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 2201.07 - Annual Reports

Universal Citation: NH Admin Rules Ins 2201.07

Current through Register No. 40, October 3, 2024

Ins 2201.07 Annual Reports.

(a) Every health maintenance organization shall annually file with the commissioner and with the commissioner of the department of health and human services, within 120 days after the close of its fiscal year, 2 copies of a report, verified by an official of the organization, showing the health maintenance organization's financial condition on the last day of the preceding fiscal year.

(b) Each health maintenance organization shall complete and submit the following materials to the commissioner as documentation of its annual report:

(1) A financial statement, using the form of the National Association of Insurance Commissioners (NAIC) Annual Statement Blank available at http://www.naic.org/ industry_financial_filing.htm and as noted in Appendix B, accompanied by a statement certified by an independent public accountant;

(2) Any changes, occurring during the preceding fiscal year, in information that had been submitted with the health maintenance organization's application for a certificate of authority;

(3) Details of services provided by the health maintenance organization on a fee-for-service or charitable basis;

(4) A listing of all complaints received by the health maintenance organization from members during the period of the preceding fiscal year, with a description of the complaint, and how it was resolved;

(5) A statement of all investments made by the health maintenance organization, as provided in the NAIC Annual Statement Blank; and

(6) A statement certifying to the commissioner that the health maintenance organization is in compliance with federal laws and regulations pertaining to health maintenance organizations.

#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

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