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https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-122/9425/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434)›§ 9425 - Corporate oversight of utilization review p... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434) › § 9425 - Corporate oversight of utilization review program | A health insurance organization or issuer shall be responsible for monitoring all utilization review activities carried out by, or on behalf of, the health insurance organization or issuer and for ensuring that all requirements of this chapter and the corresponding regulations are met. The health insurance organization... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-122/9426/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434)›§ 9426 - Contracting | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434) › § 9426 - Contracting | Whenever a health insurance organization or issuer contracts to have a utilization review organization or other entity perform the utilization review functions required by this chapter, the Commissioner shall hold the health insurance organization or issuer liable for monitoring the activities of the utilization review... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-122/9427/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434)›§ 9427 - Scope and content of utilization review pro... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434) › § 9427 - Scope and content of utilization review program | (a)
(1) A health insurance organization or issuer that requires a request for benefits under the covered person or enrollee’s health plan to be subjected to utilization review shall implement a written utilization review program that describes all review activities and procedures, both delegated and non-delegated for:
... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-122/9428/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434)›§ 9428 - Operational requirements | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434) › § 9428 - Operational requirements | (a) A utilization review program shall use documented clinical review criteria that are based on sound clinical evidence and are evaluated periodically to assure ongoing efficacy. A health insurance organization or issuer may develop its own clinical review criteria or it may obtain or use license clinical review crite... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-122/9429/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434)›§ 9429 - Procedures for standard utilization review ... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434) › § 9429 - Procedures for standard utilization review and benefit determinations | (a) A health insurance organization or issuer shall maintain written procedures for making standard utilization review and benefit determinations on requests for benefits submitted by covered persons or enrollees and for notifying its determinations within the specified time frames required under this section.
(b)
(1)
... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-122/9430/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434)›§ 9430 - Procedures for expedited utilization review... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434) › § 9430 - Procedures for expedited utilization review and benefit determinations | (a)
(1) Health insurance organizations or issuers shall establish written procedures for notifying covered persons or enrollees of expedited utilization review and benefit determinations with respect to urgent care requests.
(2)
(A) As part of the procedures required under clause (1) of this subsection, a health insura... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-122/9431/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434)›§ 9431 - Emergency services | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434) › § 9431 - Emergency services | (a) When conducting utilization review or making a benefit determinations for emergency services, a health insurance organization or issuer shall comply with the provisions of this section.
(b) A health insurance organization or issuer shall cover emergency services necessary to screen and stabilize a covered person or... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-122/9432/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434)›§ 9432 - Confidentiality requirements | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434) › § 9432 - Confidentiality requirements | Health insurance organizations or issuers shall annually certify to the Commissioner that their utilization review programs comply with all applicable Commonwealth and federal law establishing health information confidentiality requirements.
History —Aug. 29, 2011, No. 194, added as § 24.120 on Aug. 23, 2012, No. 203, ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-122/9433/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434)›§ 9433 - Disclosure requirements | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434) › § 9433 - Disclosure requirements | (a) A health insurance organization or issuer shall include a clear and comprehensive description of its utilization review and benefit determination procedures in the certificate of coverage or member handbook provided to covered persons or enrollees. The description shall include the procedures for obtaining review o... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-122/9434/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434)›§ 9434 - Rulemaking authority | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 122 - Utilization Review and Benefit Determination (§§ 9421 — 9434) › § 9434 - Rulemaking authority | The Commissioner may promulgate the necessary regulations to carryout the purposes of this chapter.
History —Aug. 29, 2011, No. 194, added as § 24.140 on Aug. 23, 2012, No. 203, § 5, eff. 90 days after Aug. 23, 2012. |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-124/9461/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471)›§ 9461 - Title | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471) › § 9461 - Title | This chapter shall be known and may be cited as the chapter on Managed Care Plan Network Adequacy.
History —Aug. 29, 2011, No. 194, added as § 26.010 on Aug. 23, 2012, No. 203, § 6, eff. 90 days after Aug. 23, 2012. |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-124/9462/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471)›§ 9462 - Purpose | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471) › § 9462 - Purpose | The purpose and intent of this chapter are to establish standards for the creation and maintenance of networks by health insurance organization or issuers and to assure the adequacy, accessibility and quality of healthcare services offered under a managed care plan. Requirements for contracts between health insurance o... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-124/9463/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471)›§ 9463 - Definitions | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471) › § 9463 - Definitions | For purposes of this chapter:
(a) Intermediary.— Means a person authorized to negotiate and execute contracts with health insurance organizations or issuers on behalf of healthcare providers or a healthcare provider network.
(b) Primary care provider.— Means a participating provider in charge of supervising, coordinati... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-124/9464/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471)›§ 9464 - Applicability and scope | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471) › § 9464 - Applicability and scope | This chapter shall apply to all health insurance organizations or issuers that offer managed care plans.
