Chapter 148 |
2022 -- H 8211 Enacted 06/27/2022 |
A N A C T |
RELATING TO INSURANCE -- NONPROFIT HOSPITAL SERVICE CORPORATIONS--RATE REVIEW ACT |
Introduced By: Representatives Casey, Kennedy, Edwards, Cassar, Kislak, Casimiro, Speakman, Williams, Kazarian, and Hawkins |
Date Introduced: May 05, 2022 |
It is enacted by the General Assembly as follows: |
SECTION 1. Section 27-19-6 of the General Laws in Chapter 27-19 entitled "Nonprofit |
Hospital Service Corporations" is hereby amended to read as follows: |
27-19-6. Rates charged subscribers -- Reserves. |
(a) Public hearings General: The rates proposed to be charged or a rating formula proposed |
to be used by any corporation organized under this chapter to employers, the state or any political |
subdivision of the state, or individuals, shall be filed by the corporation at the office of the health |
insurance commissioner (the "commissioner"). Within sixty (60) days after receipt of the |
application, the commissioner, or his or her designee shall hold a hearing on all rates proposed for |
health insurance coverage offered in the individual market as defined in § 27-18.5-2 upon not less |
than ten (10) days written notice prior to the hearing. With regard to any other rates subject to the |
commissioner's jurisdiction the commissioner, or his or her designee, may hold a hearing upon not |
less than ten (10) days written notice prior to the hearing. The notice shall be published by the |
commissioner in a newspaper or newspapers having aggregate general circulation throughout the |
state at least ten (10) days prior to the hearing. The notice shall contain a description of the rates |
proposed to be charged and a copy of the notice shall be sent to the applicant and to the department |
of the attorney general. In addition, the applicant shall provide by mail, at least ten (10) days prior |
to the hearing, notice of the proposed rate increase for health insurance coverage offered in the |
individual market as defined in § 27-18.5-2 to all subscribers subject to the proposed rate increase. |
(b) Public hearings: Within ten (10) days after receipt of a filing, the commissioner shall |
determine, subject to the provisions of subsection (f) of this section, whether they intend to hold a |
public meeting or a public hearing at which time notice of such determination shall be sent to the |
insurance advocacy unit of the attorney general. Any such public hearing shall commence within |
sixty (60) days after receipt of the application, upon not less than ten (10) days’ written notice prior |
to the hearing, published by the commissioner in a newspaper or newspapers having aggregate |
general circulation throughout the state, at least ten (10) days prior to the hearing. The notice shall |
contain a description of the rates proposed to be charged and a copy of the notice shall be sent to |
the applicant and to the department of the attorney general. In the event there is a public hearing, |
the attorney general may engage the services of any expert or consultant necessary to assist in |
reviewing the filing, including having the ability to seek additional relevant information from the |
filer. All public hearings held pursuant to this section shall be held in accordance with the |
provisions of chapter 35 of title 42. |
(b)(c) Filings with the Attorney General's Office attorney general’s office: The applicant |
shall provide a copy of the filing on all rates proposed for health insurance coverage offered in the |
individual market as defined in § 27-18.5-2 to the Insurance Advocacy Unit of the Attorney |
General's Office insurance advocacy unit of the attorney general's office simultaneously with the |
filing at the office of the health insurance commissioner. |
(c)(d) Procedures: At any hearing held under this section, the applicant shall be required to |
establish that the rates proposed to be charged or the rating formula to be used are consistent with |
the proper conduct of its business and with the interest of the public. |
Rates proposed to be charged by any corporation organized under this chapter shall be |
sufficient to maintain total reserves in a dollar amount sufficient to pay claims and operating |
expenses for not less than one month. Those reserves shall be computed as of each December 31st, |
and a report setting forth the computation shall be submitted to the commissioner together with the |
corporation's Rhode Island annual statement to the commissioner. Any documents presented in |
support of a filing of proposed rates under this section shall be made available for inspection by |
any party entitled to participate in a hearing or admitted as an intervenor in a hearing or such |
conditions as the commissioner may prescribe provided under this section at a time and at a place |
as the commissioner may deem reasonable. The commissioner, or his or her designee, upon the |
hearing, may administer oaths, examine and cross-examine witnesses, receive oral and |
documentary evidence, and shall have the power to subpoena witnesses, compel their attendance, |
