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§33-25D-1. Short Title - This article may be cited as the "Prepaid Limited Health...
§33-25D-2. Definitions - (a) "Capitation" means the fixed amount paid by a prepaid...
§33-25D-3. Application for Certificate of Authority; Addition of Services - (a) Notwithstanding any law of this state to the contrary,...
§33-25D-4. Conditions Precedent to Issuance or Maintenance of a Certificate of Authority; Renewal of Certificate of Authority; Effect of Bankruptcy Proceedings - (a) As a condition precedent to the issuance or maintenance...
§33-25D-5. Issuance of Certificate of Authority - (a) Upon receipt of an application for a certificate of...
§33-25D-6. Minimum Capital - (a) Each prepaid limited health service organization shall have and...
§33-25D-7. Powers of Organization - (a) Upon obtaining a certificate of authority as required under...
§33-25D-8. Governing Body; Enrollee Participation - (a) The governing body of any prepaid limited health service...
§33-25D-9. Fiduciary Responsibilities of Managers; Fidelity Bond - (a) Any director, officer or other manager of a prepaid...
§33-25D-10. Provider Contracts - (a) A prepaid limited health service organization shall file with...
§33-25D-11. Evidence of Coverage; Review of Enrollee Records; Charges for Limited Health Services; Cancellation of Contract by Enrollee - (a)(1) Every enrollee is entitled to evidence of coverage in...
§33-25D-12. Annual and Quarterly Reports - (a) Every prepaid limited health service organization shall comply with...
§33-25D-13. Annual Report to Enrollees - Every prepaid limited health service organization or its representative shall...
§33-25D-14. Grievance Procedure - (a) A prepaid limited health service organization shall establish and...
§33-25D-15. Prohibited Practices - (a) No prepaid limited health service organization, or representative thereof,...
§33-25D-16. Agent Licensing and Appointment Required; Regulation of Marketing - (a) Prepaid limited health service organizations are subject to the...
§33-25D-17. Powers of Insurers, Hospital Service Corporations, Medical Service Corporations, Dental Service Corporations, Health Service Corporations and Health Maintenance Organizations - (a) An insurance company licensed in this state, a hospital,...
§33-25D-18. Examinations - (a) The commissioner may make an examination of the affairs...
§33-25D-19. Quality Assurance - (a) Each prepaid limited health service organization shall have in...
§33-25D-20. Suspension or Revocation of Certificate of Authority - (a) The commissioner may suspend or revoke any certificate of...
§33-25D-21. Rehabilitation, Liquidation or Conservation of Prepaid Limited Health Service Organization - Any rehabilitation, liquidation or conservation of a prepaid limited health...
§33-25D-22. Rules - The commissioner may propose rules for legislative approval in accordance...
§33-25D-23. Administrative Procedures - (a) When the commissioner has cause to believe that grounds...
§33-25D-24. Fees - Every prepaid limited health service organization subject to this article...
§33-25D-25. Penalties and Enforcement - (a) The commissioner may, in lieu of suspension or revocation...
§33-25D-26. Scope of Provisions; Applicability of Other Laws - (a) Except as otherwise provided in this article, provisions of...
§33-25D-27. Filings and Reports as Public Documents - All applications, filings and reports required under this article are...
§33-25D-28. Confidentiality of Medical Information - (a) Any data or information pertaining to the diagnosis, treatment...
§33-25D-29. Authority to Contract With Prepaid Limited Health Service Organizations Under Medicaid - The Department of Health and Human Resources is authorized to...
§33-25D-30. Authority of Commissioner to Propose Rules Regarding Affiliate and Subsidiary Operating Results - The commissioner may after notice and hearing propose rules for...