History —Aug. 29, 2011, No. 194, added as § 26.040 on Aug. 23, 2012, No. 203, § 6, eff. 90 days after Aug. 23, 2012. |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-124/9465/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471)›§ 9465 - Network adequacy | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471) › § 9465 - Network adequacy | (a) Any health insurance organization or issuer providing a managed care plan shall maintain a network that is sufficient in numbers and types of providers to assure that all services to covered persons or enrollees will be accessible without unreasonable delay.
(b) Covered persons or enrollees shall have access to eme... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-124/9466/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471)›§ 9466 - Requirements for health insurance organizations or is... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471) › § 9466 - Requirements for health insurance organizations or issuers and participating providers | A health insurance organization or issuer offering a managed care plan shall satisfy all the following requirements:
(a) A health insurance organization or issuer shall establish a mechanism whereby the participating provider will be notified on an ongoing basis of the specific covered health services for which the pro... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-124/9467/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471)›§ 9467 - Intermediaries | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471) › § 9467 - Intermediaries | A contract between a health insurance organization or issuer and an intermediary shall satisfy all the requirements contained in this section:
(a) Intermediaries and participating providers with whom they contract shall meet all the requirements of § 9466 of this title.
(b) A health insurance organization or issuer’s r... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-124/9468/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471)›§ 9468 - Filing requirements and state administration | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471) › § 9468 - Filing requirements and state administration | (a) Beginning on the effective date of this chapter, a health insurance organization or issuer shall file with the Commissioner sample contract forms proposed for use with its participating providers and intermediaries, so that the Commissioner may ascertain compliance with the provisions of this chapter.
(b) A health ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-124/9469/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471)›§ 9469 - Contracting | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471) › § 9469 - Contracting | (a) The execution of a contract shall not relieve the health insurance organization or issuer of its liability to any person with whom it has contracted for the provision or coverage of services, nor of its responsibility for compliance with the law or applicable regulations.
(b) All contracts shall be in writing and s... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-124/9470/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471)›§ 9470 - Enforcement of this chapter | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471) › § 9470 - Enforcement of this chapter | (a) If the Commissioner determines that a health insurance organization or issuer has not contracted with enough participating providers to assure that covered persons or enrollees have accessible healthcare services in a geographic area, or that a health insurance organization or issuer’s access plan does not assure r... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-124/9471/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471)›§ 9471 - Effective date | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 124 - Managed Care Plan Network Adequacy (§§ 9461 — 9471) › § 9471 - Effective date | (a) All contracts between a health insurance organization or issuer and provider or intermediary in effect shall comply with this chapter not later than eighteen (18) months after the effective date of this chapter. The Commissioner may grant an extension of six (6) months, if the health insurance organization or issue... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9501/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9501 - Title | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9501 - Title | This chapter shall be known and may be cited as the chapter on External Review.
History —Aug. 29, 2011, No. 194, added as § 28.010 on Aug. 23, 2012, No. 203, § 7, eff. 90 days after Aug. 23, 2012. |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9502/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9502 - Purpose | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9502 - Purpose | The purpose of this chapter is to provide standards for the establishment and maintenance of external review procedures that shall govern in Puerto Rico, to assure that covered persons or enrollees have the opportunity for an independent review of an adverse determination or final adverse determination by health insura... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9503/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9503 - Definitions | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9503 - Definitions | For purposes of this chapter:
(a) Certification.— Means a document that contains a determination by a health insurance organization or issuer or its designee utilization review organization that the request for healthcare service or the healthcare service provided has been reviewed and, based on the information furnish... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9504/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9504 - Applicability and scope | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9504 - Applicability and scope | (a) Except as provided in subsection (b) of this section, this chapter shall apply to all health insurance organizations or issuers.
(b) The provisions of this chapter shall not apply to a group or individual policy or certificate that provides coverage only for a specified disease, specified accident or accident-only ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9505/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9505 - Notice of right to external review | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9505 - Notice of right to external review | (a)
(1) A health insurance organization or issuer shall notify the covered persons or enrollees in writing of the covered person or enrollee's right to request an external review to be conducted pursuant to this chapter. Such notification shall be made when the health insurance organization or issuer sends written noti... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9506/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9506 - Request for external review | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9506 - Request for external review | (a) All requests for external review shall be made to the Commissioner or in accordance with the review process adopted by the health insurance organization or issuer in compliance with the applicable federal law. The Commissioner may provide the form and content of external review requests.
(b) A covered person or enr... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9507/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9507 - Exhaustion of internal grievance process | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9507 - Exhaustion of internal grievance process | (a)
(1) Except as provided in subsection (b) of this section, a request for an external review shall not be made until the covered person or enrollee has exhausted the health insurance organization or issuer's internal grievance process.
(2) For purposes of this section, the health insurance organization or issuer's in... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9508/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9508 - Standard external review | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9508 - Standard external review | (a)
(1) Not later than one hundred and twenty (120) days after the date of receipt of a notice of an adverse determination or final adverse determination, a covered person or enrollee may file a request for an external review with the Commissioner.
