Definitions

Procedure for establishment of health maintenance organizations generally; notice of modification; exemption of item from filing requirements. Grounds and procedure for issuance or denial of certificate of authority; endorsement of change of address upon certificate of authority. Annual license fee. Suspension or revocation of certificate of authority. Composition of governing body; duty to establish mechanism for participation by enrollees in matters of policy and operation. Fiduciary responsibilities of directors, officers, or partners. Powers of organizations generally; filing of notice of exercise of powers. Establishment and maintenance of complaint system; maintenance of records of complaints; summary reports; examination of system. Responsibility of organizations for financial risks of providing services generally; reinsurance of risks; deposit of cash or securities with Commissioner. Investment of funds of organizations. Participation in organizations by members of associations. Evidence of coverage; filing and approval of basic rates and method of computation of coverage. Annual information to enrollees. Filing of annual reports; contents. Fees and taxes. Sec.