40-3204. Notice that application incomplete, insufficient or unsatisfactory; issuance of certificate, when. (a) The commissioner shall notify any person filing an application for a certificate of authority within 60 days of such filing if such application is not complete or sufficient and the reasons therefor, or that payment of the fees required by K.S.A. 40-3213 and amendments thereto has not been made or that the commissioner is not satisfied with the sufficiency of the information supplied pursuant to the provisions of K.S.A. 40-3203 and amendments thereto or that the organization has failed to demonstrate its ability to assure that health care services will be provided.
(b) The commissioner shall, within 60 days after the receipt of a completed application and any prescribed fees, issue a certificate of authority to any person filing such application if the commissioner finds that:
(1) The persons responsible for the conduct of the affairs of the applicant are competent, trustworthy and possess good reputations;
(2) any deficiencies identified by the commissioner in the application have been corrected;
(3) the health maintenance organization or medicare provider organization will effectively provide or arrange for the provision of basic health care services on a prepaid basis, through insurance or otherwise except to the extent of reasonable requirements for copayments and/or deductibles; and
(4) in the case of a health maintenance organization, that the health maintenance organization is in compliance with K.S.A. 40-3227 and amendments thereto and in the case of a medicare provider organization, that the medicare provider organization is in compliance with such deposit or solvency requirements as the commissioner may establish by rules and regulations.
History: L. 1974, ch. 181, § 4; L. 1996, ch. 169, § 8; L. 1998, ch. 174, § 15; July 1.
Structure Kansas Statutes
Article 32 - Health Maintenance Organizations And Medicare Provider Organizations
40-3207 Denial, suspension or revocation of certificate; administrative penalty; notice; hearing.
40-3210 Prepaid per capita or aggregate fixed sum contracts authorized.
40-3211 Examination of organizations and providers.
40-3212 Filings and reports as public documents.
40-3214 Construction and relationship to other laws.
40-3215 Rules and regulations.
40-3217 Operational health maintenance organizations; issuance of certificate.
40-3218 Contractual designation of persons to make recommended findings to commissioner.
40-3219 Effect of act on federal assistance.
40-3221 Liability of officers.
40-3222 Use of certain words and initials prohibited.
40-3225 Fiduciary responsibilities; fidelity bond or insurance.
40-3226 Confidentiality of medical information.
40-3228 Grievance procedures; minimum requirements.
40-3230 Continuity of treatment upon termination of provider from plan.
40-3234 Health maintenance organization; financial condition; hearing; commissioner's powers.
40-3235 Health maintenance organization act; provisions supplemental to.