(2) Within one (1) business day after the date of receipt of a request ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9509/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9509 - Expedited external review | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9509 - Expedited external review | (a) Except as provided in subsection (f) of this section, a covered person or enrollee may make a request for an expedited external review with the Commissioner at the time he/she receives:
(1) An adverse determination, if:
(A) The adverse determination involves a medical condition of the covered person or enrollee for... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9510/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9510 - External review of experimental or investigational treatment adverse det... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9510 - External review of experimental or investigational treatment adverse determinations | (a)
(1) Not later than one hundred twenty (120) days after the date of receipt of a notice of an adverse determination or final adverse determination that involves a denial of a healthcare service or treatment recommended or requested based on a determination that such service or treatment is experimental or investigat... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9511/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9511 - Binding nature of external review decision | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9511 - Binding nature of external review decision | (a) An external review decision is binding on the health insurance organization or issuer except to the extent the health insurance organization or issuer has other remedies available under the applicable laws of Puerto Rico.
(b) An external review decision is binding on the covered person or enrollee, except to the ex... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9512/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9512 - Approval of independent review organizations | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9512 - Approval of independent review organizations | (a) The Commissioner shall approve independent review organizations eligible to be assigned to conduct external reviews under this chapter.
(b) In order to be eligible for approval by the Commissioner under this chapter to conduct external reviews, an independent review organization:
(1) Except as otherwise provided in... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9513/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9513 - Minimum requirements of capacity and competence for independent review o... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9513 - Minimum requirements of capacity and competence for independent review organizations | (a) To be approved by the Commissioner to conduct external reviews, an independent review organization shall have and maintain written policies and procedures that govern all aspects of both the standard external review process and the expedited external review process that include, at least:
(1) A quality assurance me... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9514/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9514 - Hold harmless for independent review organizations | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9514 - Hold harmless for independent review organizations | No independent review organization, clinical reviewer or an employee, agent or contractor of an independent review organization shall be liable in damages to any person for any opinions rendered or acts or omissions performed within the scope of their duties under this chapter, unless the opinion was rendered or act or... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9515/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9515 - External review reporting requirements | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9515 - External review reporting requirements | (a)
(1) Any independent review organization shall maintain written records of all external reviews it conducted during a calendar year and submit a report to the Commissioner, as required under clause (2) of this subsection. Such reports shall be made with respect to each health insurance organization or issuer individ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9516/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9516 - Funding of external review | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9516 - Funding of external review | The health insurance organization or issuer against which a request for a standard external review or an expedited external review is filed shall be required to pay the independent review organization for conducting the external review.
The Office of the Insurance Commissioner shall notify health service organizations ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-126/9517/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 126 - External Review (§§ 9501 — 9517)›§ 9517 - Disclosure requirements | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 126 - External Review (§§ 9501 — 9517) › § 9517 - Disclosure requirements | (a)
(1) Each health insurance organization or issuer shall include a description of the external review procedures in the policy, certificate, membership booklet, outline of coverage. or other evidence of coverage it provides to covered persons or enrollees.
(2) The disclosure of external review procedures required by ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-150/9981/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 150 - Off-label Use (§§ 9981 — 9984)›§ 9981 - Purpose | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 150 - Off-label Use (§§ 9981 — 9984) › § 9981 - Purpose | The purpose of this chapter is to establish standards for the payment or reimbursement of costs associated with prescription drugs that, even though they have been approved by the U. S. Food and Drug Administration (FDA), are used for indications other than those stated in the labeling approved by the FDA (this use is ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-150/9982/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 150 - Off-label Use (§§ 9981 — 9984)›§ 9982 - Applicability and scope | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 150 - Off-label Use (§§ 9981 — 9984) › § 9982 - Applicability and scope | This chapter shall apply to all health plans that are issued, amended, delivered or renewed on or after the effective date of this chapter and provide coverage for drugs. It also shall apply to all persons making determinations regarding payment of reimbursement for prescription drugs under these health plans.
History ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-150/9983/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 150 - Off-label Use (§§ 9981 — 9984)›§ 9983 - Definitions | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 150 - Off-label Use (§§ 9981 — 9984) › § 9983 - Definitions | (a) Standard reference compendia.— Means:
(1) The American Hospital Formulary Service-Drug Information;
(2) The American Medical Association Drug Evaluation; or
(3) The United States Pharmacopoeia-Drug Information.
(b) FDA.— Means the United States Food and Drug Administration.
