A N A C T
RELATING TO INSURANCE
It is enacted by the General Assembly as follows:
SECTION 1. Section 27-1-37 of the General Laws in Chapter 27-1 entitled "Domestic Insurance Companies" is hereby amended to read as follows:
27-1-37. Minimum capital and surplus requirement -- Charters -- (a) No domestic insurance corporation shall commence business and write, issue, or effect any policy of insurance unless the capital stock of the company amounts to the sum of is at least equal to one million dollars ($1,000,000) paid in capital and the gross paid in and contributed surplus of the company is at least equal to two million dollars ($2,000,000) surplus, or, if a mutual company, its net assets over all liabilities amount to not less than three million dollars ($3,000,000), or, if a mono line business company, has a combined capital and surplus of two million dollars ($2,000,000), and until it has secured from the commissioner of insurance a certificate in compliance with the provisions of its charter and this section. "Commence business," as used in this section, shall be defined as the date of issuance of a certificate in compliance by the insurance commissioner.
(b) The provisions of this section relating to capital and surplus requirements shall also apply to all charters for domestic insurance companies which have not commenced business prior to June 18, 1991. The provisions of this section relating to capital and surplus requirements shall also apply to domestic insurance companies which have undergone a change in control subsequent to August 1, 1995, except that the commissioner of insurance may require lesser capital and surplus, but in no event less than one million dollars ($1,000,000) as he/she deems appropriate for the protection of all policyholders and the general public, based upon his/her review of the transaction resulting in the change in control of the insurer. "Control" as used in this section shall be defined in accordance with section 27-35-1(c).
SECTION 2. Section 27-2-5 of the General Laws in Chapter 27-2 entitled "Foreign Insurance Companies" is hereby amended to read as follows:
27-2-5. Minimum capital paid-in -- Maximum amount of single risk - Minimum capital and surplus requirements - Maximum amount of single risk. -- No insurance company not incorporated under the authority of this state shall make any contract of insurance with any person in this state unless the capital stock of the company is at least equal to amounts to the sum of one million dollars ($1,000,000) paid-in capital stock and the gross paid in and contributed surplus of the company is at least equal to two million dollars ($2,000,000) surplus, or, if a mutual company, its net assets over all liabilities amount to not less than three million dollars ($3,000,000), nor unless the company, if other than a life insurance company, shall be restricted, by its charter or otherwise, so that it cannot lawfully incur in any one risk a greater hazard than one-tenth ( 1/10) part of its capital and surplus if a stock company or of its net assets if a mutual company; provided, however, that no fire, marine, or fire and marine insurance company of any foreign country shall make any contract of insurance with any person in this state unless the company has two million dollars ($2,000,000) paid-in capital stock and four million dollars ($4,000,000) surplus, or if a foreign mutual company its net assets over all liabilities amount to not less than six million dollars ($6,000,000) and shall have made a deposit with the insurance commissioner of this state, or with the proper officer of some other state of the United States, of not less than two million dollars ($2,000,000) in securities which shall be at all times at or above par and in trust for the benefit of its policyholders in the United States, or if a monoline business company as defined in this title, has a combined capital and surplus of two million dollars ($2,000,000). Nothing contained in this section shall be so construed as to apply to foreign insurance companies licensed prior to May 13, 1977.
SECTION 3. Sections 27-3-43, 27-3-46.1, 27-3-47, 27-3-48.5 and 27-3-51 of the General Laws in Chapter 27-3 entitled "Agents, Brokers, and Solicitors" are hereby repealed.
27-3-43. Educational and experience requirements -- (a) Applicants for fire, marine, casualty, and surety insurance licenses for the first time as insurance producers pursuant to chapter 2.3 of this title, must comply with one of the following educational requirements in addition to all other requirements contained in chapter 2.3 of this title or this chapter before receiving a license:
(1) Successful completion of courses of instruction in insurance that may be required and approved by the commissioner. These courses of instruction may be either in attendance at, or under the supervision and direction of, or by correspondence with, an educational institution, or an insurance company; or
(2) Twelve (12) months' experience satisfactory to the commissioner as a substantially full-time underwriter, field representative, solicitor, agent, or subagent of an insurance agent or broker or of an insurance company, its manager, general agent, or representative, in the lines for which the applicant is to qualify; or
(3) Attainment of the chartered property casualty underwriter designation.
