New Hampshire Code of Administrative Rules
Ins - Commissioner, Insurance Department
Chapter Ins 2200 - HEALTH MAINTENANCE ORGANIZATIONS
Part Ins 2201 - LICENSING AND REGULATION OF HEALTH MAINTENANCE ORGANIZATIONS
Section Ins 2201.02 - Applicability and Scope
Universal Citation: NH Admin Rules Ins 2201.02
Current through Register No. 40, October 3, 2024
Ins 2201.02 Applicability and Scope.
(a) No health maintenance organization shall, without being licensed in accordance with this part:
(1) Provide or arrange for health care
services to enrolled participants in exchange primarily for a prepaid per
capita or aggregate fixed sum; or
(2) Commence operations, except as provided
in
Ins
2201.04(g), with operations deemed to
commence on the date on which any contracts for health services are available
to members or on which evidences of coverage are issued.
(b) This part shall apply to any health maintenance organization regardless of whether services are to be delivered through physicians or other health professionals:
(1) Who are employees of the health
maintenance organization;
(2) Who
are organized on a group practice basis;
(3) Who are organized on an individual
practice basis; or
(4) Under any
other arrangements.
#1900, eff 1-1-82; ss by #4287, eff 7-1-87; ss by #5655, eff 7-1-93; ss by #5944, eff 1-1-95, EXPIRED: 1-1-03
New. #9335, eff 12-5-08
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