Annual summary for enrollees required--Contents.

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58-41-66. Annual summary for enrollees required--Contents.

Every health maintenance organization or its representative shall annually, before April first, provide to its enrollees a summary of:

(1)Its most recent annual financial statement, including a balance sheet and statement of receipts and disbursements;

(2)A description of the health maintenance organization, its health care plan or plans, its facilities and personnel, and any material changes therein since the last report;

(3)The current evidence of coverage; and

(4)The health maintenance organization's method for resolving enrollee complaints.

Source: SL 1974, ch 321, §25.


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