P.R. Laws tit. 26, § 9468
(a) Beginning on the effective date of this chapter, a health insurance organization or issuer shall file with the Commissioner sample contract forms proposed for use with its participating providers and intermediaries, so that the Commissioner may ascertain compliance with the provisions of this chapter.
(b) A health insurance organization or issuer shall submit material changes to a contract that would affect a provision required by this chapter or regulations thereunder to the Commissioner for approval sixty (60) days prior to use. For purposes of this subsection, changes in provider payment rates, coinsurance, copayments or deductibles, or other plan benefit modifications shall not be considered material changes.
(c) If the Commissioner takes no action within sixty (60) days after submission of a material change to a contract by a health insurance organization or issuer, the change is deemed approved.
(d) The health insurance organization or issuer shall maintain provider and intermediary contracts at its principal place of business in Puerto Rico, or in a readily accessible place.
History —Aug. 29, 2011, No. 194, added as § 26.080 on Aug. 23, 2012, No. 203, § 6, eff. 90 days after Aug. 23, 2012.