Code of Massachusetts Regulations
211 CMR - DIVISION OF INSURANCE
Title 211 CMR 43.00 - Health Maintenance Organizations (HMOs)
Section 43.11 - Penalties
Current through Register 1531, September 27, 2024
(1) If the Commissioner issues a finding of neglect on the part of an HMO, the Commissioner shall notify the HMO in writing that the HMO has failed to make and file the materials required by M.G.L. c. 176G, M.G.L. c. 176O, 211 CMR 43.00 or 52.00: Managed Care Consumer Protections and Accreditation of Carriers in the form and within the time required. The notice shall identify all deficiencies and the manner in which the neglect must be remedied. Following the written notice, the Commissioner shall fine the HMO $5000 for each day during which the neglect continues.
(2) Following notice and hearing, the Commissioner shall suspend the HMO's authority to do new business until all required reports or materials are received in a form satisfactory to the Commissioner and the Commissioner has determined that the finding of neglect can be removed.
