§432:1-308 Suspension, revocation, or denial of certificate of authority. (a) Any certificate of authority issued under this chapter may be suspended or revoked and any application for a certificate of authority may be denied if the commissioner finds that any of the conditions listed below exists:
(1) The mutual benefit society is operating significantly in contravention of its basic organizational document or in a manner contrary to that described in any other information submitted under section 432:1-301, unless amendments to the submissions have been filed with and approved by the commissioner;
(2) The mutual benefit society is no longer financially responsible and may reasonably be expected to be unable to meet its obligations to its members and beneficiaries or prospective members;
(3) The mutual benefit society has failed to correct, within the time prescribed by subsection (c), any deficiency occurring due to the mutual benefit society's prescribed minimum net worth being impaired;
(4) The mutual benefit society, or any person on its behalf, has advertised or merchandised its services in an untrue, misrepresentative, misleading, deceptive, or unfair manner;
(5) The continued operation of the mutual benefit society would be hazardous to its members; or
(6) The mutual benefit society has otherwise failed to substantially comply with this chapter.
(b) In addition to, or in lieu of, suspension or revocation of a certificate of authority pursuant to this section, the commissioner may levy an administrative fine upon the mutual benefit society in an amount not less than $500 and not more than $50,000 pursuant to section 431:3-221.
(c) The following shall pertain when insufficient net worth is maintained:
(1) Whenever the commissioner finds that the net worth maintained by any mutual benefit society subject to this chapter is less than the minimum net worth required, the commissioner shall give written notice to the mutual benefit society of the amount of the deficiency and require the mutual benefit society to:
(A) File with the commissioner a plan for correction of the deficiency acceptable to the commissioner; and
(B) Correct the deficiency within a reasonable time, not to exceed sixty days, unless an extension of time, not to exceed sixty additional days, is granted by the commissioner. The deficiency shall be deemed an impairment, and failure to correct the impairment in the prescribed time shall be grounds for suspension or revocation of the certificate of authority or for placing the mutual benefit society in conservation, rehabilitation, or liquidation; and
(2) Unless allowed by the commissioner, no mutual benefit society or person acting on its behalf, directly or indirectly, may renew, issue, or deliver any certificate, agreement, or contract of coverage in this State for which a premium is charged or collected, when the mutual benefit society writing the coverage is impaired and the fact of the impairment is known to the mutual benefit society or to the person; provided that the existence of an impairment shall not prevent the issuance or renewal of a certificate, agreement, or contract when the member exercises an option granted under the plan to obtain a new, renewed, or converted coverage.
(d) A certificate of authority shall be suspended or revoked, an application for a certificate of authority denied, or an administrative fine imposed, only after compliance with the requirements of this section, including the following:
(1) Suspension or revocation of a certificate of authority, denial of an application, or imposition of an administrative fine pursuant to this section shall be by written order and shall be sent to the mutual benefit society or applicant by certified or registered mail. The written order shall state the grounds, charges, or conduct on which suspension, revocation, denial, or administrative penalty is based. The mutual benefit society or applicant, in writing, may request a hearing pursuant to section 431:2-308; and
(2) If the mutual benefit society or applicant requests a hearing pursuant to this section, the commissioner shall issue a written notice of hearing and send it to the mutual benefit society or applicant by certified or registered mail and to the director of labor and industrial relations stating:
(A) A specific time for the hearing, which may not be less than twenty nor more than thirty days after mailing of the notice of hearing; and
(B) A specific place for the hearing.
(e) When the certificate of authority of a mutual benefit society is suspended, the mutual benefit society shall not, during the period of the suspension, enroll any additional members except newborn children or other newly acquired dependents of existing members and shall not engage in any advertising or solicitation whatsoever.
(f) When the certificate of authority of a mutual benefit society is revoked, the society, immediately following the effective date of the order of revocation, shall proceed to wind up its affairs and shall conduct no further business except as may be essential to the orderly conclusion of the affairs of the society. The mutual benefit society shall engage in no further advertising or solicitation whatsoever. The commissioner, by written order, may permit further operation of the society as the commissioner may find to be in the best interest of the members, to the end that members will be afforded the greatest practical opportunity to obtain continuing coverage and benefits. [L 2015, c 63, §23]
Structure Hawaii Revised Statutes
432:1-101.5 Disclosure of health care coverage and benefits.
