Kansas Statutes
Article 32 - Health Maintenance Organizations And Medicare Provider Organizations
40-3232 Insolvent health maintenance organization; allocation of insureds to other health maintenance organizations, when; eligibility for Kansas uninsurable health insurance plan act, when.

40-3232. Insolvent health maintenance organization; allocation of insureds to other health maintenance organizations, when; eligibility for Kansas uninsurable health insurance plan act, when. (a) In the event of an insolvency of a health maintenance organization, the commissioner may order that all other carriers that participated in the enrollment process with the insolvent health maintenance organization at a group's last regular enrollment period shall offer the group's enrollees of the insolvent health maintenance organization a 30-day enrollment period commencing upon the date of insolvency. Under such order each carrier shall offer to each enrollee of the insolvent health maintenance organization the same coverages that such insolvent health maintenance organization had offered to each enrollee of the group at such group's last regular enrollment period at rates determined in accordance with the successor health maintenance organization's existing rating methodology.
(b) Any individual or enrollee who has health insurance coverage involuntarily terminated because of the insolvency of such individual's or enrollee's health maintenance organization shall be treated as the equivalent of a federally defined eligible individual for the purposes of the Kansas uninsurable health insurance plan act, K.S.A. 40-2117 et seq. and amendments thereto.
History: L. 2000, ch. 147, ยง 33; July 1.

Structure Kansas Statutes

Kansas Statutes

Chapter 40 - Insurance

Article 32 - Health Maintenance Organizations And Medicare Provider Organizations

40-3201 Title.

40-3202 Definitions.

40-3203 Certificate of authority required; application; contents; rules and regulations governing modifications and amendments; approval of commissioner.

40-3204 Notice that application incomplete, insufficient or unsatisfactory; issuance of certificate, when.

40-3207 Denial, suspension or revocation of certificate; administrative penalty; notice; hearing.

40-3208 Powers.

40-3209 Certificates of coverage, contracts and other marketing documents, contents, form, filing; continuation and conversion requirements; enrollee not liable to provider for amount owed; application of 40-2209 and 40-2215.

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.

40-3213 Fees; disposition of moneys; reporting requirements; payment of estimated fees owed; reconciliation of actual fees owed.

40-3214 Construction and relationship to other laws.

40-3215 Rules and regulations.

40-3216 Penalty.

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.

40-3220 Annual report.

40-3221 Liability of officers.

40-3222 Use of certain words and initials prohibited.

40-3223 Open enrollment.

40-3224 Investments.

40-3225 Fiduciary responsibilities; fidelity bond or insurance.

40-3226 Confidentiality of medical information.

40-3227 Deposit requirements; waiver of deposit; plan for continuation of benefits following insolvency.

40-3228 Grievance procedures; minimum requirements.

40-3229 Prior authorization requirements for emergency medical treatment; duties and responsibilities of organization, enrollees and participating providers; resolution of disputes.

40-3230 Continuity of treatment upon termination of provider from plan.

40-3231 Uncovered expenditure deposit; amount; withdrawal, when; commissioner's duties; rules and regulations.

40-3232 Insolvent health maintenance organization; allocation of insureds to other health maintenance organizations, when; eligibility for Kansas uninsurable health insurance plan act, when.

40-3233 Rehabilitation, liquidation or conservation of health maintenance organization; commissioner's powers; priority of enrollee; distribution of assets.

40-3234 Health maintenance organization; financial condition; hearing; commissioner's powers.

40-3235 Health maintenance organization act; provisions supplemental to.

40-3236 Medical assistance fee fund; use and disposition of moneys credited to fund; reporting requirements.