North Carolina Administrative Code
Title 11 - INSURANCE
Chapter 16 - ACTUARIAL SERVICES DIVISION
Section .0600 - HEALTH MAINTENANCE ORGANIZATION FILINGS AND STANDARDS
Section 16 .0605 - HMO EXPANSION REQUEST DATA REQUIREMENTS
Current through Register Vol. 39, No. 6, September 16, 2024
All HMO expansion requests shall include, in addition to the data required by 11 NCAC .0603, the following data:
(1) a comparison of the actual financial results, including total membership, revenues, and expenses, to the projected financial results for at least the most recent 12-month period; and
(2) a three-year financial projection, provided by the Department's Actuarial Services Division, that details total membership, revenues, and expenses, and that includes a statement of cash flow, a balance sheet, and a statement of working capital and net worth for both the existing service area and the proposed area of expansion.
Authority
G.S.
58-67-10(d)(1);
58-67-50(b);
58-67-150;
Eff. April
1, 1995;
Readopted Eff. October 1,
2018.
