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Section 27-21A-1 - Definitions. - As used in this chapter, the following terms shall have...
Section 27-21A-2 - Establishment of Health Maintenance Organizations. - (a) Notwithstanding any law of this state to the contrary,...
Section 27-21A-3 - Issuance of Certificate of Authority. - (a)(1) Upon receipt of an application for issuance of a...
Section 27-21A-4 - Powers of Health Maintenance Organizations. - (a) The powers of a health maintenance organization include, but...
Section 27-21A-5 - Governing Body. - The governing body of any health maintenance organization may include...
Section 27-21A-6 - Fiduciary Responsibilities of Directors, Officers, Employees, and Partners. - (a) Any director, officer, employee, or partner of a health...
Section 27-21A-7 - Evidence of Coverage and Charges for Health Care Services. - (a)(1) Every enrollee residing in this state is entitled to...
Section 27-21A-8 - Reporting Requirements. - Every health maintenance organization shall annually, on or before the...
Section 27-21A-9 - Information to Enrollees. - Every health maintenance organization shall provide promptly to its enrollees...
Section 27-21A-10 - Complaint System. - (a)(1) Every health maintenance organization shall establish and maintain a...
Section 27-21A-11 - Investments. - With the exception of investments made in accordance with subdivisions...
Section 27-21A-12 - Protection Against Insolvency. - (a) Unless otherwise provided below, each health maintenance organization shall...
Section 27-21A-13 - Prohibited Practices. - (a) No health maintenance organization, or representative thereof, may cause...
Section 27-21A-14 - Regulation of Producers. - (a) Unless exempted pursuant to subsection (c), health maintenance organizations...
Section 27-21A-15 - Powers of Insurers and Health Care Service Plans. - (a) An insurance company licensed in this state, or a...
Section 27-21A-16 - Examination. - (a) The commissioner may make an examination of the affairs...
Section 27-21A-17 - Suspension or Revocation of Certificate of Authority. - (a) The commissioner in consultation with and with the approval...
Section 27-21A-18 - Rehabilitation, Liquidation, or Conservation of a Health Maintenance Organization. - (a) Any rehabilitation, liquidation, or conservation of a health maintenance...
Section 27-21A-19 - Regulations. - The commissioner may, after notice and hearing, promulgate reasonable rules...
Section 27-21A-20 - Administrative Procedures. - (a) When the commissioner has cause to believe that grounds...
Section 27-21A-21 - Fees. - (a) Every health maintenance organization subject to this chapter shall...
Section 27-21A-22 - Penalties and Enforcement. - (a) The commissioner may, in lieu of suspension or revocation...
Section 27-21A-23 - Statutory Construction and Relationship to Other Laws. - (a) Except as otherwise provided in this chapter, provisions of...
Section 27-21A-24 - Filings and Reports as Public Documents. - All applications, filings, and reports required under this chapter, except...
Section 27-21A-25 - Confidentiality of Medical Information. - Any data or information pertaining to the diagnosis, treatment, or...
Section 27-21A-26 - State Health Officer's and Commissioner's Authority to Contract. - The State Health Officer and the commissioner, in carrying out...
Section 27-21A-27 - Acquisition of Control of or Merger of a Health Maintenance Organization. - No person may make a tender for or a request...
Section 27-21A-28 - Taxes. - Health maintenance organizations doing business in this state shall be...
Section 27-21A-29 - Existing Health Maintenance Organizations. - (a) Notwithstanding any other provision of this chapter, any health...
Section 27-21A-30 - Coordination of Benefits. - (a) A health maintenance organization is entitled to coordinate benefits...
Section 27-21A-31 - Health Maintenance Organization Advisory Council. - There shall be established a three member HMO advisory council...
Section 27-21A-32 - Hmo Enrollment Requirements. - (a) The state government, or any agency, board, commission, institution,...