HEALTH MAINTENANCE ORGANIZATIONS
- Section 354.400 - Definitions
- Section 354.405 - Certificate of authority, who may make application - foreign corporation may qualify, requirements - procedure
- Section 354.407 - PACE projects not deemed health maintenance organizations, when
- Section 354.410 - Certificate issued, when - annual deposit, requirements - capital account, amount, contents
- Section 354.415 - Powers of organization
- Section 354.420 - Advisory panels to afford enrollees participation in policy decisions
- Section 354.425 - Bonding of officers who disburse or invest funds - bond requirements
- Section 354.430 - Evidence of coverage, requirements - rights of enrollee - toll-free telephone number required
- Section 354.435 - Annual reports filed with director, when - content - forms
- Section 354.440 - Information to be available to enrollees
- Section 354.441 - Disclosures to subscribers shall not be prohibited or restricted
- Section 354.442 - Disclosure information to enrollees required, when
- Section 354.443 - Financial disclosures to the department required by health maintenance organizations, when
- Section 354.444 - Administrative orders for violations - voluntary forfeitures, civil actions
- Section 354.445 - Complaints by enrollees, organization to establish system
- Section 354.450 - Investments authorized
- Section 354.455 - Deposit required, how made
- Section 354.460 - Advertising not to be untrue or misleading - deceptive solicitation - prohibited - how determined
- Section 354.462 - Enrollee, grounds for disenrollment
- Section 354.464 - Names not authorized for use, exceptions
- Section 354.465 - Examinations by division, when - costs, how paid
- Section 354.470 - Suspension or revocation, when - effect
- Section 354.475 - Insurance companies or health service company may organize and operate a health maintenance organization
- Section 354.480 - Rehabilitation, liquidation, or conservation, grounds, procedure - enrollee's priorities - claims, priority
- Section 354.485 - Rules and regulations authorized
- Section 354.490 - Certificate of authority, denial, suspension or revocation, grounds - procedure
- Section 354.495 - Fees to be paid to director
- Section 354.500 - Conferences called by director as to suspected or potential violations
- Section 354.505 - Laws regulating insurance or health service corporations not to apply, exceptions
- Section 354.510 - Public documents, all filings and required reports
- Section 354.515 - Confidential information, diagnosis, treatment, health of enrollees or applicants, exceptions
- Section 354.520 - Mergers, consolidations, control of organization, requirements
- Section 354.525 - Health provision collective bargaining agreements or contracts - charge for coverage, how determined
- Section 354.530 - Severability clause
- Section 354.535 - Pharmacist, emergency situation, may take an assignment of enrollee's right to reimbursement - health maintenance organizations shall only contract with entities licensed by the board of pharmacy - requirements for drug prescriptions, exceptions
- Section 354.536 - Continuation of dependent child coverage, when - dependent child defined
- Section 354.540 - Health maintenance organization of bordering states may be admitted to do business - procedure
- Section 354.545 - Exempt plans and companies
- Section 354.546 - Second medical opinion to be allowed by health maintenance organizations, procedure, costs
- Section 354.550 - Laws not applicable to community health companies
- Section 354.551 - Health maintenance organizations may offer point of service (POS) riders, when