(a) a copy of each of the basic organizational documents and
agreements of the applicant and all participating entities, including
all contracts and agreements relating to the provision of comprehensive
health services;
(b) a copy of the bylaws, rules and regulations on internal governing
documents of the applicant;
(c) a list of the names, addresses and official positions of the
persons comprising the applicant and all entities referred to in
paragraph (a) other than those possessing a valid operating certificate
under the provisions of article twenty-eight of this chapter, including
all owners of record or beneficial, all members of the governing body,
the officers and directors in the case of a corporation, and the
partners or members in the case of a partnership or corporation, and the
agent for service of process;
(d) a statement of the financial condition of the organization,
including, if appropriate, an income statement, balance sheet and
projected sources and uses of funds;
(e) a statement generally describing the proposed operation of the
health maintenance organization as to the location of its facilities,
the type and quantity of health care personnel engaged to provide
services, its quality assurance mechanism, its grievance procedure,
participating hospitals and such other data as may be required by the
commissioner;
(f) a copy of each enrollee contract filed with and approved by the
superintendent pursuant to section forty-four hundred six of this
article; and
(g) such other information as may be required by the commissioner to
make the determinations required in section forty-four hundred three of
this article.
Structure New York Laws
Article 44 - Health Maintenance Organizations
4400 - Statement of Policy and Purposes.
4402 - Health Maintenance Organizations; Application for Certificate of Authority.
4403 - Health Maintenance Organizations; Issuance of Certificate of Authority.
4403-A - Special Purpose Certificate of Authority.
4403-B - Development of Comprehensive Health Services Plans.
4403-C - Comprehensive HIV Special Needs Plan Certification.
4403-D - Special Needs Managed Care Plans.
4403-E - Primary Care Partial Capitation Providers; Partial Capitation Certificate of Authority.
4403-F - Managed Long Term Care Plans.
4403-G - Developmental Disabilty Individual Support and Care Coordination Organizations.
4404 - Health Maintenance Organizations; Continuance of Certificate of Authority.
4405 - Health Maintenance Organizations; Powers.
4405-A - Immunizations Against Poliomyelitis, Mumps, Measles, Diphtheria and Rubella.
4406 - Health Maintenance Organizations; Regulation of Contracts.
4406-A - Arbitration Provisions of Health Maintenance Organization Contracts.
4406-B - Primary and Preventive Obstetric and Gynecologic Care.
4406-D - Health Care Professional Applications and Terminations.
4406-E - Access to End of Life Care.
4406-F - Maternal Depression Screenings.
4406-G - Telehealth Delivery of Services.
4406-H - Health Care Facility Applications.
4406-I - Utilization Review Determinations for Medically Fragile Children.
4407 - Health Maintenance Organizations; Employer Requirements.
4408 - Disclosure of Information.
4408-A - Integrated Delivery Systems.
4408-A*2 - Grievance Procedure.
4409 - Health Maintenance Organizations; Examinations.
4410 - Health Maintenance Organizations; Professional Services.
4414 - Health Care Compliance Programs.
4416 - Excess Reserves of Certain Health Maintenance Organizations.