Health Maintenance Organization Act of 2003 | Midpage

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Oklahoma Statutes

Health Maintenance Organization Act of 2003

Health Maintenance Organization Act of 2003

6901Short Title 6902Definitions 6903Application For Certificate of Authority to Establish and Operate Health Maintenance Organization - Contents of Application 6903.1Exemptions 6904Insurance Commissioner to Determine Applicant's Compliance With § 6907 - Health Maintenance Organization To Be In Compliance With §§ 6913 and 6915 6905Health Maintenance Organization - Powers - Notice to Insurance Commissioner 6906Fiduciary Relationship - Fidelity Bond 6907Quality of Care Procedures - Internal Quality Assurance Program - Provisions - Physician Credentialing - Authorization or Denial of Emergency Coverage 6908Contract Provisions - Evidence of Coverage 6909Annual Report - Quarterly Financial Statements 6910Duties to Subscribers to Provide Information 6911Grievance Procedures 6912Investment of Funds Pursuant to Article 16 of Insurance Code 6913Minimum Net Worth - Plan For Insolvency 6915Insolvent Health Maintenance Organization - Replacement Coverage 6916Premium Rates - Methodology 6917Producer's License Not Required For Following Persons 6918Insurance Company, Hospital, Medical Service Corp. Authorized To Do Business In Oklahoma May Operate A Health Maintenance Organization - May Contract To Provide Insurance 6919Examination Concerning Quality Assurance Program May Be Required 6920Certificate of Authority - Suspension, Revocation, Denial - Conditions - Hearing 6922Remedies and Measures Available to Insurance Commissioner 6923Insurance Commissioner - Promulgation of Rules 6924Health Maintenance Organization Fees Payable to Insurance Commissioner 6925Administrative Penalty - Cease and Desist Order - Request For Hearing 6926Certain Provisions Not Applicable 6927Public Records - Exceptions 6928Information Relating to Diagnosis, Treatment, Health of Enrollee Confidential - Exceptions - Health Care Review Committee 6929Recommendations Concerning Determinations Required by Insurance Commissioner 6930Control of Health Maintenance Organization - Compliance With Article 16A 6931Coordination of Benefits - Health Maintenance Organization As Secondary Carrier 6933Standards and Procedures for Selecting Providers 6934Health Maintenance Organizations May Provide Services Included in State or Federal Health Care Programs 6935Health Care Service Outside State 6936Section, Term or Provision Invalid