and require the production of books, papers, records, correspondence, or other documents which |
he or she deems relevant. The commissioner shall issue a decision as soon as is reasonably possible |
following the completion of the hearing. The decision may approve, disapprove, or modify the rates |
proposed to be charged by the applicant. Applicants requesting changes in rates shall underwrite |
the reasonable expenses of the commissioner in connection with the hearing, including any costs |
related to advertisements, stenographic reporting, and expert witnesses fees. |
(1) The applicant shall be required to establish that the rates proposed to be charged are |
consistent with the proper conduct of its business and with the interest of the public. |
(2) Any documents presented in support of a filing of proposed rates under this section |
shall be made available for public examination at a time and place that the commissioner may deem |
reasonable. |
(3) If a public hearing is held pursuant to subsection (b) of this section, the commissioner, |
or designee, upon the hearing, may administer oaths, examine and cross-examine witnesses, receive |
oral and documentary evidence, and shall have the power to subpoena witnesses, compel their |
attendance, and require the production of books, papers, records, correspondence, or other |
documents which they deem relevant. Any designee who shall conduct a hearing pursuant to this |
section shall report their findings, in writing, to the commissioner, within a reasonable time |
following the conclusion of the hearing, with a recommendation for approval, disapproval, or |
modification of the rates proposed to be charged by the applicant. The commissioner shall make |
and issue a decision not later than ten (10) days following the issuance of the recommended decision |
or, if the commissioner hears the application without the appointment of a designee, as soon as is |
reasonably possible following the completion of the hearing on the proposed rate change. The |
decision may approve, disapprove, or modify the rates proposed to be charged by the applicant. |
(d)(e) The term "designee," as used in this section, shall mean a person who is impartial; a |
member in good standing of the Rhode Island bar; and a person who is sufficiently acquainted with |
the rules of evidence as used in the superior court of the state so as to enable that person to conduct |
a hearing as designee of the commissioner. The reasonable per diem cost of the designee, as |
appointed by the commissioner, shall be paid by the applicant requesting changes in the rates. |
(f) Notwithstanding any provision of this section to the contrary, the commissioner shall |
hold a public hearing in any instance where the applicant covers ten thousand (10,000) or more |
enrolled individuals in the individual market, and the rates proposed in the filing for the annual rate |
increase for products offered in the individual market produce an overall average rate increase of |
ten percent (10%) or more. The commissioner shall require that any filing for a rate increase for |
products offered in the individual market shall include the calculation of the "overall, average-rate |
increase" in order to determine whether a public hearing is required. |
(1) For the purposes of this section, the calculation of the "overall, average-rate increase" |
shall be based on the overall average increase percent weighted by member premiums, excluding |
the effects of age scale increases. To calculate the overall, average-rate increase, the applicant shall |
multiply the proposed rate increase by product, times the total monthly renewing premium for each |
product, and then divide the product by the sum of monthly renewing premiums for all products. |
The commissioner shall require this calculation to be provided as part of the applicant's individual |
market rate filing. |
(g) In the event that subsection (f) of this section, in combination with § 42-62-13(b), would |
result in more than one public hearing in any given calendar year, the commissioner may defer one |
or more public hearing(s) for an applicant resulting from subsection (f) of this section or § 42-62- |
13(b) until the subsequent calendar year, with the provision that one of the deferred applicants shall |
be required to have a public hearing in the subsequent year, whether or not the applicants' filing |
satisfies the requirements of subsection (f) of this section or § 42-62-13(b) in that subsequent |
calendar year. |
(h) The commissioner shall notify the attorney general of the filing(s) to be deferred and |
the attorney general shall be given the opportunity to provide written comments and |
recommendations to the commissioner regarding any such filing(s) deferred in accordance with |
subsection (g) of this section. |
(i) Notwithstanding any other provision of law to the contrary, the filing of proposed rates |
or a rating formula, and the holding and conducting of any public hearing in connection with these |
proposed rates or rating formula, shall be held in accordance with the provisions of chapter 35 of |
