HAR §16-23-19
HAR §16-23-19. Licensing of health insurers
Cite as Haw. Code R. § 16-23-19
An
insurer may be licensed by the commissioner to provide
§16-23-19
23-13
those personal injury protection benefits described in
section 431:10C-103.5, HRS, or to provide optional
major medical coverages in excess of personal injury
protection benefits coverages, or both, if the
commissioner finds that the insurer meets the
requirements of section 431:10C-119, HRS. In
addition, before licensing an insurer to provide the
personal injury protection benefits, the commissioner
must be satisfied that the insurer has made adequate
provision to assure that any person obtaining personal
injury protection benefits will simultaneously be
obtaining the other coverages required under a motor
vehicle insurance policy and will be provided adequate
claims processing and payment services.
An insurer licensed hereunder to provide personal
injury protection benefits shall also provide those
optional major medical coverages which motor vehicle
insurers are required to provide under section
431:10C-302, HRS.
A person licensed hereunder to provide personal
injury protection benefits or optional major medical
coverages shall comply with those provisions in
chapter 431:10C, HRS, relating to insurers, such as,
but not limited to, those relating to setting of rates
and submission of information and reports to the
commissioner.
An insurer licensed hereunder shall be assessed
its equitable proration of costs and claims paid under
the joint underwriting plan and the assigned claims
program. [Eff 9/1/74; am and ren §16-23-19, 7/7/80;
am and comp 9/1/82; comp 9/1/85; am and comp 9/1/88;
comp 9/15/89; comp 9/1/90; am and comp 6/1/93; am and
comp 1/1/98; comp 1/8/99; comp 11/11/12; comp 7/2/22;
am and comp 4/17/26] (Auth: HRS §§431:10C-119,
431:10C-214) (Imp: HRS §§431:10C-119, 431:10C-201,
431:10C-202, 431:10C-203, 431:10C-205, 431:10C-209,
431:10C-215, 431:10C-216, 431:10C-302, 431:10C-404,
431:10C-408)
§16-23-20
23-14
SUBCHAPTER 6
REQUIREMENTS FOR SELF-INSURANCE