HEALTH MAINTENANCE ORGANIZATION ACT OF 2003
- Section 6901 - Short title
- Section 6902 - Definitions
- Section 6903 - Certificate of authority - Application requirements - Submission to Insurance Commissioner - Rules
- Section 6903.1 - Exemption of certain domestic health maintenance organizations from certain provisions of act
- Section 6904 - Certification by Insurance Commissioner - Issuance of certificate
- Section 6905 - Powers of health maintenance organization - Notice of effect on financial soundness
- Section 6906 - Receipt, collection, disbursement or investment of funds - Fiduciary relationship - Fidelity bond or insurance
- Section 6907 - Reasonable standards of quality of care - Quality assurance plan and activities - Record of proceedings - Patient record system - Medical policy - Credentialing and recredentialing of health care providers - Termination or nonrenewal of contracts - Emergency services
- Section 6908 - Group or individual contract - Delivery - Required provisions - Evidence of coverage - Filing and review of forms
- Section 6909 - Reports and statements
- Section 6910 - Information to be provided to subscribers
- Section 6911 - Grievance procedures
- Section 6912 - Investment of funds
- Section 6913 - Minimum net worth required - Deposit with Insurance Commissioner - Determination of liabilities - Liability of subscriber for health maintenance organization's debts - Insolvency plan - Notice of termination of agreement
- Section 6914 - [Repealed]
- Section 6915 - Insolvency - Replacement coverage - Reduction or exclusion of benefits
- Section 6916 - Premium rates - Approval by Insurance Commissioner
- Section 6917 - Producer license - Exempted persons
- Section 6918 - Organizations permitted to organize and operate health maintenance organization - Contracts for insurance against cost of care provided
- Section 6919 - Examination of affairs, programs, books, and records - Payment of expenses
- Section 6920 - Examination of affairs, programs, books, and records - Payment of expenses
- Section 6921 - [Repealed]
- Section 6922 - Order to rectify financial condition or violation - Required actions - Remedies and measures available to Insurance Commissioner
- Section 6923 - Rules
- Section 6924 - Payment of fees
- Section 6925 - Administrative penalty in lieu of suspension or revocation of certificate - Suspected violation - Order to cease and desist - Injunction
- Section 6926 - Provisions of laws not applicable to health maintenance organizations
- Section 6927 - Public records - Trade secrets - Privileged or confidential information
- Section 6928 - Disclosure of diagnostic, treatment or health status information
- Section 6929 - Contracts by Health Commissioner with qualified persons
- Section 6930 - Acquisition of control of health maintenance organization
- Section 6931 - Coordination of benefits provisions
- Section 6932 - [Repealed]
- Section 6933 - Provision of basic health care services directly or by contract or agreement - Standards and procedures for selection of providers - Chiropractic and vision care services - Referrals
- Section 6934 - Services permitted to be provided
- Section 6935 - Services provided to out-of-state enrollees
- Section 6936 - Severability