(b) An application for a license as an insurance producer under subdivision (a)(1) or (a)(2) must be accompanied by a certificate of completion or award. An application for a license under subdivision (a)(2) must be accompanied by an affidavit of the employer stating the nature of the duties performed by the applicant, the period of employment, and the amount of time devoted as a full time employee.
(c) A nonresident applying for a license shall be exempt from the provisions of this section and from any requirement of taking a written examination if the applicant has had an equivalent license in the state of his or her residence for one year, and his or her state, in the opinion of the commissioner, accords substantially similar treatment to residents of this state.
27-3-46.1. Prohibited distribution of agents' proprietary insurance information -- Financial institutions, including banks, savings banks, trust companies, or savings and loan associations chartered pursuant to federal law, bank holding companies, as defined in 12 U.S.C. section 1841, mortgage companies or any mortgagees, whether acting under state or federal authority, or any loss payee, who obtains insurance information, including, but not limited to, the policy inception date, the amount of the insurance coverage, the policy number, the name of the insurance company, the name of the insured, the amount of the insurance premiums, and the terms of insurance, as evidence or proof of insurance contained in insurance policies, certificates of insurance, or written memoranda of a preliminary contract of insurance issued by a duly licensed insurance producer as defined in chapter 2.3 of this title, or by any insurer duly authorized to do business in the state of Rhode Island, shall be prohibited from using, selling, or transferring that information to any third party for the purposes of marketing, underwriting, or soliciting insurance.
27-3-47. Acts prohibited -- (a) Except for the sale of credit life insurance, credit accident and health insurance, group credit insurance, group mortgage cancellation life insurance, or group mortgage accident and health insurance issued by an insurance company not owned in whole or in part by a financial institution and the provision of administrative or data processing services to insurance companies or insurance producers, a financial institution's premises within Rhode Island shall not be used to sell and/or underwrite insurance. "Premises" shall mean space where retail banking operations are conducted within a financial institution.
(b) For the purposes of this section, a "financial institution" shall be defined as:
(1) A bank, savings bank, or trust company, as defined in this title, its affiliates or subsidiaries, or any officer, agent, representative, or employee thereof;
(2) A bank holding company as defined in 12 U.S.C. section 1841, except any bank holding company that is exempt as provided in 12 U.S.C. section1843(d), its affiliates or subsidiaries, or any officer, agent, representative, or employee thereof; or
(3) Any other individual, corporation, partnership, or association authorized to take deposits and to make loans of money under the provisions of chapters 5, 14, 14.1 and 14.2 of title 19 or any officer, agent, representative, or employee thereof.
(c) For the purposes of this section, "partial ownership of an insurance company by a financial institution" shall mean ownership of more than five percent (5%) of the voting shares of that insurance company. The term "ownership" as used in this section, shall not extend to shares held by the financial institution where the institution is acting in a fiduciary relationship.
(d) This section shall not apply to the sale of insurance by a financial institution, as defined in this section, which has been issued an insurance producer's license under this title.
27-3-48.5. Amounts received in settlement of claims retained for unpaid premiums -- (a) Any insurance company or insurance producer may retain an amount equal to any unpaid premiums due on the policy under which a claim is being presented when settling any presented claim for an insured; provided, however, that the unpaid premium remains unpaid sixty (60) days after the effective day of the policy or the date of the original billing thereof, whichever later occurs; provided, however, that the insurance company shall pay to the insurance producer, upon written documentation submitted by the insurance agent or broker of the unpaid premium due, the amount equal to the unpaid premium due the insurance producer from the amount of the claim being presented and the balance of the claim be paid to the insured and/or loss payee or mortgagee named in the policy.
(b) This section shall not apply to any health insurance policy within the state.