(c) Peer-reviewed medical literature.— Me... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-150/9984/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 150 - Off-label Use (§§ 9981 — 9984)›§ 9984 - Standards of coverage | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 150 - Off-label Use (§§ 9981 — 9984) › § 9984 - Standards of coverage | (a) A health plan that provides coverage for drugs shall provide for the dispensation of any drug covered, regardless of the disorder, injury, illness, condition, or disease for which they were prescribed, provided, that:
(1) The drug has been approved by the FDA for at least one indication, and
(2) the drug is recogni... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-152/10021/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026)›§ 10021 - T... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026) › § 10021 - Title | This chapter shall be known and may be cited as the chapter on Coverage for Newborn and Newly Adopted Children and Children Placed for Adoption.
History —Aug. 29, 2011, No. 194, § 54.010, eff. 180 days after Aug. 29, 2011. |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-152/10022/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026)›§ 10022 - P... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026) › § 10022 - Purpose | The purpose of this chapter is to provide for uniformity of coverage requirements for newborn and newly adopted children and children placed for adoption under both group and individual health plans.
History —Aug. 29, 2011, No. 194, § 54.020, eff. 180 days after Aug. 29, 2011. |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-152/10023/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026)›§ 10023 - D... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026) › § 10023 - Definitions | For purposes of this chapter:
(a) Health plan.— Means a policy, contract, certificate, or agreement offered or issued by a health insurance organization or issuer to provide, deliver, arrange for healthcare service or pay for or reimburse the costs thereof.
History —Aug. 29, 2011, No. 194, § 54.030, eff. 180 days after... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-152/10024/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026)›§ 10024 - A... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026) › § 10024 - Applicability | (a) Except as provided in subsection (b) of this section, this chapter shall apply to health plans that provide coverage for a dependent of a covered person or enrollee.
(b) The provisions of this chapter shall not apply to a group or individual health plan that provides coverage only for a specified disease, specified... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-152/10025/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026)›§ 10025 - C... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026) › § 10025 - Coverage requirements | (a) Each health plan subject to this chapter shall provide coverage to:
(1) A newborn child of a covered person or enrollee from the moment of birth, or
(2) a newly adopted child of a covered person or enrollee from the earlier of:
(A) The date of placement in the home of the covered person or enrollee for the purpose ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-152/10026/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026)›§ 10026 - N... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 152 - Coverage for Newborn and Recently Adopted Children and Children Placed for Adoption (§§ 10021 — 10026) › § 10026 - Notification requirements | (a) For a newborn child, the health insurance organization or issuer shall be required to provide covered persons or enrollees with reasonable notice of the following:
(1) If payment of a specific premium or subscription fee is required to provide coverage for a newborn child, as provided in this chapter, the health pl... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-164/10251/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261)›§ 10251 - Title | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261) › § 10251 - Title | This chapter shall be known and may be cited as the chapter on Long-term Care Insurance.
History —Aug. 29, 2011, No. 194, § 66.010, eff. 180 days after Aug. 29, 2011. |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-164/10252/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261)›§ 10252 - Scope | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261) › § 10252 - Scope | The requirements of this chapter shall apply to policies delivered or issued for delivery in Puerto Rico on or after the effective date thereof. This chapter is not intended to supersede the obligations of entities subject to this chapter to comply with the provisions of other applicable insurance laws insofar as they ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-164/10253/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261)›§ 10253 - Purpose | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261) › § 10253 - Purpose | The purpose of this chapter is to promote the public interest, and the availability of long-term care insurance policies, to protect applicants for long-term care insurance, as defined, from unfair or deceptive sales or enrollment practices, to establish standards for long-term care insurance, to facilitate public unde... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-164/10254/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261)›§ 10254 - Definitions | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261) › § 10254 - Definitions | For purposes of this chapter:
(a) Certificate.— Means any certificate issued under a group long-term care insurance policy, policy has been delivered or issued for delivery in Puerto Rico.