title 42. |
(j) Public comment. Whether or not a public hearing is held pursuant to subsection (f) of |
this section, the commissioner shall solicit public comment regarding the rates proposed to be |
charged. Public comment shall be solicited upon not less than ten (10) days’ written notice prior to |
the date that either: |
(1) A public meeting at which verbal comments may be provided; or |
(2) That written comment must be received by the commissioner. |
The notice shall contain a description of the rates proposed to be charged, or the formula |
proposed to be used, and a copy of the notice shall be sent to the applicant and to the insurance |
advocacy unit of the department of the attorney general. The attorney general shall be permitted to |
conduct discovery in relation to the actuarial analysis and actuarial assumptions of the filer |
regarding any filing in the individual market as defined in § 27-18.5-2. Any documents presented |
in support of the filing under this section shall be made available for public examination at a time |
and place that the commissioner may deem reasonable. |
(k) The applicant shall bear reasonable expenses of the commissioner in connection with a |
filing made pursuant to this section, including any costs related to advertisements, stenographic |
reporting, and expert fees, regardless of whether a public hearing is held. The applicant shall bear |
reasonable expenses of the attorney general in relation to any public hearing conducted pursuant to |
this section. The applicant shall bear reasonable expenses of the attorney general in relation to any |
filing in the individual market that is not subject to a public hearing. |
SECTION 2. Section 27-20-6 of the General Laws in Chapter 27-20 entitled "Nonprofit |
Medical Service Corporations" is hereby amended to read as follows: |
27-20-6. Rates charged subscribers -- Reserves -- Hearing by commissioner. |
(a) Public hearings General: The rates proposed to be charged or a rating formula proposed |
to be used by any corporation organized under this chapter to its subscribers, employers, the state |
or any political subdivision of the state, or individuals, shall be filed by the corporation at the office |
of the health insurance commissioner (the "commissioner"). Within sixty (60) days after receipt of |
the application, the commissioner, or his or her designee, shall hold a hearing on all rates proposed |
for health insurance coverage offered in the individual market as defined in § 27-18.5-2 upon not |
less than ten (10) days written notice prior to the hearing. With regard to any other rates or rating |
formula subject to the commissioner's jurisdiction the commissioner, or his or her designee, may |
hold a hearing upon not less than ten (10) days written notice prior to the hearing. The notice shall |
be published by the commissioner in a newspaper or newspapers having aggregate general |
circulation throughout the state at least ten (10) days prior to the hearing. The notice shall contain |
a description of the rates proposed to be charged and a copy of the notice shall be sent to the |
applicant and to the department of the attorney general. In addition, the applicant shall provide by |
mail, at least ten (10) days prior to the hearing, notice of the proposed rate increase for health |
insurance coverage offered in the individual market as defined in § 27-18.5-2 to all subscribers |
subject to the proposed rate increase. |
(b) Public hearings: Within ten (10) days after receipt of a filing, the commissioner shall |
determine, subject to the provisions of subsection (f) of this section, whether they intend to hold a |
public meeting or a public hearing at which time notice of such determination shall be sent to the |
insurance advocacy unit of the attorney general. Any such public hearing shall commence within |
sixty (60) days after receipt of the application, upon not less than ten (10) days’ written notice prior |
to the hearing, published by the commissioner in a newspaper or newspapers having aggregate |
general circulation throughout the state, at least ten (10) days prior to the hearing. The notice shall |
contain a description of the rates proposed to be charged and a copy of the notice shall be sent to |
the applicant and to the department of the attorney general. In the event there is a public hearing, |
the attorney general may engage the services of any expert or consultant necessary to assist in |
reviewing the filing, including having the ability to seek additional relevant information from the |
filer. All public hearings held pursuant to this section shall be held in accordance with the |
provisions of chapter 35 of title 42. |
(b)(c) Filings with the Attorney General's Office attorney general’s office: The applicant |
shall provide a copy of the filing on all rates proposed for health insurance coverage offered in the |
individual market as defined in § 27-18.5-2 or for a Medicare supplement policy as defined in § |
27-18.2-1 to the Insurance Advocacy Unit of the Attorney General's Office insurance advocacy |
