Hawaii Revised Statutes
432D. Health Maintenance Organization Act
432D-13 Examinations.

§432D-13 Examinations. (a) The commissioner may examine the affairs of any health maintenance organization or of any providers with whom such organization has contracts, agreements, or other arrangements as often as is reasonably necessary for the protection of the interests of the people of this State but shall make such examination not fewer than once every five years for health maintenance organizations domiciled in this State.
(b) Every health maintenance organization and provider shall submit its books and records for examination and in every way facilitate the completion of the examination. In the event a health maintenance organization or the provider fails to comply with the directions of the commissioner, the commissioner may examine the affiliates of the health maintenance organization or provider to obtain the information. For the purpose of examinations, the commissioner may administer oaths to, and examine the officers and agents of, the health maintenance organization and the principals of providers concerning their business.
(c) The cost of examinations under this section shall be assessed against the health maintenance organization being examined and remitted to the commissioner for deposit into the compliance resolution fund.
(d) In lieu of such examination, the commissioner may accept the report of an examination made by the commissioner or director of the department of health of another state. [L 1995, c 179, pt of §1; am L 2004, c 122, §91; am L 2012, c 251, §12]

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.