28 - Health service corporation, high deductible, deductible inapplicable, certain circumstances
Section 17:48E-35.29 - Health service corporation, coverage for contraceptives
Section 17:48E-35.30 - Health service corporation to provide benefits for orthotic and prosthetic appliances
Section 17:48E-35.31 - Health service corporation to provide coverage for hearing aids, cochlear implant for covered persons
Section 17:48E-35.32 - Individual, group health service corporation to provide installment payments to obstetrical provider for maternity services
Section 17:48E-35.33 - Health service corporation to provide benefits for treatment of autism or other developmental disability
Section 17:48E-35.34 - Health service corporation to provide coverage for oral anticancer medications
Section 17:48E-35.35 - Health service corporation to provide coverage for sickle cell anemia
Section 17:48E-35.36 - Health service corporation to provide coverage for prescription eye drops
Section 17:48E-35.37 - Health service corporation contract, coverage for synchronization of prescribed medications
Section 17:48E-35.38 - Health service corporation to provide benefits for treatment of substance use disorder
Section 17:48E-35.39 - Health service corporation to provide coverage regardless of gender identity, expression
Section 17:48E-35.40 - Health service corporation contract to cover digital tomosynthesis of the breast
Section 17:48E-35.41 - Health service corporation to provide coverage for donated human breast milk
Section 17:48E-35.42 - Health service corporation to provide coverage for standard fertility preservation services
Section 17:48E-35.43 - Health service corporation to provide coverage for breastfeeding support
Section 17:48E-35.44 - Health service corporation to cover preventive services
Section 17:48E-35.45 - Health service corporation to provide certain coverage for prescription drugs
Section 17:48E-35.46 - Health service corporation to cover adolescent depression screenings
Section 17:48E-35.47 - Health service corporation to cover newborn home nurse visitations
Section 17:48E-35.48 - Individual, group health service corporation contract, coverage, epinephrine auto-injector device
Section 17:48E-35.49 - Individual, group health service corporation contract, coverage, prescription asthma inhaler
Section 17:48E-36 - Annual financial statement
Section 17:48E-37 - Examination authority
Section 17:48E-37.1 - Definitions
Section 17:48E-37.2 - Increase in amount of capital or surplus required of health service corporation
Section 17:48E-37.3 - Determination of increase, revision or redetermination; factors
Section 17:48E-37.4 - Suspension, revocation of authority to do business
Section 17:48E-37.5 - Rules, regulations
Section 17:48E-38 - Fee schedule
Section 17:48E-39 - Penalties for violations
Section 17:48E-41 - Health service corporation, exemption from taxes
Section 17:48E-42 - For-profit corporations excluded
Section 17:48E-43 - Subject to review
Section 17:48E-44 - Rules, regulations
Section 17:48E-45 - Definitions relative to conversion
Section 17:48E-46 - Conversion of health service corporation to domestic mutual insurer
Section 17:48E-46.1 - Findings, declarations relative to the reorganization of a health service corporation
Section 17:48E-46.2 - Definitions relative to the reorganization of a health service corporation
Section 17:48E-46.3 - Mutual holding company, not for pecuniary profit, mission
Section 17:48E-46.4 - Health service corporation to reorganize into mutual holding company system
Section 17:48E-46.5 - Health service corporation applicationto form mutual holding company system
Section 17:48E-46.6 - Monitoring mutual holding company's operations
Section 17:48E-46.7 - Investments; supplier program; mutualization; reorganization plans
Section 17:48E-46.8 - Non-obligation of distribution payment to members, policyholders
Section 17:48E-46.9 - Membership in mutual holding company
Section 17:48E-46.10 - Plan of dissolution
Section 17:48E-46.11 - Annual statements; report to the Governor
Section 17:48E-46.12 - Public records
Section 17:48E-46.13 - Initial and annual assessments
Section 17:48E-46.14 - Mutual holding company
Section 17:48E-46.15 - Board of the mutual holding company; membership, transitional period, diversity
Section 17:48E-46.16 - Full-time employees maintained for 36 months following transition
Section 17:48E-46.17 - Severability
Section 17:48E-47 - Filing, approval of conversion plan
Section 17:48E-48 - Directors and officers, terms
Section 17:48E-49 - Definitions relative to conversion of health service corporation to domestic stock insurer
Section 17:48E-50 - Procedure for conversion
Section 17:48E-51 - Filing of application
Section 17:48E-52 - Approval of plan, certificate of authority
Section 17:48E-53 - Issuance of subsequent order
Section 17:48E-54 - Transfer of fair market value
Section 17:48E-55 - Continuation of health service corporation
Section 17:48E-56 - Conversion of policies
Section 17:48E-57 - Receipt of compensation contingent upon approval of plan prohibited
Section 17:48E-58 - Documents considered public records; exceptions
Section 17:48E-59 - Conversion effective; conditions
Section 17:48E-60 - Abandonment, amendment of plan of conversion
Section 17:48E-61 - Directors, officers continue to serve
Section 17:48E-62 - Participation of Attorney General
Section 17:48E-63 - Orders, rules, regulations
Section 17:48E-64 - Construction of act
Section 17:48E-65 - Requirements prior to action constituting material change in form
Section 17:48E-66 - Notification of action constituting material change in form, procedure
Section 17:48E-67 - Petition for review of foundation plan
Section 17:48E-68 - Foundations; board, membership