27-3-51. Written notice to claimants of payment of claim in settlements -- Upon payment of five thousand dollars ($5,000) or more in settlement of any liability claim, the insurer shall cause written notice of the payment to be mailed to the claimant, at the same time payment is made, by the insurer or its representative, including the insurer's attorney, to the claimant's attorney or other representative of the claimant by draft, check, or otherwise.
SECTION 4. Section 27-5-3.4 of the General Laws in Chapter 27-5 entitled "Fire Insurance Policies and Reserves" is hereby amended to read as follows:
27-5-3.4. Cancellation or nonrenewal of standard fire insurance policy -- (a) A company issuing any policy of insurance which is subject to cancellation or nonrenewal by the company shall effect cancellation or nonrenewal by serving the notice thereof provided by the policy. That notice shall be delivered in hand to the named insured, or be left at his or her last address as shown by the company's records, or, if its records contain no last address, at his or her last business, residence, or other address known to the company, or be forwarded to that address by certified mail, return receipt requested. A return receipt from the United States postal service showing receipt of the notice at the address of the insured stated in the policy shall be sufficient proof of notice. If the company does not receive a return receipt from the United States postal service within ten (10) days, then the company may shall forward the notice by first class mail and maintain proof of mailing of the notice to the insured in the ordinary course of the insurer's business, and this proof of mailing shall be sufficient proof of notice.
(b) If a policy is made payable to a mortgagee or any person other than the named insured, notice shall be given as provided in subsection (a) to the payee as well as to the named insured.
(c) Policies subject to cancellation by the named insured upon giving notice to the company may be cancelled by serving notice in the manner herein provided upon the company or upon its insurance producer who issued the policy.
SECTION 5. Section 27-6-23 of the General Laws in Chapter 27-6 entitled "Fire and Marine Insurance Rating" is hereby amended to read as follows:
27-6-23. Licensing of rating organizations -- (a) A corporation, an unincorporated association, a partnership, or an individual, whether located within or outside this state, may make an application to the commissioner for a license as a rating organization for those kinds of insurance, or a subdivision or a class of risk or a part or combination thereof, as are specified in its application and shall file therewith:
(1) A copy of its constitution, its articles of agreement or association or its certificate of incorporation, and its by-laws, rules, and regulations governing the conduct of its business;
(2) A list of its members and subscribers;
(3) The name and address of a resident of this state upon whom notices or orders of the commissioner or process affecting the rating organization may be served; and
(4) A statement of its qualification as a rating organization.
(b) If the commissioner finds that the applicant is competent, trustworthy, and otherwise qualified to act as a rating organization and that its constitution, its articles of agreement or association or certificate of incorporation, and its by-laws, rules, and regulations governing the conduct of its business conform to the requirements of law, the commissioner shall issue a license specifying the kinds of insurance, or a subdivision or a class or a risk or part or combination thereof, for which the applicant is authorized to act as a rating organization. Every application shall be granted or denied in whole or in part by the commissioner within sixty (60) days of the date of its filing with him or her. Licenses issued pursuant to this section shall remain in effect for three (3) years unless sooner suspended or revoked by the commissioner. The fee for the license shall be forty dollars ($40.00).
(c) Licenses issued pursuant to this section may be suspended or revoked by the commissioner, after hearing upon notice, in the event the rating organization ceases to meet the requirements of this section. Every rating organization shall notify the commissioner promptly of every change in (1) its constitution, its articles of agreement or association or its certificate of incorporation, and its by-laws, rules, and regulations governing the conduct of its business, (2) its list of members and subscribers, and (3) the name and address of the resident of this state designated by it upon whom notices or orders of the commissioner or process affecting the rating organization may be served.
SECTION 6. Section 27-8-14 of the General Laws in Chapter 27-8 entitled "Casualty Insurance Generally" is hereby amended to read as follows:
27-8-14. Lost and salvage vehicle reporting -- All casualty insurers licensed to do business in Rhode Island shall report all vehicle thefts within thirty (30) days of the theft and all salvage declarations to the national insurance crime bureau (NICB) or a similar organization acceptable to the department, that maintains a central database of automobile theft and salvage.
