Rhode Island § 27-20-6.1 § 27-20-6.1. Uniform explanation of benefits and coverage.

Rhode Island Statutes

§ 27-20-6.1 — § 27-20-6.1. Uniform explanation of benefits and coverage.

Rhode Island § 27-20-6.1

Title 27Insurance

Ch. 27-20Nonprofit Medical Service Corporations

This text of Rhode Island § 27-20-6.1 (§ 27-20-6.1. Uniform explanation of benefits and coverage.) is published on Counsel Stack Legal Research, covering Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

R.I. Gen. Laws § 27-20-6.1 (2026).

Text

§ 27-20-6.1. Uniform explanation of benefits and coverage.
(a) A nonprofit medical service corporation shall provide a summary of benefits and coverage
            explanation and definitions to policyholders and others required by, and at the times
            and in the format required by, the federal regulations adopted under section 2715
            of the Public Health Service Act, as amended by the federal Affordable Care Act [42 U.S.C. § 300gg-15]. The forms required by this section shall be made available to the commissioner
            on request. Nothing in this section shall be construed to limit the authority of the
            commissioner under existing state law.
         
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§ 27-20-6.1. Uniform explanation of benefits and coverage.

(a) A nonprofit medical service corporation shall provide a summary of benefits and coverage explanation and definitions to policyholders and others required by, and at the times and in the format required by, the federal regulations adopted under section 2715 of the Public Health Service Act, as amended by the federal Affordable Care Act [42 U.S.C. § 300gg-15]. The forms required by this section shall be made available to the commissioner on request. Nothing in this section shall be construed to limit the authority of the commissioner under existing state law.

(b) The provisions of this section shall apply to grandfathered health plans. This section shall not apply to insurance coverage providing benefits for: (1) Hospital confinement indemnity; (2) Disability income; (3) Accident only; (4) Long-term care; (5) Medicare supplement; (6) Limited benefit health; (7) Specified disease indemnity; (8) Sickness or bodily injury or death by accident or both; and (9) Other limited benefit policies.

(c) If the commissioner of the office of the health insurance commissioner determines that the corresponding provision of the federal Patient Protection and Affordable Care Act has been declared invalid by a final judgment of the federal judicial branch or has been repealed by an act of Congress, on the date of the commissioner's determination this section shall have its effectiveness suspended indefinitely, and the commissioner shall take no action to enforce this section. Nothing in this section shall be construed to limit the authority of the commissioner under existing state law.