Rhode Island § 27-41-80 - Health Maintenance Organizations
Full text of Rhode Island Rhode Island General Laws § 27-41-80 — Health Maintenance Organizations, with citation guidance and answers to common questions.
§ 27-41-80. Health Maintenance Organizations
R.I. Gen. Laws § 27-41-80
§ 27-41-80. Internal and external appeal of adverse benefit determinations.
(a) The commissioner shall adopt regulations to implement standards and procedures with respect to internal claims and appeals of adverse benefit determinations, and with respect to external appeals of adverse benefit determinations.
(b) The regulations adopted by the commissioner shall apply only to those adverse benefit determinations within the jurisdiction of the department of health pursuant to § 23-17.12 et seq. (Utilization Review Act) [repealed].
(c) This section shall not apply to insurance coverage providing benefits for: (1) Hospital confinement indemnity; (2) Disability income; (3) Accident only; (4) Long-term care; (5) Medicare supplement; (6) Limited benefit health; (7) Specified disease indemnity; (8) Sickness or bodily injury or death by accident or both; and (9) Other limited benefit policies. This section also shall not apply to grandfathered health plans.
History of Section.
P.L. 2012, ch. 256, § 10; P.L. 2012, ch. 262, § 10.
Source: official Rhode Island text · Last verified 2026-08-27
Frequently Asked Questions About Rhode Island § 27-41-80
What does Rhode Island General Laws § 27-41-80 cover?
Section 27-41-80 ("Health Maintenance Organizations") is part of the Rhode Island General Laws, the codified statutory law of Rhode Island. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Rhode Island § 27-41-80?
A common citation format is "Rhode Island General Laws § 27-41-80" (Rhode Island). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Rhode Island law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Rhode Island official source linked on this page or consult a licensed Rhode Island attorney.
How does Rhode Island § 27-41-80 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Rhode Island can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Rhode Island.