SECTION 7. Chapter 27-10 of the General Laws entitled "Claim Adjusters" is hereby amended by adding thereto the following section:
27-10-15. Amounts received in settlement of claims retained for unpaid premiums. -- (a) Any insurance company or insurance producer may retain an amount equal to any unpaid premiums due on the policy under which a claim is being presented when settling any presented claim for an insured; provided, however, that the unpaid premium remains unpaid sixty (60) days after the effective day of the policy or the date of the original billing thereof, whichever later occurs; provided, however, that the insurance company shall pay to the insurance producer, upon written documentation submitted by the insurance agent or broker of the unpaid premium due, the amount equal to the unpaid premium due the insurance producer from the amount of the claim being presented and the balance of the claim be paid to the insured and/or loss payee or mortgagee named in the policy.
(b) This section shall not apply to any health insurance policy within the state.
SECTION 8. Section 27-13.1-7 of the General Laws in Chapter 27-13.1 entitled "Examinations" is hereby amended to read as follows:
27-13.1-7. Cost of examinations - (a) The total cost of the examinations shall be borne by the companies so examined and shall be one include the following expenses:
(1) one hundred fifty percent (150%) of the total salaries and benefits paid to the examining personnel of the banking and insurance division engaged in those examinations less any salary reimbursements; and
(2) all reasonable technology costs related to the examination process. Technology costs shall include the actual cost of software and hardware utilized in the examination process and the cost of training examination personnel in the proper use of the software or hardware;
(3) all necessary and reasonable education and training costs incurred by the state to maintain the proficiency and competence of the examining personnel. All such costs shall be incurred in accordance with appropriate state of Rhode Island regulations, guidelines and procedures.
(b) Expenses incurred pursuant to subsections (a)(2) and (3) above shall be allocated equally to each company domiciled in Rhode Island no more frequently than annually and shall not exceed an annual average assessment of three thousand five hundred dollars ($3,500) per company for any given three (3) calendar year period. All revenues collected pursuant to this section shall be deposited as general revenues. That assessment shall be in addition to any taxes and fees otherwise payable to the state.
SECTION 9. Chapter 27-14.3 of the General Laws entitled "Insurers' Rehabilitation and Liquidation Act" is hereby amended by adding thereto the following section:
27-14.3-46.1. Insurer assessments. -- Notwithstanding language to the contrary in this or any other title of the Rhode Island general laws, an insurer that is subject to an order of liquidation pursuant to this chapter, shall not be subject to any assessment or fee imposed pursuant to any section of the Rhode Island general laws. Notwithstanding the foregoing, the amount of any such assessment or fee may be assumed and redistributed among all other insurers subject to such assessment or fee. This section shall only apply to those assessments and/or fees which are first billed on or subsequent to the date of any order of liquidation. For purposes of this section the terms "assessment" and "fee" shall not include taxes however defined in any title of the Rhode Island general laws.
