(a)  This chapter applies to all discount medical plan organizations doing business in or from this state.

Terms Used In Rhode Island General Laws 27-74-4

  • Commissioner: means the health insurance commissioner. See Rhode Island General Laws 27-74-3
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Discount medical plan: means a business arrangement or contract in which a person, in exchange for fees, dues, charges or other consideration, offers access for its members to providers of medical or ancillary services and the right to receive discounts on medical or ancillary services provided under the discount medical plan from those providers. See Rhode Island General Laws 27-74-3
  • Discount medical plan organization: means an entity that, in exchange for fees, dues, charges or other consideration, provides access for discount medical plan members to providers of medical or ancillary services and the right to receive medical or ancillary services from those providers at a discount. See Rhode Island General Laws 27-74-3

(b)  A discount medical plan organization that is a licensed health insurer or health maintenance organization or a nonprofit hospital and medical service corporation is not required to obtain a certificate of registration under § 27-74-5, except that any of its affiliates that operate as a discount medical plan organization in this state shall obtain a certificate of registration under § 27-74-5 and comply with all other provisions of this act; but such health insurer, health maintenance organization or nonprofit hospital and medical service corporation is required to comply with §§ 27-74-8, 27-74-9, 27-74-10, and 27-74-11 and report, in the form and manner as the commissioner may require, any of the information described in § 27-74-13 that is not otherwise already reported.

History of Section.
P.L. 2010, ch. 156, § 1; P.L. 2010, ch. 158, § 1; P.L. 2021, ch. 395, § 7, effective July 14, 2021.