(b) Qualified long-term care insurance contract or federally tax-qualified long-term care insurance contract.— Means an individual ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-164/10255/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261)›§ 10255 - Extraterritorial jurisdiction-Group long-term care insurance | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261) › § 10255 - Extraterritorial jurisdiction-Group long-term care insurance | No group long-term care insurance coverage may be offered to a resident of Puerto Rico under a group policy issued in another state to a group described in § 10254(e) of this title, unless the Government of Puerto Rico, or the government of another state having statutory and regulatory long-term care insurance requirem... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-164/10256/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261)›§ 10256 - Disclosure and performance standards for long-term care insu... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261) › § 10256 - Disclosure and performance standards for long-term care insurance | (a) The Commissioner may adopt regulations that include standards for full and fair disclosure setting forth the manner, content and required disclosures for the sale of long-term care insurance policies, terms of renewability, initial and subsequent conditions of eligibility, non-duplication of coverage provisions, co... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-164/10257/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261)›§ 10257 - Incontestability period | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261) › § 10257 - Incontestability period | (a) For a policy or certificate that has been in force for less than six (6) months, an issuer may rescind a long-term care insurance policy or certificate or deny an otherwise valid long-term care insurance claim upon a showing of misrepresentation that is material to the acceptance for coverage or to the risk assumed... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-164/10258/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261)›§ 10258 - Nonforfeiture benefits | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261) › § 10258 - Nonforfeiture benefits | (a) Except as provided in subsection (b) of this section, a long-term care insurance policy may not be delivered or issued for delivery in Puerto Rico unless the policyholder or certificate holder has been offered the option of purchasing a policy or certificate including a nonforfeiture benefit. The offer of a nonforf... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-164/10259/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261)›§ 10259 - Producer training requirements | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261) › § 10259 - Producer training requirements | (a) The following requirements related to the sale, soliciting or negotiating long-term care insurance shall be met:
(1) An individual may not sell, solicit or negotiate long-term care insurance unless the individual has an insurance producer license which authorizes him/her to underwrite disability insurance and has c... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-164/10260/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261)›§ 10260 - Rulemaking authority | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261) › § 10260 - Rulemaking authority | The Commissioner shall issue reasonable regulations to promote premium adequacy and to protect the policyholder or certificate holder in the event of substantial rate increases, and to establish minimum standards for producer education, marketing practices, producer compensation, producer testing, penalties and reporti... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-164/10261/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261)›§ 10261 - Penalties | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 164 - Long-term Care Insurance (§§ 10251 — 10261) › § 10261 - Penalties | In addition to any other penalties provided by the laws of Puerto Rico including the Insurance Code of Puerto Rico, any issuer and any producer found to have violated any requirement of Puerto Rico related to the regulation of long-term care insurance or the marketing of such insurance shall be subject to a fine which ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-170/10371/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377)›§ 10371 - Purpose | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377) › § 10371 - Purpose | The purpose of this chapter is to prohibit unfair discrimination by health insurance organizations or issuers and insurance professionals against victims of abuse.
History —Aug. 29, 2011, No. 194, added as § 72.010 on Aug. 23, 2012, No. 203, § 9, eff. 90 days after Aug. 23, 2012. |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-170/10372/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377)›§ 10372 - Scope | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377) › § 10372 - Scope | This chapter shall apply to all health insurance organizations or issuers and insurance professionals involved in issuing or renewing in Puerto Rico a health plan policy or certificate.
History —Aug. 29, 2011, No. 194, added as § 72.020 on Aug. 23, 2012, No. 203, § 9, eff. 90 days after Aug. 23, 2012. |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-170/10373/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377)›§ 10373 - Definitions | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377) › § 10373 - Definitions | (a) Abuse-related medical condition.— Means a medical condition sustained by a victim of abuse which arises in whole or in part out of an act or pattern of abuse.
(b) Confidential abuse information.— Means information about acts of abuse against a person or abuse status of such person; information about a person's medi... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-170/10374/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377)›§ 10374 - Unfairly discriminatory acts relating ... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377) › § 10374 - Unfairly discriminatory acts relating to health plans | (a) It is unfairly discriminatory to:
(1) Deny, refuse to issue, renew or reissue, cancel or otherwise terminate a health plan, or restrict a health plan coverage or add a premium differential or surcharge to any health plan on the basis of the covered person or enrollee's abuse status, or
(2) exclude, limit coverage, ... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-170/10375/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377)›§ 10375 - Justification of adverse insurance dec... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377) › § 10375 - Justification of adverse insurance decisions | A health insurance organization or issuer or insurance professional that takes an action that adversely affects a current or potential covered person or enrollee on the basis of a medical condition that the issuer or insurance professional knows or has reason to know is abuse-related shall explain the reason for its ac... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-170/10376/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377)›§ 10376 - Insurance protocols for victims of abu... | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377) › § 10376 - Insurance protocols for victims of abuse | Health insurance organizations or issuers shall develop and adhere to written policies specifying procedures to be followed by employees and by insurance professionals they contract with, for the purpose of protecting the safety and privacy of a victim of abuse and shall otherwise implement the provisions of this chapt... |
https://law.justia.com/codes/puerto-rico/title-twenty-six/subtitle-3/chapter-170/10377/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SIX - Insurance (§§ 101 — 10377)›Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377)›Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377)›§ 10377 - Enforcement | 2023 Laws of Puerto Rico › TITLE TWENTY-SIX - Insurance (§§ 101 — 10377) › Subtitle 3 - Puerto Rico Health Insurance Code (§§ 9001 — 10377) › Chapter 170 - Unfair Discrimination against Victims of Abuse (§§ 10371 — 10377) › § 10377 - Enforcement | The Commissioner shall conduct a reasonable investigation based on a complaint received and issue a prompt determination as to whether a violation of this chapter may have occurred. If the Commissioner finds from the investigation that a violation of this chapter may have occurred, the Commissioner shall promptly begin... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-15/261/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e)›§ 261 - Title and purpose | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e) › § 261 - Title and purpose | This chapter shall be known as the “Uniform Rate Revision and Modification Act” and shall have the purpose of guaranteeing to the subscribers or users of public services adequate and uniform administrative procedures for the revision and modification of the rates fixed and charged for basic and essential services rende... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-15/261a/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e)›§ 261a - Application | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e) › § 261a - Application | This chapter shall be applicable to the Puerto Rico Electric Power Authority, to the Puerto Rico Aqueducts and Sewers Authority and to other similar public service government instrumentalities established or to be established in the future, and to their subsidiaries.
