I. The corporation shall: (a) Organize school children groups to facilitate the provision of preventive health care services to children at no more than 5 geographic pilot sites and to provide comprehensive health insurance coverage to children. (b) Arrange for the collection of any premium, in an amount to be determined by the board of directors, from all participants to provide for payment for preventive health care services or premiums for comprehensive health insurance coverage and for the actual or estimated administrative expenses incurred during the period for which payments are made. (c) Consult appropriate professional organizations and establish standards for preventive health care services and providers and comprehensive insurance benefits appropriate to children. (d) Establish participation criteria and, if appropriate, contract with an authorized insurer, health maintenance organization, or insurance administrator to provide administrative services to the corporation. (e) Contract with authorized insurers or any provider of health care services, in accordance with standards established by the corporation, to provide comprehensive insurance coverage and preventive health care services to participants. (f) Develop and implement a plan to publicize the New Hampshire healthy kids corporation, the eligibility requirements of the program, and the procedures for enrollment in the program and to maintain public awareness of the corporation and the program. (g) Secure staff necessary to properly administer the corporation. Staff costs shall be funded from state funds appropriated by the legislature and such other private or public funds as become available. The board of directors shall determine the number of staff members necessary to administer the corporation. (h) Enter into contracts or agreements with local school boards or other agencies which choose to provide on-site information, enrollment, and other services necessary to the operation of the corporation. (i) Provide an annual interim report, the first on or before January 1, 1994, to the governor, insurance commissioner, commissioner of health and human services, commissioner of education, senate president, and speaker of the house of representatives on the development of the program. I-a. The corporation may establish a young adult buy-in program, with appropriate safeguards to prevent adverse risk selection, by which individuals under 26 years of age, who cannot be included in their family's insurance plan, and whose incomes are at or below 400 percent of the federal poverty level, may purchase health insurance through the healthy kids corporation. The corporation shall not implement a young adult buy-in program until the insurance commissioner has reviewed a description of the proposed benefit structure, marketing plan, underwriting standards, enrollment procedures and eligibility criteria and has determined that the program is not likely to have an adverse impact on the commercial health insurance market. The commissioner shall make the determination within 30 days from the submission of the plan design. Within 2 years of the initiation of this buy-in option, the corporation shall submit a report to the governor, the president of the senate, the speaker of the house of representatives, and the standing committees of the house of representatives and senate responsible for health insurance policy on the status of the program, including summary information on enrollment, claims experience, pricing, trends, and any other information relevant to the goals of the program. II. Coverage under the corporation's program shall be secondary to any other available private coverage held by the participant child or family member. The corporation may establish procedures for coordinating benefits under this program with benefits under other public and private coverage.
I. The corporation shall: (a) Organize school children groups to facilitate the provision of preventive health care services to children at no more than 5 geographic pilot sites and to provide comprehensive health insurance coverage to children. (b) Arrange for the collection of any premium, in an amount to be determined by the board of directors, from all participants to provide for payment for preventive health care services or premiums for comprehensive health insurance coverage and for the actual or estimated administrative expenses incurred during the period for which payments are made. (c) Consult appropriate professional organizations and establish standards for preventive health care services and providers and comprehensive insurance benefits appropriate to children. (d) Establish participation criteria and, if appropriate, contract with an authorized insurer, health maintenance organization, or insurance administrator to provide administrative services to the corporation. (e) Contract with authorized insurers or any provider of health care services, in accordance with standards established by the corporation, to provide comprehensive insurance coverage and preventive health care services to participants. (f) Develop and implement a plan to publicize the New Hampshire healthy kids corporation, the eligibility requirements of the program, and the procedures for enrollment in the program and to maintain public awareness of the corporation and the program. (g) Secure staff necessary to properly administer the corporation. Staff costs shall be funded from state funds appropriated by the legislature and such other private or public funds as become available. The board of directors shall determine the number of staff members necessary to administer the corporation. (h) Enter into contracts or agreements with local school boards or other agencies which choose to provide on-site information, enrollment, and other