Hawaii Revised Statutes
432D. Health Maintenance Organization Act
432D-12 Powers of insurers and hospital and medical service corporations.

§432D-12 Powers of insurers and hospital and medical service corporations. (a) An insurance company licensed in this State, or a hospital or medical service corporation authorized to do business in this State, either directly or through a subsidiary or affiliate, may organize and operate a health maintenance organization under the provisions of this chapter. Notwithstanding any other law to the contrary, any two or more insurance companies, hospital or medical service corporations, or subsidiaries or affiliates thereof, may jointly organize and operate a health maintenance organization. The business of insurance is deemed to include the providing of health care by a health maintenance organization owned or operated by an insurer or a subsidiary thereof.
(b) Notwithstanding any contrary provision of laws pertaining to insurance or hospital or medical service corporations, an insurer or a hospital or medical service corporation may contract with a health maintenance organization to provide insurance or similar protection against the cost of care provided through health maintenance organizations and to provide coverage in the event of the failure of the health maintenance organization to meet its obligations. The enrollees of a health maintenance organization constitute a permissible group under such laws. Among other things, under such contracts, the insurer or hospital or medical service corporation may make benefit payments to health maintenance organizations for health care services rendered by providers. [L 1995, c 179, pt of §1]

Structure Hawaii Revised Statutes

Hawaii Revised Statutes

Title 24. Insurance

432D. Health Maintenance Organization Act

432D-1 Definitions.

432D-1.5 Bona fide trade associations.

432D-2 Establishment of health maintenance organizations.

432D-3 Powers of health maintenance organizations.

432D-4 Fiduciary responsibilities.

432D-5 Annual and quarterly reports.

432D-6 Information to enrollees or subscribers.

432D-7 Investments.

432D-8 Protection against insolvency.

432D-9 Uncovered expenditures insolvency deposit.

432D-9.5 Reserve credit for reinsurance.

432D-10 Enrollment period.

432D-11 Replacement coverage.

432D-12 Powers of insurers and hospital and medical service corporations.

432D-13 Examinations.

432D-14 Suspension, revocation, or denial of certificate of authority.

432D-15 Rehabilitation, liquidation, or conservation of health maintenance organizations.

432D-16 Summary orders and supervision.

432D-17 Fees

432D-18 Penalties and enforcement.

432D-18.5 REPEALED.

432D-19 Statutory construction and relationship to other laws.

432D-20 Filings and reports as public documents.

432D-21 Confidentiality of medical information.

432D-22 Acquisition of control of or merger of a health maintenance organization.

432D-23 Required provisions and benefits.

432D-23.5 Coverage for telehealth.

432D-23.6 Federally funded programs; exemption.

432D-24 Coordination of benefits.

432D-25 Disclosure of health care coverage and benefits.

432D-26 Genetic information nondiscrimination in health insurance coverage.

432D-26.3 Nondiscrimination on the basis of actual gender identity or perceived gender identity; coverage for services.

432D-27 Policies relating to domestic abuse cases.

432D-28 Federal law compliance.

432D-29 Prohibition on rescissions of coverage.

432D-30 Medication synchronization; proration; dispensing fees.

432D-31 Extension of dependent coverage.

432D-32 Prohibition of preexisting condition exclusions.

432D-33 Prohibited discrimination in premiums or contributions.