SECTION 10. Section 27-14.3-3 of the General Laws in Chapter 27-14.3 entitled "Insurers' Rehabilitation and Liquidation Act" is hereby amended to read as follows:
27-14.3-3. Definitions -- For the purposes of this chapter:
(1) "Ancillary state" means any state other than a domiciliary state;
(2) "Commissioner" means the director of the department of business regulation;
(3) "Creditor" is a person having any claim, whether matured or unmatured, liquidated or unliquidated, secured or unsecured, absolute, fixed, or contingent;
(4) "Delinquency proceeding" means any proceeding instituted against an insurer for the purpose of liquidating, rehabilitating, reorganizing, or conserving that insurer, and any summary proceeding under section 27-14.3-10. "Formal delinquency proceeding" means any liquidation or rehabilitation proceeding;
(5) "Doing business" includes any of the following acts, whether effected by mail or otherwise:
(i) The issuance or delivery of contracts of insurance to persons resident in this state;
(ii) The solicitation of applications for those contracts, or other negotiations preliminary to the execution of those contracts;
(iii) The collection of premiums, membership fees, assessments, or other consideration for those contracts;
(iv) The transaction of matters subsequent to the execution of those contracts and arising out of them;
(v) Operating under a license, approval, or certificate of authority, as an insurer, issued by the insurance department; or
(vi) Those other acts defined in section 27-16-1.2(b);
(6) "Domiciliary state" means the state in which an insurer is incorporated or organized; or, in the case of an alien insurer, its state of entry;
(7) "Fair consideration" is given for property or obligation:
(i) When in exchange for the property or obligation, as a fair equivalent therefore, and in good faith, property is conveyed or services are rendered or an obligation is incurred or an antecedent debt is satisfied; or
(ii) When the property or obligation is received in good faith to secure a present advance or antecedent debt in an amount not disproportionately small as compared to the value of the property or obligation obtained;
(8) "Foreign country" means any other jurisdiction not in any state of the United States;
(9) "General assets" means all property, real, personal, or otherwise, not specifically mortgaged, pledged, deposited, or otherwise encumbered for the security or benefit of specified persons or classes of persons. As to specifically encumbered property, "general assets" includes all property or its proceeds in excess of the amount necessary to discharge the sum or sums secured thereby. Assets held in trust and on deposit for the security or benefit of all policyholders or all policyholders and creditors in more than a single state, shall be treated as general assets;
(10) "Guaranty association" means the Rhode Island insurers' insolvency fund created by the Rhode Island Insurers' Insolvency Fund Act, chapter 34 of title 27, and the Rhode Island life and health insurance guaranty association, created by the Rhode Island Life and Health Insurance Guaranty Association Act, chapter 34.1 of title 27, and any other similar entity now or hereafter created by the legislature of this state for the payment of claims of insolvent insurers. "Foreign guaranty association" means any similar entities now in existence in or hereafter created by the legislature of any other state;
(11) "Insolvency" or "insolvent" means:
(i) For an insurer issuing only assessable fire insurance policies:
(A) The inability to pay any obligation within thirty (30) days after it becomes payable; or
(B) If an assessment be made within thirty (30) days after that date, the inability to pay the obligation thirty (30) days following the date specified in the first assessment notice issued after the date of loss;
(ii) For all nonprofit health service corporations, and all nonprofit hospital service corporations, nonprofit medical service corporations, nonprofit dental service corporations, nonprofit optometric service corporations, and nonprofit legal service corporations, pursuant to chapters 19, 20, 20.1, 20.2, and 20.3 of title 27, the inability of the entity to meet its debts and financial obligations as they become due; or
(iii) (ii) For any other insurer including those referenced in section 27-14.3-2(8), that it is unable to pay its obligations when they are due, or when its admitted assets do not exceed its liabilities plus the greater of:
(A) Any capital and surplus required by law for its organization and continued operation; or
(B) The total par or stated value of its authorized and issued capital stock;
(iv) As to any insurer licensed or admitted to do business in this state as of July 23, 1993 which does not meet the standard established under subsection (11)(ii), the term "insolvency" or "insolvent" shall mean, for a period not to exceed three (3) years from the effective date of this chapter, that it is unable to pay its obligations when they are due or that its admitted assets do not exceed its liabilities plus any required capital contribution ordered by the commissioner under provisions of the insurance law;
(v) (iii) For the purposes of this subsection "liabilities" shall include, but not be limited to, reserves required by statute or by insurance department general regulations or specific requirements imposed by the commissioner upon a subject company at the time of admission or subsequent thereto;
