Current through Register No. 12, March 21, 2024
(a) The health
maintenance organization shall provide concurrent notice to the commissioner of
any of the following events or occurrences:
(1) Plans to purchase, lease, construct,
renovate, operate, or maintain medical facilities;
(2) Any loans made with an annual aggregate
from one creditor exceeding one percent of the health maintenance
organization's liabilities, including:
a. The
amount of the loan(s);
b. The
term(s) of repayment;
c. Security
given, if any; and
d. Any
guarantees or sureties provided;
(3) Any contracts entered into with an
insurance company or health service corporation, excluding contracts for fringe
benefits for organization employees; and
(4) Any grants to be received from public or
private sources exceeding on an annual basis from any one source one percent of
the health maintenance organization's assets.
(b) The health maintenance organization shall
file a report of all changes in controlling interest within 30 days of their
occurrence.
(c) Each health
maintenance organization shall, within 5 business days after the occurrence,
inform the commissioner of any extraordinary loss or claim that has the
potential to render it incapable of meeting its obligations as they become
due.
(d) The health maintenance
organization shall maintain and provide to the department upon request, the
following information:
(1) Plans to purchase,
lease, construct, renovate, operate, or maintain medical facilities;
(2) Any loans made with an annual aggregate
from one creditor exceeding one percent of the health maintenance
organization's liabilities, including:
a. The
amount of the loan(s);
b. The
term(s) of repayment;
c. Security
given, if any; and
d. Any
guarantees or sureties provided;
(3) Any contracts entered into with an
insurance company or health service corporation, excluding contracts for fringe
benefits for organization employees;
(4) Any grants to be received from public or
private sources exceeding on an annual aggregate basis from any one source one
percent of the health maintenance organization's assets; and
(5) Membership changes in group and non-group
categories.
#1900, eff 1-1-82; ss by #4287, eff 7-1-87; ss by #5655,
eff 7-1-93; ss by #7018, INTERIM, eff 7-1-99, EXPIRED: 10-29-99
New. #9335, eff
12-5-08