unit of the attorney general's office simultaneously with the filing at the office of the health |
insurance commissioner. |
(c)(d) Procedures: At any hearing held under this section, the applicant shall be required to |
establish that the rates proposed to be charged or the rating formula proposed to be used are |
consistent with the proper conduct of its business and with the interest of the public. |
Rates proposed to be charged by any corporation organized under this chapter shall |
maintain total reserves in a dollar amount sufficient to pay claims and operating expenses for not |
less than one month. Those reserves shall be computed as of each December 31st, and a report |
setting forth the computation shall be submitted to the commissioner together with the corporation's |
Rhode Island annual statement to the insurance commissioner of the state of Rhode Island. Any |
documents presented in support of a filing of proposed rates under this section shall be made |
available for inspection by any party entitled to participate in a hearing or admitted as an intervenor |
in a hearing on such conditions as the commissioner may prescribe provided pursuant to this section |
at a time and at a place as the commissioner may deem reasonable. The commissioner, or his or her |
designee, upon the hearing, may administer oaths, examine and cross examine witnesses, receive |
oral and documentary evidence, and shall have the power to subpoena witnesses, compel their |
attendance, and require the production of books, papers, records, correspondence, or other |
documents which the director deems relevant. The commissioner shall issue a decision as soon as |
is reasonably possible following completion of the hearing. The decision may approve, disapprove, |
or modify the rates proposed to be charged by the applicant. Applicants requesting changes in rates |
shall underwrite the reasonable expenses of the commissioner in connection with the hearing, |
including any costs related to advertisements, stenographic reporting, and expert witnesses fees. |
(1) The applicant shall be required to establish that the rates proposed to be charged are |
consistent with the proper conduct of its business and with the interest of the public. |
(2) Any documents presented in support of a filing of proposed rates under this section |
shall be made available for public examination at a time and place that the commissioner may deem |
reasonable. |
(3) If a public hearing is held pursuant to subsection (b) of this section, the commissioner, |
or designee, upon the hearing, may administer oaths, examine and cross-examine witnesses, receive |
oral and documentary evidence, and shall have the power to subpoena witnesses, compel their |
attendance, and require the production of books, papers, records, correspondence, or other |
documents which they deem relevant. Any designee who shall conduct a hearing pursuant to this |
section shall report their findings, in writing, to the commissioner, within a reasonable time |
following the conclusion of the hearing, with a recommendation for approval, disapproval, or |
modification of the rates proposed to be charged by the applicant. The commissioner shall make |
and issue a decision not later than ten (10) days following the issuance of the recommended decision |
or, if the commissioner hears the application without the appointment of a designee, as soon as is |
reasonably possible following the completion of the hearing on the proposed rate change. The |
decision may approve, disapprove, or modify the rates proposed to be charged by the applicant. |
(d)(e) The term "designee," as used in this section, shall mean a person who is impartial; a |
member in good standing of the Rhode Island bar; and a person who is sufficiently acquainted with |
the rules of evidence as used in the superior court of the state so as to enable that person to conduct |
a hearing as designee of the commissioner. The reasonable per diem cost of the designee, as |
appointed by the commissioner, shall be paid by the applicant requesting changes in the rates. |
(f) Notwithstanding any provision of this section to the contrary, the commissioner shall |
hold a public hearing in any instance where the applicant covers ten thousand (10,000) or more |
enrolled individuals in the individual market, and the rates proposed in the filing for the annual rate |
increase for products offered in the individual market produce an overall average-rate increase of |
ten percent (10%) or more. The commissioner shall require that any filing for a rate increase for |
products offered in the individual market shall include the calculation of the "overall, average-rate |
increase" in order to determine whether a public hearing is required. |
(1) For the purposes of this section, the calculation of the "overall, average-rate increase" |
shall be based on the overall, average-increase percent weighted by member premiums, excluding |
the effects of age scale increases. To calculate the overall, average-rate increase, the applicant shall |
