§432D-16 Summary orders and supervision. (a) Whenever the commissioner determines that the financial condition of any health maintenance organization is such that its continued operation might be hazardous to its enrollees, creditors, or the general public, or that it has violated any provision of this chapter, the commissioner, after notice and hearing, may order the health maintenance organization to take such action as may be reasonably necessary to rectify such condition or violation, including but not limited to one or more of the following:
(1) Reducing the total amount of present and potential liability for benefits by reinsurance or other method acceptable to the commissioner;
(2) Reducing the volume of new business being accepted;
(3) Reducing expenses by specified methods;
(4) Suspending or limiting the writing of new business for a period of time;
(5) Increasing the health maintenance organization's capital and surplus by contribution; or
(6) Taking such other steps as the commissioner may deem appropriate under the circumstances.
(b) For purposes of this section, the violation by a health maintenance organization of any law of this State to which such health maintenance organization is subject shall be deemed a violation of this chapter.
(c) The commissioner is authorized, by rule, to set uniform standards and criteria for early warning that the continued operation of any health maintenance organization might be hazardous to its enrollees, creditors, or the general public and to set standards for evaluating the financial condition of any health maintenance organization, which standards shall be consistent with the purposes expressed in subsection (a).
(d) The remedies and measures available to the commissioner under this section shall be in addition to, and not in lieu of, the remedies and measures available to the commissioner under the provisions of article 15 of chapter 431. [L 1995, c 179, pt of §1]
Structure Hawaii Revised Statutes
432D. Health Maintenance Organization Act
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-8 Protection against insolvency.
432D-9 Uncovered expenditures insolvency deposit.
432D-9.5 Reserve credit for reinsurance.
432D-12 Powers of insurers and hospital and medical service corporations.
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-18 Penalties and enforcement.
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-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.