§ 42-62-14 Discrimination by insurancevendors – Payment to uncertified providers of health services. – (a) It shall be the duty of any insurer that issues to a resident of RhodeIsland a qualified program of health benefits:
(1) To offer, at the option of the applicant, an individualpolicy or contract providing either (i) the hospital and physicians servicebenefits described in § 42-62-10(c), or (ii) all of the benefits describedin § 42-62-10(c), to any resident of Rhode Island regardless of age, sex,race, occupational status, physical condition, and it shall be the duty of anyinsurer that issues a Rhode Island qualified group program of health benefitsto offer, at the option of the applicant, a group policy or contract providingeither (i) the hospital and physicians' service benefits described in §42-62-10(c), or (ii), all of the benefits described in § 42-62-10(c), toany employer regardless of age, sex, race, occupational status, or physicalcondition of any employee, or number of persons employed;
(2) To promote efficient management; and
(3) To reimburse only vendors of health services certified bythe director of the department of health.
(b) The provisions of this section shall not apply to healthmaintenance organizations.
(c) It shall be the duty of vendors of eligible healthservices to provide those services to insurers and other persons at costs,charges, or rates which are equitable, non-discriminatory, and in the publicinterest. In the event that the director of the department of businessregulation shall determine that a vendor is discriminating unlawfully againstany insurer with respect to costs, charges, or rates, the director shall advisethe vendor in writing to cease the discriminatory practices forthwith.
(d) At any hearing conducted pursuant to § 42-62-13, thedirector of the department of business regulation may disallow any paymentsmade by an insurer to a vendor not certified by the department of health, or toa vendor which has failed to cease discriminatory practices against any insurerafter having received a notice from the director of business regulationpursuant to this section.
§ 42-62-14 Discrimination by insurancevendors – Payment to uncertified providers of health services. – (a) It shall be the duty of any insurer that issues to a resident of RhodeIsland a qualified program of health benefits:
(1) To offer, at the option of the applicant, an individualpolicy or contract providing either (i) the hospital and physicians servicebenefits described in § 42-62-10(c), or (ii) all of the benefits describedin § 42-62-10(c), to any resident of Rhode Island regardless of age, sex,race, occupational status, physical condition, and it shall be the duty of anyinsurer that issues a Rhode Island qualified group program of health benefitsto offer, at the option of the applicant, a group policy or contract providingeither (i) the hospital and physicians' service benefits described in §42-62-10(c), or (ii), all of the benefits described in § 42-62-10(c), toany employer regardless of age, sex, race, occupational status, or physicalcondition of any employee, or number of persons employed;
(2) To promote efficient management; and
(3) To reimburse only vendors of health services certified bythe director of the department of health.
(b) The provisions of this section shall not apply to healthmaintenance organizations.
(c) It shall be the duty of vendors of eligible healthservices to provide those services to insurers and other persons at costs,charges, or rates which are equitable, non-discriminatory, and in the publicinterest. In the event that the director of the department of businessregulation shall determine that a vendor is discriminating unlawfully againstany insurer with respect to costs, charges, or rates, the director shall advisethe vendor in writing to cease the discriminatory practices forthwith.
(d) At any hearing conducted pursuant to § 42-62-13, thedirector of the department of business regulation may disallow any paymentsmade by an insurer to a vendor not certified by the department of health, or toa vendor which has failed to cease discriminatory practices against any insurerafter having received a notice from the director of business regulationpursuant to this section.
§ 42-62-14 Discrimination by insurancevendors – Payment to uncertified providers of health services. – (a) It shall be the duty of any insurer that issues to a resident of RhodeIsland a qualified program of health benefits:
(1) To offer, at the option of the applicant, an individualpolicy or contract providing either (i) the hospital and physicians servicebenefits described in § 42-62-10(c), or (ii) all of the benefits describedin § 42-62-10(c), to any resident of Rhode Island regardless of age, sex,race, occupational status, physical condition, and it shall be the duty of anyinsurer that issues a Rhode Island qualified group program of health benefitsto offer, at the option of the applicant, a group policy or contract providingeither (i) the hospital and physicians' service benefits described in §42-62-10(c), or (ii), all of the benefits described in § 42-62-10(c), toany employer regardless of age, sex, race, occupational status, or physicalcondition of any employee, or number of persons employed;
(2) To promote efficient management; and
(3) To reimburse only vendors of health services certified bythe director of the department of health.
(b) The provisions of this section shall not apply to healthmaintenance organizations.
(c) It shall be the duty of vendors of eligible healthservices to provide those services to insurers and other persons at costs,charges, or rates which are equitable, non-discriminatory, and in the publicinterest. In the event that the director of the department of businessregulation shall determine that a vendor is discriminating unlawfully againstany insurer with respect to costs, charges, or rates, the director shall advisethe vendor in writing to cease the discriminatory practices forthwith.
(d) At any hearing conducted pursuant to § 42-62-13, thedirector of the department of business regulation may disallow any paymentsmade by an insurer to a vendor not certified by the department of health, or toa vendor which has failed to cease discriminatory practices against any insurerafter having received a notice from the director of business regulationpursuant to this section.
