40-3234. Health maintenance organization; financial condition; hearing; commissioner's powers. (a) Whenever the commissioner determines that the financial condition of a health maintenance organization is such that its continued operation might be hazardous to its enrollees, creditors or the general public, or that such health maintenance organization has violated any provisions of this act, the commissioner, after notice and hearing, may order such health maintenance organization to take action reasonably necessary to rectify the condition or violation. Such action may include, but not limited to one or more of the following:
(1) Reduce the total amount of present and potential liability for benefits by reinsurance or other method acceptable to the commissioner;
(2) reduce the volume of any new business being accepted;
(3) reduce expenses by specified methods acceptable to the commissioner;
(4) suspend or limit the writing of any new business for a period of time;
(5) increase the health maintenance organization's capital and surplus by contribution; or
(6) take such other steps the commissioner may deem appropriate under the circumstances.
(b) The commissioner may adopt rules and regulations which set uniform standards and criteria for early warning that the continued operation of any health maintenance organization might be hazardous to its enrollees, creditors or the general public and set standards for evaluating the financial condition of any health maintenance organization.
History: L. 2000, ch. 147, ยง 35; 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.