services necessary to the operation of the corporation. (i) Provide an annual interim report, the first on or before January 1, 1994, to the governor, insurance commissioner, commissioner of health and human services, commissioner of education, senate president, and speaker of the house of representatives on the development of the program. I-a. The corporation may establish a young adult buy-in program, with appropriate safeguards to prevent adverse risk selection, by which individuals under 26 years of age, who cannot be included in their family's insurance plan, and whose incomes are at or below 400 percent of the federal poverty level, may purchase health insurance through the healthy kids corporation. The corporation shall not implement a young adult buy-in program until the insurance commissioner has reviewed a description of the proposed benefit structure, marketing plan, underwriting standards, enrollment procedures and eligibility criteria and has determined that the program is not likely to have an adverse impact on the commercial health insurance market. The commissioner shall make the determination within 30 days from the submission of the plan design. Within 2 years of the initiation of this buy-in option, the corporation shall submit a report to the governor, the president of the senate, the speaker of the house of representatives, and the standing committees of the house of representatives and senate responsible for health insurance policy on the status of the program, including summary information on enrollment, claims experience, pricing, trends, and any other information relevant to the goals of the program. II. Coverage under the corporation's program shall be secondary to any other available private coverage held by the participant child or family member. The corporation may establish procedures for coordinating benefits under this program with benefits under other public and private coverage.
I. The corporation shall: (a) Organize school children groups to facilitate the provision of preventive health care services to children at no more than 5 geographic pilot sites and to provide comprehensive health insurance coverage to children. (b) Arrange for the collection of any premium, in an amount to be determined by the board of directors, from all participants to provide for payment for preventive health care services or premiums for comprehensive health insurance coverage and for the actual or estimated administrative expenses incurred during the period for which payments are made. (c) Consult appropriate professional organizations and establish standards for preventive health care services and providers and comprehensive insurance benefits appropriate to children. (d) Establish participation criteria and, if appropriate, contract with an authorized insurer, health maintenance organization, or insurance administrator to provide administrative services to the corporation. (e) Contract with authorized insurers or any provider of health care services, in accordance with standards established by the corporation, to provide comprehensive insurance coverage and preventive health care services to participants. (f) Develop and implement a plan to publicize the New Hampshire healthy kids corporation, the eligibility requirements of the program, and the procedures for enrollment in the program and to maintain public awareness of the corporation and the program. (g) Secure staff necessary to properly administer the corporation. Staff costs shall be funded from state funds appropriated by the legislature and such other private or public funds as become available. The board of directors shall determine the number of staff members necessary to administer the corporation. (h) Enter into contracts or agreements with local school boards or other agencies which choose to provide on-site information, enrollment, and other services necessary to the operation of the corporation. (i) Provide an annual interim report, the first on or before January 1, 1994, to the governor, insurance commissioner, commissioner of health and human services, commissioner of education, senate president, and speaker of the house of representatives on the development of the program. I-a. The corporation may establish a young adult buy-in program, with appropriate safeguards to prevent adverse risk selection, by which individuals under 26 years of age, who cannot be included in their family's insurance plan, and whose incomes are at or below 400 percent of the federal poverty level, may purchase health insurance through the healthy kids corporation. The corporation shall not implement a young adult buy-in program until the insurance commissioner has reviewed a description of the proposed benefit structure, marketing plan, underwriting standards, enrollment procedures and eligibility criteria and has determined that the program is not likely to have an adverse impact on the commercial health insurance market. The commissioner shall make the determination within 30 days from the submission of the plan design. Within 2 years of the initiation of this buy-in option, the corporation shall submit a report to the governor, the president of the senate, the speaker of the house of representatives, and the standing committees of the house of representatives and senate responsible for health insurance policy on the status of the program, including summary information on enrollment, claims experience, pricing, trends, and any other information relevant to the goals of the program. II. Coverage under the corporation's program shall be secondary to any other available private coverage held by the participant child or family member. The corporation may establish procedures for coordinating benefits under this program with benefits under other public and private coverage.
