514B.26 Administrative procedures.
1. When the commissioner has cause to believe that grounds for the denial, suspension, or revocation of a certificate of authority exist, the commissioner shall notify the health maintenance organization in writing of the particular grounds for denial, suspension, or revocation and shall issue a notice of a time fixed for a hearing, which shall be held not less than ten days after the receipt by the health maintenance organization of the notice.
2. At the time and place fixed for a hearing, the person charged shall have an opportunity to be heard and to show cause why the order should not be made by the commissioner. Upon good cause shown, the commissioner may permit any person to intervene, appear, and be heard at the hearing by counsel or in person. Nothing contained in this chapter shall require the observance at any hearing of formal rules of pleading or evidence. The provisions of section 507B.6, subsections 4 and 5, relating to the powers and duties of the commissioner in relation to the hearing and relating to the rights and obligations of persons upon whom the commissioner has served notice shall apply to this chapter.
3. After the hearing, or upon the failure of the health maintenance organization to appear at the hearing, the commissioner shall take action as the commissioner deems advisable and which is permitted by the commissioner under the provisions of this chapter and shall reduce the findings to writing. Copies of the written findings shall be mailed to the health maintenance organization charged with violation of this chapter.
[C75, 77, 79, 81, §514B.26]
92 Acts, ch 1162 §29; 2018 Acts, ch 1041, §127; 2019 Acts, ch 24, §78
Referred to in §514B.4, 514B.5, 514B.27
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.