History —May 31, 1985, No. 21, p. 67, § 2; Sept. 12,... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-15/261b/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e)›§ 261b - Procedures—Permanent rates | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e) › § 261b - Procedures—Permanent rates | No authority, public corporation or other similar government instrumentality that provides basic and essential public services to the citizenry shall make changes in the rates they charge their subscribers or users for said services, unless they comply with the following procedures:
(a) No changes of a permanent nature... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-15/261c/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e)›§ 261c - Procedures—Temporary or emergency rates | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e) › § 261c - Procedures—Temporary or emergency rates | Temporary or emergency rates may only be adopted for a period of one hundred and eighty (180) days, or while the circumstances which motivated the emergency prevail, and, in any case, they shall be in accordance with the procedures provided hereinbelow:
(a) When the change in rates is temporary or due to an emergency, ... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-15/261d/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e)›§ 261d - Procedures—Legislative review | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e) › § 261d - Procedures—Legislative review | Every final determination of the public entities subject to the application of this chapter, after the public hearings referred to in §§ 261b and 261c of this title have been held with respect to changes in rates, may be reviewed by the Legislature through a concurrent resolution or through a resolution of any of its b... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-15/261e/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e)›§ 261e - Procedures—Exceptions | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 15 - Revision and Modification of Rates (§§ 261 — 261e) › § 261e - Procedures—Exceptions | The procedures on changes in rates consigned in this chapter shall not be applicable to changes that must be made by the Authority due to rate adjustments imposed on it by federal agencies that regulate their area of operations or functioning. In such cases, the Authority shall notify its subscribers, in writing, as of... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-17/262/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g)›§ 262 - Title a... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g) › § 262 - Title and purpose | This chapter shall be known as an “Act to Establish Minimum Procedural Requirements for the Suspension of Essential Public Services”. Its purpose is to guarantee to the subscribers or consumers an adequate opportunity to question the accuracy and source of the charges invoiced, and an adequate notice of the decision to... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-17/262a/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g)›§ 262a - Applic... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g) › § 262a - Applicability | This chapter shall apply to the Puerto Rico Aqueducts and Sewers Authority and other public service companies established or to be established in the future, and their subsidiaries.
History —June 27, 1985, No. 33, p. 123, § 2; Sept. 12, 1996, No. 218, § 2; May 27, 2014, No. 57, § 7.02. |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-17/262b/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g)›§ 262b - Proced... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g) › § 262b - Procedure | All authorities, public corporations, and government instrumentalities which provide essential services to the citizenry shall provide for an administrative procedure for the suspension of its services for nonpayment which must be adjusted to grant the minimum mechanisms and guarantees to subscribers pursuant to the pr... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-17/262c/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g)›§ 262c - Outcom... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g) › § 262c - Outcome favorable to subscriber | If the outcome of the administrative hearing or the judicial review is favorable to the subscriber, the authority concerned shall return or credit any amount the subscriber paid in excess plus interest at a rate of ten percent (10%) per annum.
If the subscriber does make the payment and does not use or exhaust the esta... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-17/262d/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g)›§ 262d - Inform... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g) › § 262d - Information to subscriber—Upon signing service contrac... | At the time the subscriber signs the service contract with the instrumentality, it shall inform him in writing of the procedure established, in compliance with the provisions of this chapter. The information must advise the following:
(a) Each stage of the procedure and the terms provided for each one.
(b) The rights, ... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-17/262e/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g)›§ 262e - Inform... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g) › § 262e - Information to subscriber—In every invoice | In every invoice that the instrumentality sends to the subscriber it shall advise the latter that he/she shall have twenty (20) days to pay or to object to the same, and to request an investigation by the instrumentality without affecting the service in any way.
History —June 27, 1985, No. 33, p. 123, § 6; Dec. 16, 200... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-17/262e-1/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g)›§ 262e-1 - Inte... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g) › § 262e-1 - Interruption of service; notification | Every authority, public corporation, or other government instrumentality that provides essential services to the citizenry and that has scheduled at least fifteen (15) days in advance, the interruption of the public service it provides in one or several areas, shall notify the interruption of the service, at least, for... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-17/262f/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g)›§ 262f - Broade... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g) › § 262f - Broader rights | None of what is provided herein shall prevent the instrumentality from granting its subscribers and consumers other broader rights than those prescribed above.
