- (a) Every enrollee residing in this state is entitled to evidence of coverage for the payment and for the provision of healthcare services under a health maintenance organization. The health maintenance organization shall issue that evidence of coverage.
- (b) Any evidence of coverage issued by a health maintenance organization licensed under this chapter shall comply with the minimum standards protection of § 42-62-12 and regulations pursuant to that section.
- (c) No schedule of charges, rates, or rating formulae for enrollee coverage for healthcare services, or amendment to any schedule, may be used by any health maintenance organization until a copy of that schedule, rate, or rating formula, or amendment to it, has been filed with and approved by the director under the provisions of § 42-62-13.
History of Section.
P.L. 1983, ch. 225, § 2.