(a) Professional health service corporations generally.--The business of every professional health service corporation, except a general medical service corporation, shall be managed by a board of directors of at least nine persons, all of whom shall be residents of this Commonwealth.
(b) General medical service corporation.--
(1) A general medical service corporation shall be managed by a board of not less than 21, nor more than 36 members, all of whom shall be residents of this Commonwealth, and at no time shall the board be less than 50% subscribers who have coverage under a contract issued by the corporation, and who are generally representative of broad segments of subscribers covered under contracts issued by such corporation, whose background and experience indicate that they are qualified to act in the interests of such subscribers and who or whose spouse does not derive substantial income from the delivery or administration of health care.
(2) The bylaws of every general medical service corporation shall provide appropriate procedures for the nomination and election or appointment of the directors of the corporation and the nomination and election or appointment of committees of the board in such a manner that the interests of the subscribers of the corporation will be justly and reasonably represented.
(3) All directors of the corporation shall be members of the corporation.
(4) A health service doctor, who provides professional health services for the corporation's subscribers, may be a director but in no event shall be counted among the directors who represent subscribers.
(5) Every general medical service corporation shall within six months of the effective date of this act submit for review by the Insurance Commissioner and the Secretary of Health bylaws meeting the standards of this section. Whenever a general medical service corporation changes its bylaws, said change shall be submitted within 30 days to the commissioner and secretary for their review to determine whether such changes meet statutory standards of this section.
(6) In the event that the Insurance Commissioner or the Secretary of Health find, after notice to the corporation and hearing, that a general medical service corporation has not met the requirements of this section, the commissioner or secretary shall notify the corporation of the findings and order the corporation, in specific terms, to meet the requirements of this section. Such findings and order shall be subject to judicial review in the manner and within the time provided by law.
(Apr. 28, 1978, P.L.202, No.53, eff. 60 days; Oct. 4, 1978, P.L.1001, No.211, eff. imd.)
Structure Pennsylvania Consolidated & Unconsolidated Statutes
Pennsylvania Consolidated & Unconsolidated Statutes
Chapter 63 - Professional Health Services Plan Corporations
Section 6301 - Application of chapter
Section 6303 - Statement of legislative findings and policy
Section 6304 - Certification of professional health service corporations
Section 6305 - Initial reserves
Section 6306 - Standards concerning incorporators
Section 6307 - Exemptions applicable to certificated professional health service corporations
Section 6308 - Uncertificated plans prohibited
Section 6321 - Required reserves
Section 6322 - Scope of service
Section 6323 - Action as agent under Federal and other programs
Section 6324 - Rights of health service doctors
Section 6325 - Income status; effect
Section 6326 - Specifically authorized contract provisions
Section 6327 - Subscriptions provided for persons on relief
Section 6328 - Board of directors
Section 6329 - Rates and contracts
Section 6330 - Investment of funds
Section 6331 - Reports and examinations
Section 6332 - Regulation by Department of Health
Section 6333 - Dental service agents