Every health maintenance organization shall annually, on or before the first day of March, file a report verified by at least two principal officers with the commissioner, with a copy to the State Health Officer, covering the preceding calendar year. Such report shall be on forms prescribed by the commissioner, and shall include:
(1) A financial statement of the organization;
(2) Any material changes in the information submitted pursuant to subsection (c) of Section 27-21A-2;
(3) The number of persons enrolled at the beginning and end of the year;
(4) A summary of information compiled pursuant to paragraph (a)(2)c of Section 27-21A-3;
(5) The amount of uncovered and covered expenditures that are payable and more than 90 days past due; and
(6) Such additional information or reports as are deemed reasonably necessary and appropriate by the commissioner to enable him to carry out his duties under this chapter.
Structure Code of Alabama
Chapter 21A - Health Maintenance Organizations.
Section 27-21A-1 - Definitions.
Section 27-21A-2 - Establishment of Health Maintenance Organizations.
Section 27-21A-3 - Issuance of Certificate of Authority.
Section 27-21A-4 - Powers of Health Maintenance Organizations.
Section 27-21A-5 - Governing Body.
Section 27-21A-6 - Fiduciary Responsibilities of Directors, Officers, Employees, and Partners.
Section 27-21A-7 - Evidence of Coverage and Charges for Health Care Services.
Section 27-21A-8 - Reporting Requirements.
Section 27-21A-9 - Information to Enrollees.
Section 27-21A-10 - Complaint System.
Section 27-21A-11 - Investments.
Section 27-21A-12 - Protection Against Insolvency.
Section 27-21A-13 - Prohibited Practices.
Section 27-21A-14 - Regulation of Producers.
Section 27-21A-15 - Powers of Insurers and Health Care Service Plans.
Section 27-21A-16 - Examination.
Section 27-21A-17 - Suspension or Revocation of Certificate of Authority.
Section 27-21A-19 - Regulations.
Section 27-21A-20 - Administrative Procedures.
Section 27-21A-22 - Penalties and Enforcement.
Section 27-21A-23 - Statutory Construction and Relationship to Other Laws.
Section 27-21A-24 - Filings and Reports as Public Documents.
Section 27-21A-25 - Confidentiality of Medical Information.
Section 27-21A-26 - State Health Officer's and Commissioner's Authority to Contract.
Section 27-21A-27 - Acquisition of Control of or Merger of a Health Maintenance Organization.
Section 27-21A-29 - Existing Health Maintenance Organizations.
Section 27-21A-30 - Coordination of Benefits.
Section 27-21A-31 - Health Maintenance Organization Advisory Council.