Iowa Code
Chapter 514B - HEALTH MAINTENANCE ORGANIZATIONS
Section 514B.17 - Cancellation of enrollees.

514B.17 Cancellation of enrollees.
1. An enrollee enrolled in a prepaid individual plan shall not be canceled except for the failure to pay the charges permitted under section 514B.10 or for other reasons stated in the rules adopted by the commissioner and subject to review in accordance with chapter 17A. Except as provided in subsection 2 concerning prepaid group plans, notice of cancellation to an enrollee shall not be effective unless delivered to the enrollee by the health maintenance organization in a manner prescribed by the commissioner and at least thirty days before the effective date of cancellation and unless accompanied by a statement of reason for cancellation. At any time before cancellation of the policy for nonpayment, the enrollee may pay to the health maintenance organization the full amount due, including court costs if any, and from the date of payment by the enrollee or the collection of the judgment, coverage shall revive and be in full force and effect.
2. The effect of cancellation of a prepaid group plan providing health care services to enrollees, and the duty to provide notice and liability for benefits, is the same as provided under section 509B.5, subsection 2, for the termination of accident or health insurance for employees or members.
[C75, 77, 79, 81, §514B.17]
95 Acts, ch 185, §11

Structure Iowa Code

Iowa Code

Title XIII - COMMERCE

Chapter 514B - HEALTH MAINTENANCE ORGANIZATIONS

Section 514B.1 - Definitions — services required or available.

Section 514B.2 - Establishment of health maintenance organizations.

Section 514B.3 - Application for a certificate of authority.

Section 514B.3A - Articles — approval — bylaws.

Section 514B.3B - Certificate of authority — renewal.

Section 514B.4 - Applicant for certificate of authority.

Section 514B.4A - Direct provision of health care services.

Section 514B.5 - Issuance and denial of a certificate of authority.

Section 514B.6 - Powers of health maintenance organizations.

Section 514B.7 - Governing body.

Section 514B.8 - Fiduciary responsibilities.

Section 514B.9 - Evidence of coverage.

Section 514B.9A - Coverage of children — continuation or reenrollment.

Section 514B.10 - Charges.

Section 514B.11 - Disapproval of filings.

Section 514B.12 - Annual report.

Section 514B.13 - Open enrollment.

Section 514B.14 - Complaint system.

Section 514B.15 - Investments.

Section 514B.16 - Protection against insolvency.

Section 514B.17 - Cancellation of enrollees.

Section 514B.17A - Rescission.

Section 514B.18 - False representation.

Section 514B.19 - Regulation of insurance producers.

Section 514B.20 - Powers of insurers and hospital and medical service corporations.

Section 514B.21 - Public employees included.

Section 514B.22 - Fees.

Section 514B.23 - Rules.

Section 514B.24 - Examinations permitted.

Section 514B.25 - Financially impaired or insolvent health maintenance organizations.

Section 514B.25A - Impairment and insolvency protection.

Section 514B.26 - Administrative procedures.

Section 514B.27 - Judicial review.

Section 514B.28 - Injunction.

Section 514B.29 - Penalty.

Section 514B.30 - Communications in professional confidence.

Section 514B.31 - Taxation.

Section 514B.32 - Construction.

Section 514B.33 - Establishment of limited service organizations.