514B.20 Powers of insurers and hospital and medical service corporations.
1. An insurance company authorized to engage in insuring individuals or groups for the cost of health care in this state or a corporation authorized under chapter 514 may either directly or through a subsidiary or affiliate do one or more of the following:
a. Organize and operate a health maintenance organization under the provisions of this chapter.
b. Contract with a health maintenance organization to provide insurance or similar protection against the cost of care provided through the health maintenance organization.
c. Contract with a health maintenance organization to provide coverage in the event of the failure of the health maintenance organization to meet its obligations.
2. Any two or more insurance companies, corporations, or their subsidiaries or affiliates may jointly organize and operate a health maintenance organization.
[C75, 77, 79, 81, §514B.20]
2012 Acts, ch 1023, §157
Structure Iowa Code
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.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.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.30 - Communications in professional confidence.
Section 514B.32 - Construction.
Section 514B.33 - Establishment of limited service organizations.