multiply the proposed rate increase by product, times the total monthly renewing premium for each |
product, and then divide the product by the sum of monthly renewing premiums for all products. |
The commissioner shall require this calculation to be provided as part of the applicant's individual |
market rate filing. |
(g) In the event that subsection (f) of this section, in combination with § 42-62-13(b), would |
result in more than one public hearing in any given calendar year, the commissioner may defer one |
or more public hearing(s) for an applicant resulting from subsection (f) of this section or § 42-62- |
13(b) until the subsequent calendar year, with the provision that one of the deferred applicants shall |
be required to have a public hearing in the subsequent year, whether or not the applicants' filing |
satisfies the requirements of subsection (f) of this section or § 42-62-13(b) in that subsequent |
calendar year. |
(h) The commissioner shall notify the attorney general of the filing(s) to be deferred and |
the attorney general shall be given the opportunity to provide written comments and |
recommendations to the commissioner regarding any such filing(s) deferred in accordance with |
subsection (g) of this section. |
(i) Notwithstanding any other provision of law to the contrary, the filing of proposed rates |
or a rating formula, and the holding and conducting of any public hearing in connection with these |
proposed rates or rating formula, shall be held in accordance with the provisions of chapter 35 of |
title 42. |
(j) Public comment. Whether or not a public hearing is held pursuant to subsection (f) of |
this section, the commissioner shall solicit public comment regarding the rates proposed to be |
charged. Public comment shall be solicited upon not less than ten (10) days’ written notice prior to |
the date that either: |
(1) A public meeting at which verbal comments may be provided; or |
(2) That written comment must be received by the commissioner. |
The notice shall contain a description of the rates proposed to be charged, or the formula |
proposed to be used, and a copy of the notice shall be sent to the applicant and to the insurance |
advocacy unit of the department of the attorney general. The attorney general shall be permitted to |
conduct discovery in relation to the actuarial analyses and actuarial assumptions of the filer |
regarding any filing in the individual market as defined in § 27-18.5-2. Any documents presented |
in support of the filing under this section shall be made available for public examination at a time |
and place that the commissioner may deem reasonable. |
(k) The applicant shall bear reasonable expenses of the commissioner in connection with a |
filing made pursuant to this section, including any costs related to advertisements, stenographic |
reporting, and expert fees, regardless of whether a public hearing is held. The applicant shall bear |
reasonable expenses of the attorney general in relation to any public hearing conducted pursuant to |
this section. The applicant shall bear reasonable expenses of the attorney general in relation to any |
filing in the individual market that is not subject to a public hearing. |
SECTION 3. Section 42-62-13 of the General Laws in Chapter 42-62 entitled |
"Catastrophic Health Insurance Plan Act" is hereby amended to read as follows: |
42-62-13. Rates charged. |
(a) The rates proposed to be charged or a rating formula proposed to be used by any insurer |
or health maintenance organization under this section to employers, the state or any political |
subdivision of the state, or individuals, shall be filed by the insurer or health maintenance |
organization at the office of the director of business regulation. This section does not apply to any |
entity subject to § 27-19-1 et seq., and/or § 27-20-1 et seq. The rates proposed to be charged by |
those entities shall be governed by the provisions of § 27-19-1 et seq., and/or § 27-20-1 et seq. |
Within sixty (60) days after receipt of the application, the director, or the director's designee, may |
hold a hearing upon not less than ten (10) days' written notice prior to the hearings. The notice shall |
contain a description of the rates proposed to be charged, and a copy of the notice shall be sent to |
the applicant and to the consumer protection unit of the department of attorney general. At any |
hearing held under this section, the applicant shall be required to establish that the rates proposed |
to be charged or the rating formula proposed to be used are consistent with the proper conduct of |
its business and with the interest of the public. Any documents presented in support of a filing of |
proposed rates under this section shall be made available for public examination at any time and |
place that the director may deem reasonable. The director, or the director's designee, upon that |
hearing may administer oaths, examine and cross-examine witnesses, receive oral and documentary |
evidence, and shall have the power to subpoena witnesses, compel their attendance and require the |
