Chapter 33 - HEALTH MAINTENANCE ORGANIZATIONS

Section 38-33-10 - Short title
Section 38-33-20 - Definitions
Section 38-33-30 - Necessity of certificate of authority; foreign corporation
Section 38-33-40 - Issuance of certificate of authority; criteria and considerations; arrangements for participation of providers in each geographic area served
Section 38-33-50 - Powers of health maintenance organization; notice prior to exercise of powers
Section 38-33-60 - Members of governing body; advisory panels, etc
Section 38-33-70 - Fiduciary relationship in handling of funds
Section 38-33-80 - Enrollee entitled to evidence of coverage; contents of evidence of coverage; discontinuance or replacement of coverage; charges for services
Section 38-33-90 - Statements and reports
Section 38-33-100 - Financial requirements before issuance of certificate of authority to health maintenance organization
Section 38-33-110 - Complaint procedures; reports; malpractice claims; applicability of Freedom of Information Act
Section 38-33-120 - Investment of funds
Section 38-33-130 - Security deposit; individual stop-loss coverage; provisions for unpaid claim liability; individual conversion policy
Section 38-33-140 - Advertisements; application of provisions relating to trade practices; use of term "insurer" or "health maintenance organization"
Section 38-33-150 - Agent for organization; exemption from licensing requirements
Section 38-33-160 - Operation of health maintenance organization by insurance company; contracts for cost of care
Section 38-33-170 - Examination of affairs of organization; quality of health care services; books and records; expense of examination; reports
Section 38-33-180 - Suspension or revocation of certificate of authority
Section 38-33-190 - Rehabilitation, liquidation, or conservation of a health maintenance organization; priorities
Section 38-33-200 - Implementation of regulations
Section 38-33-210 - Notification of grounds for denial, suspension or revocation of certificate of authority; hearings; judicial review
Section 38-33-220 - Fees
Section 38-33-230 - Levy of administrative penalty in lieu of revocation or suspension of certificate of authority; monetary penalty; notice and hearings; injunctions
Section 38-33-240 - Application of provisions of insurance law or law relating to solicitation or advertising by health professionals; practice of medicine, dentistry or other healing profession
Section 38-33-250 - Records of organization as public documents; trade secrets, etc
Section 38-33-260 - Confidentiality of health records
Section 38-33-270 - Contractual powers of Department to assist in investigative duties; assessments for consulting expenses
Section 38-33-280 - Acquisition or exchange of securities of a health maintenance organization; merger or consolidation of HMO
Section 38-33-290 - Participation by physician, podiatrist, optometrist, or oral surgeon as provided in HMO
Section 38-33-300 - Liability for participation in quality of care or utilization review
Section 38-33-310 - HMO may contract with out-of-state provider
Section 38-33-325 - Obstetrician-gynecologist services; referrals; authorization for services; member notification of plan provisions