When the charges include three (3) or more monthly payments in arrears for services that were not previously billed, the instrumentality shall offer a reasonabl... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-i/chapter-17/262g/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g)›Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g)›§ 262g - 9-1-1 ... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART I - Regulation of Companies Rendering Public Service (§§ 1 — 262g) › Chapter 17 - Suspension of Essential Public Services; Minimum Procedural Requirements (§§ 262 — 262g) › § 262g - 9-1-1 access guarantee | No telecommunications company that provides telephone service to a natural or juridical person may eliminate access to the 9-1-1 Emergency System during the partial suspension of its services to a client for failure to pay.
History —June 27, 1985, No. 33, p. 123, added as § 9 on Feb. 14, 2006, No. 60, § 1. |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-i/265/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter I - General Provisions (§§ 265 — 265a)›§ 265 - Statement of public ... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter I - General Provisions (§§ 265 — 265a) › § 265 - Statement of public policy | It shall be the public policy of the Commonwealth of Puerto Rico to:
(a) Acknowledge the telecommunications service as one whose rendering pursues a high public interest within a competitive market;
(b) provide universal service at a fair, reasonable, and affordable rate for all citizens;
(c) distribute the duties, res... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-i/265a/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter I - General Provisions (§§ 265 — 265a)›§ 265a - Definitions | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter I - General Provisions (§§ 265 — 265a) › § 265a - Definitions | (a) Local exchange carrier.— Shall mean any person engaged in rendering the local telecommunications exchange service or exchange access. This term does not include persons who render commercial mobile radio services under § 332(c) of the Federal Communications Act, except to the extent that the Federal Communications ... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-ii/267/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter II - Regulatory Board (§§ 267 — 267j)›§ 267 - Creation | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter II - Regulatory Board (§§ 267 — 267j) › § 267 - Creation | (a) The Telecommunications Regulatory Board of Puerto Rico is hereby created as the agency in charge of regulating telecommunications services in Puerto Rico and of enforcing compliance and administrating this chapter. All orders and authorizations issued and granted by the Board shall be issued on behalf of the Teleco... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-ii/267a/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter II - Regulatory Board (§§ 267 — 267j)›§ 267a - Organization | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter II - Regulatory Board (§§ 267 — 267j) › § 267a - Organization | (a) The Board shall be composed of four (4) associate members, and a Chairperson, appointed by the Governor with the advice and consent of the Senate. The Governor shall appoint the Chairperson of the Board with the advice and consent of the Senate, who shall hold office at the volition of the Governor and may be remov... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-ii/267b/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter II - Regulatory Board (§§ 267 — 267j)›§ 267b - Members | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter II - Regulatory Board (§§ 267 — 267j) › § 267b - Members | (a) The members of the Board shall be citizens of the United States of America and residents of Puerto Rico. Of its five (5) members, one (1) shall be a professional with knowledge and broad experience in corporate finances; one (1) shall be a lawyer, or an engineer with at least seven (7) years of experience practicin... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-ii/267c/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter II - Regulatory Board (§§ 267 — 267j)›§ 267c - Chairperson | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter II - Regulatory Board (§§ 267 — 267j) › § 267c - Chairperson | The Chairperson shall preside [over] all the meetings of the Board, shall be in charge of all administrative operations and shall represent the Board in all matters related to legislation and legislative reports, but any member may set forth his/her [dissenting] or supplementary opinion. The Chairperson shall also repr... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-ii/267d/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter II - Regulatory Board (§§ 267 — 267j)›§ 267d - Personnel | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter II - Regulatory Board (§§ 267 — 267j) › § 267d - Personnel | The Board shall be deemed an individual administrator pursuant to the provisions of the Public Service Personnel Act of Puerto Rico, Act No. 5 of October 14, 1975.
