Information to enrollees

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  1. (a) A health maintenance organization shall make available to its subscribers a list of providers upon enrollment and re-enrollment.

  2. (b) Every health maintenance organization shall provide within thirty (30) days to its subscribers a notice of any material change in the operation of the health maintenance organization, including any major change in its provider network, that will affect them directly.

  3. (c)

    1. (1) An enrollee shall be notified in writing by the health maintenance organization of the termination of the primary care provider who provided healthcare services to that enrollee.

    2. (2) The health maintenance organization shall provide assistance to the enrollee in transferring to another participating primary care provider.

  4. (d) The health maintenance organization shall provide to subscribers information on how services may be obtained, where additional information on access to services can be obtained, and a telephone number where the enrollee can contact the health maintenance organization, at no cost to the enrollee.


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