production of all books, papers, records, correspondence, or other documents which he or she |
deems relevant. Any designee who shall conduct a hearing pursuant to this section shall report his |
or her findings in writing to the director within eighty (80) days of the filing with a recommendation |
for approval, disapproval, or modification of the rates proposed to be charged by the applicant. The |
recommended decision shall become part of the record. The director shall make and issue a decision |
not later than ten (10) days following the issuance of the recommended decision or, if the director |
hears the application without the appointment of a designee, as soon as is reasonably possible |
following the completion of the hearing on the proposed rate change. The decision may approve, |
disapprove, or modify the rates proposed to be charged by the applicant. Insurers requesting |
changes in rates shall underwrite the reasonable expenses of the department of business regulation |
in connection with the hearing, including any costs related to advertisements, stenographic |
reporting, and expert witnesses fees. Notwithstanding any other provisions of law, the filing of |
proposed rates or a rating formula and the holding and conduct of any hearings in connection with |
these proposed rates or rating formula shall be pursuant to this section. |
(b) Whenever the term "designee" is used in this section, it shall mean a person who is |
impartial, a member in good standing of the Rhode Island bar and a person who is sufficiently |
acquainted with the rules of evidence as used in the superior court of the state so as to enable that |
person to conduct a hearing as designee of the director. The reasonable per diem cost of the designee |
as appointed by the director shall be paid by the insurers requesting changes in the rates. The rates |
proposed to be charged, or a rating formula proposed to be used, by any health insurer, dental |
insurer, or health maintenance organization subject to title 27, to employers, the state or any |
political subdivision of the state, or individuals, shall be filed at the office of the health insurance |
commissioner (the "commissioner"). The rates proposed to be used by any health insurer, dental |
insurer, or health maintenance organization in the individual market as defined in § 27-18.5-2 shall |
be filed at the office of the health insurance commissioner and simultaneously with the attorney |
general's insurance advocacy unit. The applicant shall be required to establish that the rates |
proposed to be charged, or the rating formula proposed to be used, are consistent with the proper |
conduct of its business and with the interest of the public. Within ten (10) days after receipt of the |
filing, the commissioner shall determine, subject to subsection (b) of this section, whether they |
intend to hold a public meeting or a public hearing at which time notice of such determination shall |
be sent to the insurance advocacy unit of the attorney general. In the event there is a public hearing, |
the attorney general may engage the services of any expert or consultant necessary to assist in |
reviewing the filing, including having the ability to seek additional relevant information from the |
filer. Any such public hearing shall commence within sixty (60) days after receipt of the filing. The |
commissioner, or designee, may hold a hearing upon not less than ten (10) days’ prior written notice |
to the public in a newspaper or newspapers having aggregate general circulation throughout the |
state. The notice shall contain a description of the rates proposed to be charged, and a copy of the |
notice shall be sent to the applicant and to the insurance advocacy unit of the department of attorney |
general. Any documents presented in support of the filing under this section shall be made available |
for public examination at any time and place that the commissioner may deem reasonable. |
(b) Notwithstanding any provision of this section to the contrary, the commissioner shall |
hold a public hearing in any instance where the applicant covers ten thousand (10,000) or more |
enrolled individuals in the individual market, and the rates proposed in the filing for the annual rate |
increase for products offered in the individual market produce an overall average-rate increase of |
ten percent (10%) or more. The commissioner shall require that any filing for a rate increase for |
products offered in the individual market shall include the calculation of the "overall average-rate |
increase" in order to determine whether a public hearing is required. |
(1) For the purposes of this section, the calculation of the "overall, average-rate increase" |
shall be based on the overall average-increase percent weighted by member premiums, excluding |
the effects of age scale increases. To calculate the overall average-rate increase, the applicant shall |
multiply the proposed rate increase by product times the total monthly renewing premium for each |
product, and then divide the product by the sum of monthly renewing premiums for all products. |
