Chapter 432D — Chapter 432D
16 sections in this chapter.
HRS §432D-1 Definitions
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§432D-1 Definitions. For purposes of this chapter: "Basic health care services" means the following medical services: preventive care, emergency care, inpatient and outpatient hospital and physician care, diagnostic laboratory services, and diagnostic and therapeutic radiological…
HRS §432D-13 Examinations
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§432D-13 Examinations. (a) The commissioner may examine the affairs of any health maintenance organization or of any providers with whom such organization has contracts, agreements, or other arrangements as often as is reasonably necessary for the protection of the interests of t…
HRS §432D-14 Suspension, revocation, or denial of certificate of authority
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§432D-14 Suspension, revocation, or denial of certificate of authority. (a) Any certificate of authority issued under this chapter may be suspended or revoked, and any application for a certificate of authority may be denied, if the commissioner finds that any of the conditions l…
HRS §432D-17 Fees
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§432D-17 Fees. (a) The commissioner shall collect, in advance, the following fees: The commissioner may, upon showing of good cause, waive or modify, in whole or part, all fees in this subsection by order. (b) No certificate of authority shall contain an expiration date, but all …
HRS §432D-18.5 REPEALED
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§432D-18.5 REPEALED. L 2009, c 149, §13.
HRS §432D-19 Statutory construction and relationship to other laws
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§432D-19 Statutory construction and relationship to other laws. (a) Except as provided in subsection (d) and otherwise provided in this chapter, the insurance laws and hospital or medical service corporation laws shall not apply to the activities authorized and regulated under th…
HRS §432D-22 Acquisition of control of or merger of a health maintenance organization
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§432D-22 Acquisition of control of or merger of a health maintenance organization. No person may make a tender for or a request or invitation for tenders of, enter into an agreement to exchange securities for, or acquire in the open market or otherwise, any voting security of a h…
HRS §432D-23 Required provisions and benefits
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§432D-23 Required provisions and benefits. Notwithstanding any provision of law to the contrary, each policy, contract, plan, or agreement issued in the State after January 1, 1995, by health maintenance organizations pursuant to this chapter, shall include benefits provided in s…
HRS §432D-23.5 Coverage for telehealth
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§432D-23.5 Coverage for telehealth. (a) [Repeal and reenactment on December 31, 2027. L 2025, c 217, §1.] It is the intent of the legislature to recognize the application of telehealth as a reimbursable service by which an individual shall receive medical services from a health c…
HRS §432D-25 Disclosure of health care coverage and benefits
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§432D-25 Disclosure of health care coverage and benefits. In order to ensure that all individuals understand their health care options and are able to make informed decisions, all health maintenance organizations shall provide current and prospective enrollees with written disclo…
HRS §432D-26.3 Nondiscrimination on the basis of actual gender identity or perceived gender identity; coverage for services
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§432D-26.3 Nondiscrimination on the basis of actual gender identity or perceived gender identity; coverage for services. (a) No health maintenance organization policy, contract, plan, or agreement shall discriminate with respect to participation and coverage under the policy, con…
HRS §432D-27 Policies relating to domestic abuse cases
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§432D-27 Policies relating to domestic abuse cases. (a) No health maintenance organization shall deny or refuse to accept an application for insurance, refuse to insure, refuse to renew, cancel, restrict, or otherwise terminate a policy of insurance, or charge a different rate fo…
HRS §432D-5 Annual and quarterly reports
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§432D-5 Annual and quarterly reports. (a) Every health maintenance organization shall file annually, on or before March 1, a report verified by at least two principal officers covering the preceding calendar year. Each health maintenance organization shall file quarterly with the…
HRS §432D-7 Investments
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§432D-7 Investments. All investments permitted under section 432D-3(a)(1) may be considered admitted assets in determination of net worth; provided that these investments are in compliance with article 6 of chapter 431. [L 1995, c 179, pt of §1; am L 2000, c 74, §5; am L 2003, c …
HRS §432D-8 Protection against insolvency
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§432D-8 Protection against insolvency. (a) Net worth requirements are as follows: (b) Deposit requirements are as follows: (c) Every health maintenance organization, when determining liabilities, shall include an amount estimated in the aggregate to provide for any unearned premi…
HRS §432D-9 Uncovered expenditures insolvency deposit
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§432D-9 Uncovered expenditures insolvency deposit. (a) If, at any time, uncovered expenditures exceed ten per cent of total health care expenditures, a health maintenance organization shall place with the commissioner or with any organization or trustee acceptable to the commissi…