A. A health maintenance organization shall provide to its subscribers or to its group contract holders for distribution to subscribers a list of providers upon enrollment and re-enrollment.
B. Every health maintenance organization shall notify its subscribers within thirty days of any material change in the operation of the organization that will affect the service to subscribers directly.
C. An enrollee shall be notified in writing by the health maintenance organization of the termination of any designated primary care provider who provided health care services to that enrollee. The health maintenance organization shall provide assistance to the enrollee in transferring to another participating primary care provider.
D. The health maintenance organization shall provide to subscribers information on how services may be obtained, where additional information on access to services may be obtained and a number where the enrollee may contact the health maintenance organization at no cost to the enrollee.
History: 1978 Comp., § 59A-46-10, enacted by Laws 1993, ch. 266, § 10.
Repeals and reenactments. — Laws 1993, ch. 266, § 43 repealed former 59A-46-10 NMSA 1978, as enacted by Laws 1984, ch. 127, § 857, related to a complaint system, and Laws 1993, ch. 266, § 10 enacted a new section, effective January 1, 1994.
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