The commissioner shall require this calculation to be provided as part of the applicant's individual |
market rate filing. |
(c) In the event that subsection (b) of this section, in combination with §§ 27-19-6(f) and |
27-20-6(f), would result in more than one public hearing in any given calendar year, the |
commissioner may defer one or more public hearing(s) for applicant(s) resulting from subsection |
(b) of this section or §§ 27-19-6(f) and 27-20-6(f) until the subsequent calendar year, with the |
provision that one of the deferred applicants shall be required to have a public hearing in the |
subsequent year whether or not it satisfies the requirements of subsection (b) of this section or §§ |
27-19-6(f) and 27-20-6(f) for that subsequent calendar year. |
(d) The commissioner shall notify the attorney general of the filing(s) to be deferred and |
the attorney general shall be given the opportunity to provide written comments and |
recommendations to the commissioner regarding any such filing(s) that is deferred in accordance |
with subsection (c) of this section. |
(e) Public Hearings. If a public hearing is held pursuant to subsection (b) of this section, |
the commissioner, or designee, upon that hearing may administer oaths, examine and cross- |
examine witnesses, receive oral and documentary evidence, and shall have the power to subpoena |
witnesses, compel their attendance, and require the production of all books, papers, records, |
correspondence, or other documents which they deem relevant. The public hearing shall be held in |
accordance with the provisions of chapter 35 of title 42. Any designee who shall conduct a hearing |
pursuant to this section shall report their findings in writing to the commissioner, within a |
reasonable time following the conclusion of the hearing, with a recommendation for approval, |
disapproval, or modification of the rates proposed to be charged by the applicant. The |
recommended decision shall become part of the record. The commissioner shall make and issue a |
decision not later than ten (10) days following the issuance of the recommended decision or, if the |
commissioner hears the application without the appointment of a designee, as soon as is reasonably |
possible following the completion of the hearing on the proposed rate change. The decision may |
approve, disapprove, or modify the filing. |
(f) Notwithstanding any other provisions of law to the contrary, the filing of proposed rates, |
or a rating formula, and the holding and conducting of any public hearing in connection with these |
proposed rates, or rating formula, of any health insurer, dental insurer, or health maintenance |
organization subject to title 27 shall be held in accordance with the provisions of chapter 35 of title |
42. |
(g) Whenever the term "designee" is used in this section, it shall mean a person who is |
impartial, a member in good standing of the Rhode Island bar and a person who is sufficiently |
acquainted with the rules of evidence as used in the superior court of the state in order to enable |
that person to conduct a hearing as designee of the director. The reasonable per diem cost of the |
designee as appointed by the director shall be paid by the insurers requesting changes in the rates. |
(h) Public comment. Whether or not a public hearing is held pursuant to subsection (b) of |
this section, the commissioner shall solicit public comment regarding the rates proposed to be used. |
Public comment shall be solicited upon not less than ten (10) days’ written notice prior to the date |
that either: |
(1) A public meeting at which verbal comments may be provided; or |
(2) That written comment must be received by the commissioner. |
The notice shall contain a description of the rates proposed to be charged, and a copy of |
the notice shall be sent to the applicant and to the insurance advocacy unit of the department of |
attorney general. The attorney general shall be permitted to conduct discovery in relation to the |
actuarial analysis and actuarial assumptions of the filer regarding any filing in the individual market |
as defined in § 27-18.5-2. Any documents presented in support of the filing under this section shall |
be made available for public examination at a time and place that the commissioner may deem |
reasonable. |
(i) The applicant shall bear reasonable expenses of the commissioner in connection with a |
filing made pursuant to this section, including any costs related to advertisements, stenographic |
reporting, and expert fees, regardless of whether a public hearing is held. The applicant shall bear |
reasonable expenses of the attorney general in relation to any public hearing conducted pursuant to |
this section. The applicant shall bear reasonable expenses of the attorney general in relation to any |
filing in the individual market that is not subject to a public hearing. |
SECTION 4. This act shall take effect on January 1, 2023. |
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LC005844 |
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