HAR §16-171-102. Repealed

[R 12/26/06] §16-171-103 Written notice to claimants of payment of claims in third-party settlements. (a) Upon payment in settlement of any third-party liability claim, the insurer shall provide written notice to the claimant where: (1) The claimant is a natural person; and (2) The payment is delivered to the claimant's lawyer by draft, check, or otherwise. (b) A written notice shall be required when the insurer or the insurer's representative, including the insurer's lawyer, makes payment to a claimant. [Eff and comp 12/26/06; comp 03/28/08; comp 1/22/10; comp 12/13/12; comp 02/02/17; comp 9/30/21] (Auth: HRS §431:2-201) (Imp: HRS §§431:1-202, 431:10-230) SUBCHAPTER 2 HEALTH PROVISIONS §16-171-202 171-6 §16-171-201 Disclosure to enrollee or authorized representative. (a) Upon written request and payment of fifty dollars to a managed care plan by an enrollee or authorized representative, a managed care plan shall deliver, within ten business days of that request, to that enrollee or authorized representative data that forms the basis for the premium rates that the managed care plan seeks to charge the enrollee in the next enrollment period. (b) Subject to subsection (c), the enrollee or authorized representative may request all pertinent information as to the rate including, but not limited to, the managed care plan's data for the enrollee relating to: (1) Loss trend; (2) Loss ratio; (3) Annual financial statements of the managed care plan; and (4) Its rate filing. (c) A managed care plan shall not be required to disclose supporting information or supplementary rating information that: (1) Consists of proprietary information, including trade secrets, commercial information, and business plans that the commissioner deems may result in competitive harm to the managed care plan if disclosed; (2) Is confidential in accordance with federal or Hawaii law; or (3) Is exempt from disclosure by federal or Hawaii law. [Eff 1/1/05; comp 12/26/06; am and comp 03/28/08; comp 1/22/10; comp 12/13/12; am and comp 02/02/17; comp 9/30/21] (Auth: HRS §431:2-201) (Imp: HRS §§92F-13, 92F-22, 431:2-209, 431:14G- 105, 431:14G-109) §16-171-202 Accident and health or sickness filing requirement. Notwithstanding the need to have a plan qualified under section 393-7, HRS, a managed §16-171-202 171-7 care plan shall file accident and health or sickness insurance contract rates with the commissioner that comply with title 24, HRS. [Eff 1/1/05; comp 12/26/06; comp 03/28/08; comp 1/22/10; comp 12/13/12; am and comp 02/02/17; comp 9/30/21] (Auth: HRS §§431:2-201, 432:1-102, 432D-2) (Imp: HRS §431:14G- 105) SUBCHAPTER 3 LICENSING REQUIREMENTS