A. Every health maintenance organization shall establish and maintain a grievance procedure that has been approved by the Insurance Commissioner, after consultation with the State Commissioner of Health, to provide for the resolution of grievances initiated by enrollees. Such grievance procedure shall be approved by the Insurance Commissioner within thirty (30) days of submission. The health maintenance organization shall maintain a record of grievances received since the date of its last examination of grievances.
B. The Insurance Commissioner or the State Commissioner of Health may examine the grievance procedures.
C. Health maintenance organizations shall comply with the requirements of an insurer as set out in Sections 1250.1 through 1250.16 of Title 36 of the Oklahoma Statutes.
Added by Laws 2003, c. 197, § 11, eff. Nov. 1, 2003.
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