Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act

  1. Law
  2. Mississippi Code
  3. Insurance
  4. Hospital and Medical Service Associations and Contracts
  5. Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act

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Section
83-41-301

Short title

Section
83-41-303

Definitions

Section
83-41-305

Requirement of certificate of authority for establishment and operation of health maintenance organization; filing, form and contents of application for certificate and attachments; qualification of foreign health maintenance organizations; effect of denial of certificate; rules and regulations

Section
83-41-307

Transmission of copies of application for certificate of authority to State Health Officer; duties of State Health Officer; grant or denial of certificate of authority

Section
83-41-309

Powers of health maintenance organization generally; notice of exercise of powers affecting financial condition of organization

Section
83-41-311

Bonds or insurance for directors, officers, employees, partners and contractors

Section
83-41-313

Quality assurance procedures, programs and activities; maintenance and examination of patient records

Section
83-41-315

Filing, contents and approval of group and individual contracts and evidence of coverage

Section
83-41-317

Filing of annual reports, financial statements, etc.

Section
83-41-319

Provision of information and notices to subscribers

Section
83-41-321

Grievance procedures

Section
83-41-323

Funds

Section
83-41-325

Minimum net worth requirement; deposits generally; computation of liabilities; contracts between health maintenance organizations and participating providers of services; insolvency plans

Section
83-41-327

Uncovered expenditures insolvency deposits

Section
83-41-329

Proceedings upon insolvency of health maintenance organization; terms and conditions of replacement coverage

Section
83-41-331

Premium rates

Section
83-41-333

Rules and regulations generally; exemptions from certification requirement

Section
83-41-335

Operation of health maintenance organizations by insurance companies and medical service corporations

Section
83-41-337

Examination of health maintenance organizations and providers; acceptance of reports in lieu of examinations

Section
83-41-339

Grounds and procedure for revocation, suspension or denial of certificate of authority; administrative penalty generally; correction of deficiencies in net worth; proceedings upon suspension or revocation of certificate of authority; appeals

Section
83-41-341

Rehabilitation, liquidation or administrative supervision of health maintenance organizations

Section
83-41-343

Remedies for correction of financial conditions of health maintenance organizations deemed hazardous to enrollees, creditors, or general public and violations of article

Section
83-41-345

Adoption of rules and regulations

Section
83-41-347

Fees

Section
83-41-349

Imposition of administrative penalties; informal proceedings for investigation and correction or prevention of violations; cease and desist orders

Section
83-41-351

Solicitation of enrollees

Section
83-41-353

Documents deemed public documents

Section
83-41-355

Confidentiality of data or information; claims of privilege; civil liability of members of health review committees; discovery of information considered by and records of health review committees; access to treatment records, etc., of enrollees

Section
83-41-357

Contracting authority of State Health Officer

Section
83-41-359

Acquisitions, mergers and consolidations of health maintenance organizations

Section
83-41-361

Adoption of coordination of benefits provisions

Section
83-41-363

Proceedings upon insolvency of health maintenance organization

Section
83-41-365

Contracting authority of commissioner