Article 7 - HEALTH MAINTENANCE ORGANIZATION, PREFERRED PROVIDER ORGANIZATION AND OTHER PREPAID HEALTH BENEFIT PLANS PROTECTION ACT
- Section 83-41-301 - Short title
- Section 83-41-303 - Definitions
- Section 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
- Section 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
- Section 83-41-309 - Powers of health maintenance organization generally; notice of exercise of powers affecting financial condition of organization
- Section 83-41-311 - Bonds or insurance for directors, officers, employees, partners and contractors
- Section 83-41-313 - Quality assurance procedures, programs and activities; maintenance and examination of patient records
- Section 83-41-315 - Filing, contents and approval of group and individual contracts and evidence of coverage
- Section 83-41-317 - Filing of annual reports, financial statements, etc
- Section 83-41-319 - Provision of information and notices to subscribers
- Section 83-41-321 - Grievance procedures
- Section 83-41-323 - Funds
- Section 83-41-325 - Minimum net worth requirement; deposits generally; computation of liabilities; contracts between health maintenance organizations and participating providers of services; insolvency plans
- Section 83-41-327 - Uncovered expenditures insolvency deposits
- Section 83-41-329 - Proceedings upon insolvency of health maintenance organization; terms and conditions of replacement coverage
- Section 83-41-331 - Premium rates
- Section 83-41-333 - Rules and regulations generally; exemptions from certification requirement
- Section 83-41-335 - Operation of health maintenance organizations by insurance companies and medical service corporations
- Section 83-41-337 - Examination of health maintenance organizations and providers; acceptance of reports in lieu of examinations
- Section 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
- Section 83-41-341 - Rehabilitation, liquidation or administrative supervision of health maintenance organizations
- Section 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
- Section 83-41-345 - Adoption of rules and regulations
- Section 83-41-347 - Fees
- Section 83-41-349 - Imposition of administrative penalties; informal proceedings for investigation and correction or prevention of violations; cease and desist orders
- Section 83-41-351 - Solicitation of enrollees
- Section 83-41-353 - Documents deemed public documents
- Section 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
- Section 83-41-357 - Contracting authority of State Health Officer
- Section 83-41-359 - Acquisitions, mergers and consolidations of health maintenance organizations
- Section 83-41-361 - Adoption of coordination of benefits provisions
- Section 83-41-363 - Proceedings upon insolvency of health maintenance organization
- Section 83-41-365 - Contracting authority of commissioner