(12) "Insurer" means any person who has done, purports to do, is doing, or is licensed or approved to do an insurance business, and is or has been subject to the authority of, or to liquidation, rehabilitation, reorganization, supervision, or conservation by, any insurance commissioner. For the purposes of this chapter, any other persons included under section 27-14.3-2 shall be deemed to be insurers and for the purposes of this chapter, guaranty associations shall not be deemed to be doing the business of insurance or the insurer;
(13) "Person" includes any natural person, corporation, association, partnership, trust, or other legal entity;
(14) "Preferred claim" means any claim with respect to which the terms of this chapter accord priority of payment from the general assets of the insurer;
(15) "Receiver" means receiver, liquidator, rehabilitator, or conservator, as the context requires;
(16) "Reciprocal state" means any state other than this state in which in substance and effect sections 27-14.3-22(a), 27-14.3-56, 27- 14.3-57 and 27-14.3-59 -- 27-14.3-61 are in force, and in which provisions are in force requiring that the commissioner or equivalent official be the receiver of a delinquent insurer, and in which some provision exists for the avoidance of fraudulent conveyances and preferential transfers;
(17) "Secured claim" means any claim secured by mortgage, trust deed, pledge, deposit as security, escrow, or otherwise, but not including special deposit claims or claims against general assets. The term also includes claims which have become liens upon specific assets by reason of judicial process;
(18) "Special deposit claim" means any claim secured by a deposit made pursuant to statute for the security or benefit of a limited class or classes of persons, but not including any claim secured by general assets;
(19) "State" means any state, district, or territory of the United States and the Panama canal zone; and
(20) "Transfer" shall include the sale and every other and different mode, direct or indirect, or disposing of or of parting with property or with an interest therein, or with the possession thereof or of fixing a lien upon property or upon an interest therein, absolutely or conditionally, voluntarily, by or without judicial proceedings. The retention of a security title to property delivered to a debtor shall be deemed a transfer suffered by the debtor.
SECTION 11. Chapter 27-29 of the General Laws entitled "Unfair Competition and Practices" is hereby amended by adding thereto the following section:
27-29-16. Written notice to claimants of payment of claim in settlements. -- Upon payment of five thousand dollars ($5,000) or more in settlement of any liability claim, the insurer shall cause written notice of the payment to be mailed to the claimant, at the same time payment is made, by the insurer or its representative, including the insurer's attorney, to the claimant's attorney or other representative of the claimant by draft, check, or otherwise.
SECTION 12. Section 27-43-7 of the General Laws in Chapter 27-43 entitled "Captive Insurance Companies" is hereby amended to read as follows:
27-43-7. Reinsurance -- (a) Any captive insurance company meeting the requirements of section 27-1.1-1 may provide reinsurance on risks ceded by any other insurer., provided, however, that the captive insurance company and the insurer comply with the requirements established by regulations promulgated pursuant to this chapter.
(b) Any captive insurance company may reinsure its risks and take credit for reserves on risk or on portions of risk ceded to reinsurers as provided in sections 27-1.1-1 -- 27-1.1-8. Subsidiary captive insurance companies may take credit for reserves on risks or portions of risk ceded to reinsurers not complying with sections 27-1.1-1 - 27-1.1-8 only after obtaining the prior approval of the director. The director may require any other documents, financial information or other evidence that such reinsurer will be able to provide adequate security for its financial obligations. The commissioner may deny authorization or impose any limitations on the activities of a reinsurer that, in his or her judgment, are necessary and proper to provide adequate security for the ceding captive insurance company and for the protection and consequent benefit of the public at large.
(c) For the purposes of this chapter, the insurance by a captive insurance company of any workers' compensation qualified self-insured plan of its parent and affiliates shall be deemed to be reinsurance.
SECTION 13. Sections 27-44-8 and 27-44-9 of the General Laws in Chapter 27-44 entitled "Casualty, Liability And Fire And Marine Insurance Rating" are hereby amended to read as follows:
27-44-8. Licensing of rating organizations -- (a) License required.. - No rating organization shall provide any service relating to the rates of any insurance subject to this chapter, and no insurer shall utilize the services of the organization for these purposes unless the organization has obtained a license under subsection (c).
(b) Availability of services.. - No rating organization shall refuse to supply any services for which it is licensed in this state to any insurer authorized to do business in this state and offering to pay the fair and usual compensation for the services.
(c) Licensing.
