Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act.

Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act.

§ 83-41-301. Short title
§ 83-41-303. Definitions
§ 83-41-305. Requirement of certificate of authority for establishment and operation of health maintenance organization; filing, form and contents of application for certificate and attachments; qualification of foreign health maintenance organizations; effect of denial of certificate; rules and regulations
§ 83-41-307. Transmission of copies of application for certificate of authority to State Health Officer; duties of State Health Officer; grant or denial of certificate of authority
§ 83-41-309. Powers of health maintenance organization generally; notice of exercise of powers affecting financial condition of organization
§ 83-41-311. Bonds or insurance for directors, officers, employees, partners and contractors
§ 83-41-313. Quality assurance procedures, programs and activities; maintenance and examination of patient records
§ 83-41-315. Filing, contents and approval of group and individual contracts and evidence of coverage
§ 83-41-317. Filing of annual reports, financial statements, etc
§ 83-41-319. Provision of information and notices to subscribers
§ 83-41-321. Grievance procedures
§ 83-41-323. Funds
§ 83-41-325. Minimum net worth requirement; deposits generally; computation of liabilities; contracts between health maintenance organizations and participating providers of services; insolvency plans
§ 83-41-327. Uncovered expenditures insolvency deposits
§ 83-41-329. Proceedings upon insolvency of health maintenance organization; terms and conditions of replacement coverage
§ 83-41-331. Premium rates
§ 83-41-333. Rules and regulations generally; exemptions from certification requirement
§ 83-41-335. Operation of health maintenance organizations by insurance companies and medical service corporations
§ 83-41-337. Examination of health maintenance organizations and providers; acceptance of reports in lieu of examinations
§ 83-41-339. Grounds and procedure for revocation, suspension or denial of certificate of authority; administrative penalty generally; correction of deficiencies in net worth; proceedings upon suspension or revocation of certificate of authority; appeals
§ 83-41-341. Rehabilitation, liquidation or administrative supervision of health maintenance organizations
§ 83-41-343. Remedies for correction of financial conditions of health maintenance organizations deemed hazardous to enrollees, creditors, or general public and violations of article
§ 83-41-345. Adoption of rules and regulations
§ 83-41-347. Fees
§ 83-41-349. Imposition of administrative penalties; informal proceedings for investigation and correction or prevention of violations; cease and desist orders
§ 83-41-351. Solicitation of enrollees
§ 83-41-353. Documents deemed public documents
§ 83-41-355. Confidentiality of data or information; claims of privilege; civil liability of members of health review committees; discovery of information considered by and records of health review committees; access to treatment records, etc., of enrollees
§ 83-41-357. Contracting authority of State Health Officer
§ 83-41-359. Acquisitions, mergers and consolidations of health maintenance organizations
§ 83-41-361. Adoption of coordination of benefits provisions
§ 83-41-363. Proceedings upon insolvency of health maintenance organization
§ 83-41-365. Contracting authority of commissioner

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