The Board, upon consultation with the Government Ethics Office, shall promulgate an ethics regulation to regulate the relationship between its personnel and... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-ii/267e/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter II - Regulatory Board (§§ 267 — 267j)›§ 267e - Jurisdiction | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter II - Regulatory Board (§§ 267 — 267j) › § 267e - Jurisdiction | (a) The Board shall have primary jurisdiction over all telecommunications services and over all those persons [who] render these services in the Commonwealth of Puerto Rico, and over any person with a direct or indirect interest in said services or companies. Specifically, the Board shall have jurisdiction over:
(1) An... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-ii/267f/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter II - Regulatory Board (§§ 267 — 267j)›§ 267f - General powers and d... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter II - Regulatory Board (§§ 267 — 267j) › § 267f - General powers and duties | (a) The Board shall adopt, promulgate, amend, and revoke rules, orders, and regulations as it deems necessary and proper according to the exercise of its powers, and the performance of its duties. When adopting, amending, or revoking rules or regulations, the Board shall be subject to the provisions of the Uniform Admi... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-ii/267g/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter II - Regulatory Board (§§ 267 — 267j)›§ 267g - Expropriation and ea... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter II - Regulatory Board (§§ 267 — 267j) › § 267g - Expropriation and easements | (a) Expropriation.— The Board shall have the power to identify the private property that shall be expropriated for the rendering of telecommunications services pursuant to the objectives of this chapter. Said property shall be expropriated by petition of the Board, by the Commonwealth of Puerto Rico represented by the ... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-ii/267h/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter II - Regulatory Board (§§ 267 — 267j)›§ 267h - Delegation of powers | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter II - Regulatory Board (§§ 267 — 267j) › § 267h - Delegation of powers | (a) On one or more members.— With the exception of the power to adopt regulations, the Board may, through an order, assign, refer or delegate any adjudicative or non-adjudicative matter for its resolution on one or more members who shall be appointed in said order and who shall have the powers of the Board that it expr... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-ii/267i/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter II - Regulatory Board (§§ 267 — 267j)›§ 267i - Incidental powers | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter II - Regulatory Board (§§ 267 — 267j) › § 267i - Incidental powers | The provisions of this chapter shall be liberally construed in order to achieve its purposes, and whenever any specific power or authority is granted to the Board such specification shall not be construed as excluding or impeding any other power or authority otherwise conferred [on] it. The Board created herein shall h... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-ii/267j/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter II - Regulatory Board (§§ 267 — 267j)›§ 267j - Budget and regulatio... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter II - Regulatory Board (§§ 267 — 267j) › § 267j - Budget and regulation fees | (a) The Board shall impose and collect fees pursuant to the provisions of this section in order to produce sufficient income to:
(1) Cover the operating expenses of the Board in complying with its responsibilities under this chapter, and
(2) establish a reserve, that the Board deems reasonable, to ensure the continuous... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-iii/269/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter III - Regulation and Supervision (§§ 269 — 269l)›§ 269 - Transitory... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter III - Regulation and Supervision (§§ 269 — 269l) › § 269 - Transitory classification of providers | (a) On the date of approval of this act, it shall be presumed that the incumbent local exchange service carrier has control of the market in the rendering of local telecommunications service, access service and intrastate long distance services and which it does not have in the cellular phones and beepers market.
(b) T... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-iii/269a/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter III - Regulation and Supervision (§§ 269 — 269l)›§ 269a - Certifica... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter III - Regulation and Supervision (§§ 269 — 269l) › § 269a - Certifications | (a) As of the date on which the Board promulgates the regulations required by this section and with the exception of the provisions of § 332(c)(1) of the Federal Communications Act, all telecommunications companies shall receive a valid certification from the Board to render telecommunication services in Puerto Rico. T... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-iii/269b/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter III - Regulation and Supervision (§§ 269 — 269l)›§ 269b - Discontin... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter III - Regulation and Supervision (§§ 269 — 269l) › § 269b - Discontinuation of services | No local exchange service carrier shall discontinue, reduce or limit the total or partial service of a community without effective competition due to lack of profitability in the operation of said service unless it has a valid authorization from the Board for said discontinuation, reduction or limitation. The Board sha... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-iii/269c/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter III - Regulation and Supervision (§§ 269 — 269l)›§ 269c - Competiti... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter III - Regulation and Supervision (§§ 269 — 269l) › § 269c - Competitive safeguards | (a) The Board shall adopt the regulations needed to require the incumbent local exchange service carrier to provide services and access to its installations to any certified telecommunications company that requests it at any point of its network where it is technically feasible and in an unbundled manner, including any... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-iii/269c-1/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter III - Regulation and Supervision (§§ 269 — 269l)›§ 269c-1 - Imposit... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter III - Regulation and Supervision (§§ 269 — 269l) › § 269c-1 - Imposition of provider or additional surcharge | (a)
(1) With the exception of the provisions of clauses (2) and (3) of this subsection, a telecommunications company shall not charge a client for telecommunication services not requested by him/her.
(2) Any telecommunications company that imposes a charge for services not requested shall [credit] the amount or sum of ... |
https://law.justia.com/codes/puerto-rico/title-twenty-seven/part-ii/chapter-19/subchapter-iii/269d/ | PR | Justia›US Law›US Codes and Statutes›Laws of Puerto Rico›2023 Laws of Puerto Rico›TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641)›PART II - Communications (§§ 265 — 539)›Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272)›Subchapter III - Regulation and Supervision (§§ 269 — 269l)›§ 269d - Procedure... | 2023 Laws of Puerto Rico › TITLE TWENTY-SEVEN - Public Service (§§ 1 — 2641) › PART II - Communications (§§ 265 — 539) › Chapter 19 - Puerto Rico Telecommunications Act of 1996 (§§ 265 — 272) › Subchapter III - Regulation and Supervision (§§ 269 — 269l) › § 269d - Procedure for negotiation, arbitration and approval of ... | (a) Agreements arrived at through negotiation.—
(1) Voluntary negotiations.— Upon receiving a request for interconnection services, or access to network elements pursuant to § 269c of this title, an incumbent local exchange service carrier may negotiate and enter an agreement with the requesting telecommunications carr... |
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