432:1-101.6 Policies relating to domestic abuse cases.
432:1-102 Applicability of other laws.
432:1-103 Applicability of this article to existing societies and union mutual benefit societies.
432:1-104.5 Bona fide trade associations.
432:1-107 Federal law compliance.
432:1-201 Incorporation by charter.
432:1-202 Constitution and bylaws; officers; government of society.
432:1-203 Actions or proceedings.
432:1-301 Registration with commissioner: certificate of registration and certificate of authority.
432:1-302 Commissioner refusal to authorize certificate or solicitation; appeal to circuit court.
432:1-303 Authority to offer death, sick, disability, or other benefits; conditions.
432:1-306 Authority to offer death, sick, disability, or other benefits; deposit or bond.
432:1-308 Suspension, revocation, or denial of certificate of authority.
432:1-402 Investments of certain mutual benefit societies.
432:1-403 Nonprofit medical, hospital indemnity associations; tax exemption.
432:1-407 Protection against insolvency.
432:1-408 Uncovered expenditures insolvency deposit.
432:1-409 Rehabilitation, liquidation, or conservation of mutual benefit societies.
432:1-410 Reserve credit for reinsurance.
432:1-501 Examination by commissioner, assistance of other officers.
432:1-502 Summary orders and supervision.
432:1-503 Closing of doors without notice.
432:1-601 Contract limitations for handicapped children and children with intellectual disabilities.
432:1-601.5 Coverage for telehealth.
432:1-602 Newborn children coverage.
432:1-602.6 Newborn adoptee; coverage.
432:1-603 Reimbursement for psychological services.
432:1-604 In vitro fertilization procedure coverage.
432:1-604.5 Contraceptive services.
432:1-605 Mammogram screening.
432:1-605.5 Mammograms; referral not required.
432:1-606 Qualified medical child support order.
432:1-607 Genetic information nondiscrimination in health insurance coverage.
432:1-608 Hospice care coverage.
432:1-610 Federally funded programs; exemption.
432:1-613 Orthodontic services for orofacial anomalies; benefits and coverage; notice.
432:1-614 Autism benefits and coverage; notice; definitions.
432:1-615 Primary care provider; advanced practice registered nurse.
432:1-617 Colon cancer screening coverage.
432:1-618 Human immunodeficiency virus and acquired immunodeficiency syndrome screening coverage.
432:1-620 Formulary; accessibility requirements.
432:1-621 Medication synchronization; proration; dispensing fees.
432:1-622 Extension of dependent coverage.
432:1-623 Prohibition of preexisting condition exclusions.
432:1-624 Prohibited discrimination in premiums or contributions.
432:1-625 Reimbursement to providers.
432:2-102 Applicability of other laws.
432:2-103.5 Policies relating to domestic abuse cases.
432:2-104 Fraternal benefit societies.
432:2-106 Representative form of government.
432:2-107 Purposes and powers.
432:2-201 Qualifications for membership.
432:2-202 Location of office, meetings, communications to members, grievance procedures.
432:2-203 No personal liability.
432:2-305 Consolidations and mergers.
432:2-306 Conversion of fraternal benefit society into mutual life insurance company.
432:2-403 Benefits not attachable.
432:2-404 The benefit contract.
432:2-404.5 Genetic information nondiscrimination in health insurance coverage.
432:2-405 Nonforfeiture benefits, cash surrender values, certificate loans and other options.
432:2-406 Mammogram coverage required; referral not required.
432:2-410 Primary care provider; advanced practice registered nurse.
432:2-604 Examination of societies; no adverse publications.
432:2-605 Foreign or alien society, admission.
432:2-606 Injunction, liquidation, receivership of domestic society.
432:2-607 Suspension, revocation or refusal of license of foreign or alien society.
432:2-609 Licensing of producers.
432:2-610 Unfair methods of competition and unfair and deceptive acts and practices.
432:2-611 Federal law compliance.