(1) Application.. - A rating organization applying for a license shall include with its application:
(i) A copy of its constitution, charter, articles of organization, agreement, association, or incorporation, and a copy of its by-laws, plan of operation, and any other rules or regulations governing the conduct of its business;
(ii) A list of its members and subscribers;
(iii) The name and address of one or more residents of this state upon whom notices, process affecting it, or orders of the director may be served;
(iv) A statement showing its technical qualifications for acting in the capacity for which it seeks a license; and
(v) Any other relevant information and documents that the director may require;
(2) Change of circumstances.. - Every organization which has applied for a license shall notify the director of every material change in the facts or in the documents on which its application was based. Any amendment to a document filed under this section shall be filed with the director not less than thirty (30) days after it becomes effective;
(3) Granting of license -- Fee.. - If the director finds that the applicant and the natural persons through whom it acts are competent, trustworthy, and technically qualified to provide the services proposed, and that all requirements of the law are met, he or she shall issue a license specifying the authorized activity of the applicant. The annual fee for the license shall be forty dollars ($40.00). The director shall not issue a license if the proposed activity would tend to create a monopoly or to substantially lessen the competition in any market;
(4) Duration.. - Licenses issued pursuant to this section shall remain in effect until the licensee withdraws from the state or until the license is for three (3) years unless sooner suspended or revoked. The director may, at any time, after a hearing, revoke or suspend the license of a rating organization which does not comply with the requirements and standards of this chapter.
27-44-9. Licensing of advisory organizations -- (a) License required.. - No advisory organization shall provide any service relating to the rates of any insurer subject to this chapter, and no insurer shall utilize the services of the organization for such purposes unless the organization has become licensed under subsection (d).
(b) Authorized activities.. - A licensed advisory organization may perform any of the authorized activities enumerated in section 27-44-11 except no advisory organization may make any filings on behalf of any insurer.
(c) Availability of services.. - No advisory organization shall refuse to supply any services for which it is licensed in this state to any insurer authorized to do business in this state and offering to pay the fair and usual compensation for the services.
(d) License.. - An advisory organization shall submit at the time of application:
(1) A copy of its constitution, articles of association or incorporation, and the by-laws, plan of operation, or other rules and regulations governing its activities;
(2) A list of its members and subscribers;
(3) The name and address of one or more residents of this state upon whom notices, process affecting it, or orders of the director may be served; and
(4) Any other relevant information and documents that the director may require.
(e) Change of circumstances.. - Every registered advisory organization shall promptly notify the director of every material change in the facts or in the documents upon which its registration was based.
(f) License -- Fee.. - If the director finds that the applicant and the natural persons through whom it acts are competent, trustworthy, and technically qualified to provide the services proposed, and that all requirements of law are met, he or she shall issue a license specifying the authorized activity of the applicant. The annual fee for the license shall be forty dollars ($40.00). The director shall not issue a license if the proposed activity would tend to create a monopoly or to substantially lessen competition.
(g) Duration.. - Licenses issued pursuant to this section shall remain in effect until the licensee withdraws from the state or until the license is for three (3) years unless sooner suspended or revoked. The director, after a hearing, may revoke or suspend the license of an advisory organization which does not comply with the requirements and standards of this chapter.
SECTION 14. Section 28-33-8 of the General Laws in Chapter 28-33 entitled "Workers' Compensation - Benefits" is hereby amended to read as follows:
28-33-8. Employee's choice of physician, dentist, or hospital -- Payment of charges -- Physician reporting schedule -- (a) (1) An injured employee has freedom of choice to obtain health care, diagnosis, and treatment from any qualified health care provider initially. The initial health care provider of record may, without prior approval, refer the injured employee to any qualified specialist for independent consultation or assessment, or specified treatment. If the insurer or self-insured employer has filed with the director of business regulation a preferred provider network approved by the medical advisory board, any change by the employee from the initial health care provider of record may only be to a health care provider listed in the approved preferred provider network. If the employee seeks to change to a health care provider not in the approved preferred provider network, the employee must obtain the approval of the insurer or self-insured employer. Nothing contained in this section shall prevent the treatment, care, or rehabilitation of an employee by more than one physician, dentist, or hospital. The employee's first visit to any facility providing emergency care or to a physician or medical facility under contract with or agreement with the employer or insurer to provide priority care does constitute the employee's initial choice to obtain health care, diagnosis or treatment.
