Health Maintenance Organization Act of 2003
-
§ 6901. Short Title—Health Maintenance Organization Act of 2003
-
§ 6902. Definitions
-
§ 6903. Certificate of Authority—Application Requirements—Submission to Insurance Commissioner—Rules
-
§ 6903.1. Exemption of Certain Domestic Health Maintenance Organizations from Certain Provisions of Act
-
§ 6904. Certification by Insurance Commissioner—Issuance of Certificate
-
§ 6905. Powers of Health Maintenance Organization—Notice of Effect on Financial Soundness
-
§ 6906. Receipt, Collection, Disbursement or Investment of Funds—Fiduciary Relationship—Fidelity Bond or Insurance
-
§ 6907. Reasonable Standards of Quality of Care—Quality Assurance Plan and Activities—Record of Proceedings—Patient Record System—Medical Policy—Credentialing and Recredentialing of Health Care Providers—Termination or Nonrenewal of Contracts—Emergency Services
-
§ 6908. Group or Individual Contract—Delivery—Required Provisions—Evidence of Coverage—Filing and Review of Forms
-
§ 6909. Reports and Statements
-
§ 6910. Information to be Provided to Subscribers
-
§ 6911. Grievance Procedures
-
§ 6912. Investment of Funds
-
§ 6913. Minimum Net Worth Required—Deposit with Insurance Commissioner—Determination of Liabilities—Liability of Subscriber for Health Maintenance Organization's Debts—Insolvency Plan—Notice of Termination of Agreement
-
§ 6914. Repealed by Laws 2019, C. 384, § 14, eff. Nov. 1, 2019
-
§ 6915. Insolvency—Replacement Coverage—Reduction or Exclusion of Benefits
-
§ 6916. Premium Rates—Approval by Insurance Commissioner
-
§ 6917. Producer License—Exempted Persons
-
§ 6918. Organizations Permitted to Organize and Operate Health Maintenance Organization—Contracts for Insurance Against Cost of Care Provided
-
§ 6919. Examination of Affairs, Programs, Books, and Records—Payment of Expenses
-
§ 6920. Suspension or Revocation or Denial of Application of Certificate of Authority
-
§ 6921. Repealed by Laws 2019, C. 384, § 14, eff. Nov. 1, 2019
-
§ 6922. Order to Rectify Financial Condition or Violation—Required Actions—Remedies and Measures Available to Insurance Commissioner
-
§ 6923. Rules
-
§ 6924. Payment of Fees
-
§ 6925. Administrative Penalty in Lieu of Suspension or Revocation of Certificate—Suspected Violation—Order to Cease and Desist—Injunction
-
§ 6926. Provisions of Laws Not Applicable to Health Maintenance Organizations
-
§ 6927. Public Records—Trade Secrets—Privileged or Confidential Information
-
§ 6928. Disclosure of Diagnostic, Treatment or Health Status Information
-
§ 6929. Contracts by Health Commissioner with Qualified Persons
-
§ 6930. Acquisition of Control of Health Maintenance Organization
-
§ 6931. Coordination of Benefits Provisions
-
§ 6932. Repealed by Laws 2019, C. 384, § 14, eff. Nov. 1, 2019
-
§ 6933. Provision of Basic Health Care Services Directly or by Contract or Agreement—Standards and Procedures for Selection of Providers—Chiropractic and Vision Care Services—Referrals
-
§ 6934. Services Permitted to be Provided
-
§ 6935. Services Provided to Out-of-State Enrollees
-
§ 6936. Severability