Iowa Code
Chapter 514B - HEALTH MAINTENANCE ORGANIZATIONS
Section 514B.33 - Establishment of limited service organizations.

514B.33 Establishment of limited service organizations.
1. A person may apply to the commissioner for and obtain a certificate of authority to establish and operate a limited service organization in compliance with this chapter. A person shall not establish or operate a limited service organization in this state, or sell, offer to sell, or solicit offers to purchase or receive advance or periodic consideration in conjunction with a limited service organization without obtaining a certificate of authority under this chapter.
2. When not otherwise provided, a foreign or domestic limited service organization doing business in this state shall pay the commissioner the fees as required in section 511.24.
3. The commissioner shall adopt rules pursuant to chapter 17A establishing a certification process for limited service organizations.
4. Sections 514B.3B and 514B.12 apply to all foreign and domestic limited service organizations authorized to do business in this state.
5. a. For purposes of this section, “limited service organization” means an organization providing dental care services, vision care services, mental health services, substance abuse services, pharmaceutical services, podiatric care services, or such other services as may be determined by the commissioner.
b. “Limited service organization” does not include an organization providing hospital, medical, surgical, or emergency services, except as such services are provided incident to those services identified in paragraph “a”.
97 Acts, ch 186, §9; 2003 Acts, ch 91, §30; 2006 Acts, ch 1117, §61
Referred to in §507C.3, 508C.3

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.