(2) In addition to the treatment of qualified health care providers, the employee has the freedom to obtain a rehabilitation evaluation by a rehabilitation counselor certified by the director pursuant to section 28-33-41 in cases where the employee has received compensation for a period of more than three (3) months, and the employer shall pay the reasonable fees incurred by the rehabilitation counselor for the initial assessment.
(b) Within three (3) days of an initial visit following an injury, the health care provider shall provide to the insurer or self-insured employer a notification of compensable injury form to be approved by the administrator of the medical advisory board. Within three (3) days of the injured employee's release or discharge, return to work, and/or recovery from an injury covered by chapters 29 -- 38 of this title, the health care provider provides a notice of release to the insurer or self-insured employer on a form approved by the division. A twenty dollar ($20.00) fee may be charged by the health care provider to the insurer or self-insured employer for the notification of compensable injury forms or notice of release forms or for affidavits filed pursuant to subsection (c), but only if filed timely. No claim for care or treatment by a physician, dentist, or hospital chosen by an employee is valid and enforceable against his or her employer, the employer's insurer, or the employee, unless the physician, dentist, or hospital gives written notice of the employee's choice to the employer/insurance carrier within fifteen (15) days after the beginning of the services or treatment. The health care provider shall present, in writing, to the employer or insurance carrier a final itemized bill for all unpaid services or treatment within three (3) months after the conclusion of services or treatment. The employee is not personally liable to pay any physician, dentist, or hospital bills in cases where the physician, dentist, or hospital has forfeited the right to be paid by the employer or insurance carrier because of noncompliance with this section.
(c) (1) Every six (6) weeks, until maximum medical improvement, any qualified physician or other health care professional providing medical care or treatment to any person for an injury covered by chapters 29 -- 38 of this title files an itemized bill and an affidavit with the insurer and the medical advisory board. A ten percent (10%) discount may be taken on the itemized bill affidavits not filed timely and received by the insurer one week or more late. The affidavit shall be on a form designed and provided by the administrator of the medical advisory board and shall state:
(i) The nature of the injury being treated;
(ii) The type of medical treatment provided to date, including type and frequency of treatment(s);
(iii) Anticipated further treatment including type, frequency, and duration of treatment(s), whether or not maximum medical improvement has been reached or when it is expected to be reached, and the anticipated date of discharge;
(iv) Whether the employee can return to the former position of employment or is capable of other work, specifying work restrictions and work capabilities and the degree of functional impairment and/or disability of the employee;
(v) Any ownership interest in any ancillary facility to which the patient has been referred for treatment of a compensable injury.
(2) The affidavit is admissible as an exhibit of the workers' compensation court with or without the appearance of the affiant.
(d) An "itemized bill", as referred to in this section, means a statement of charges, on a form HCFA 1500 or other form suitable to the insurer, which includes, but is not limited to, an enumeration of specific types of care provided, facilities or equipment used, services rendered, and appliances or medicines prescribed, for purposes of identifying the treatment given the employee with respect to his or her injury.
(e) (1) The treating physician shall furnish to the employee, or to his or her legal representative, a copy of his or her medical report within ten (10) days of the examination date.
(2) The treating physician shall notify the employer immediately when an employee is able to return to full or modified work.
(3) There shall be no charge for a health record when that health record is necessary to support any appeal or claim under the Workers' Compensation Act per section 23-17-19.1(16).
(f) (1) Compensation for medical expenses and other services under section 28-33-5, 28-33-7 or 28-33-8 is due and payable within twenty-one (21) days from the date a request is made for payment of these expenses by the provider of the medical services. In the event payment is not made within twenty-one (21) days from the date a request is made for payment, the provider of medical services may add, and the insurer or self-insurer shall pay, interest at the per annum rate as provided in section 9-21-10 on the amount due. The employee or the medical provider may file a petition with the administrator of the workers' compensation court, which petition shall follow the procedure as authorized in chapter 35 of this title.
(2) The twenty-one (21) day period in subsection (f)(1) begins on the date the insurer receives a request with appropriate documentation required to determine whether the claim is compensable and the payment requested is due.
SECTION 15. This act shall take effect upon passage.