§ 431:14G-101 Scope and purpose
§ 431:14G-102 Definitions
§ 431:14G-103 Making of rates
§ 431:14G-103.5 Rerating
§ 431:14G-104 Rate adjustment mandates
§ 431:14G-105 Rate filings
§ 431:14G-106 Policy revisions that alter coverage
§ 431:14G-107 Disapproval of filings
§ 431:14G-108 Managed care plans; prohibited activity
§ 431:14G-109 Information to be furnished enrollees; hearings and appeals of enrollees
§ 431:14G-109.5 Publication of premium information
§ 431:14G-110 False or misleading information
§ 431:14G-111 Penalties
§ 431:14G-112 Hearing procedure and judicial review

Terms Used In Hawaii Revised Statutes > Chapter 431 > Article 14G - Health Insurance Rate Regulation

  • Affirmed: In the practice of the appellate courts, the decree or order is declared valid and will stand as rendered in the lower court.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Commissioner: means the insurance commissioner. See Hawaii Revised Statutes 431:14G-102
  • Contract: A legal written agreement that becomes binding when signed.
  • Enrollee: means a person who enters into a contractual relationship or who is provided with health care services or benefits through a managed care plan. See Hawaii Revised Statutes 431:14G-102
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • plan: means a health plan as defined in section 431:10A, or chapter 432 or 432D, regardless of form, offered or administered by a health care insurer, including but not limited to a mutual benefit society or health maintenance organization, or voluntary employee beneficiary associations, but shall not include disability insurers licensed under chapter 431. See Hawaii Revised Statutes 431:14G-102
  • Rate: means every rate, charge, classification, schedule, practice, or rule. See Hawaii Revised Statutes 431:14G-102
  • Supplementary rating information: includes any manual or plan of rates, classification, rating schedule, minimum premium, policy fee, rating rule, underwriting rule, statistical plan, and any other similar information needed to determine the applicable rates in effect or to be in effect. See Hawaii Revised Statutes 431:14G-102
  • Supporting information: means :

    (1) The experience and judgment of the filer and the experience or data of other organizations relied on by the filer;

    (2) The interpretation of any other data relied upon by the filer; and

    (3) Descriptions of methods used in making the rates and any other information required by the commissioner to be filed. See Hawaii Revised Statutes 431:14G-102