Article

HEALTH MAINTENANCE ORGANIZATIONS

Chapter 1. Definitions43 sections§§ 27-13-1-1 · 27-13-1-10 · 27-13-1-10.5 · 27-13-1-11 · 27-13-1-11.3 · 27-13-1-11.5 · 27-13-1-11.7 · 27-13-1-12 · 27-13-1-13 · 27-13-1-13.5 · 27-13-1-14 · 27-13-1-15 · 27-13-1-16 · 27-13-1-17 · 27-13-1-18 · 27-13-1-19 · 27-13-1-2 · 27-13-1-20 · 27-13-1-21 · 27-13-1-21.3 · 27-13-1-21.5 · 27-13-1-22 · 27-13-1-23 · 27-13-1-24 · 27-13-1-25 · 27-13-1-26 · 27-13-1-27 · 27-13-1-27.5 · 27-13-1-28 · 27-13-1-28.5 · 27-13-1-29 · 27-13-1-3 · 27-13-1-30 · 27-13-1-31 · 27-13-1-32 · 27-13-1-33 · 27-13-1-34 · 27-13-1-4 · 27-13-1-5 · 27-13-1-6 · +3 more
Chapter 2. Establishment of Health Maintenance Organizations10 sections§§ 27-13-2-1 · 27-13-2-10 · 27-13-2-2 · 27-13-2-3 · 27-13-2-4 · 27-13-2-5 · 27-13-2-6 · 27-13-2-7 · 27-13-2-8 · 27-13-2-9
Chapter 3. Issuance of Certificates of Authority3 sections§§ 27-13-3-1 · 27-13-3-1.5 · 27-13-3-2
Chapter 4. Powers of Health Maintenance Organizations3 sections§§ 27-13-4-1 · 27-13-4-2 · 27-13-4-3
Chapter 5. Fiduciary Responsibilities2 sections§§ 27-13-5-1 · 27-13-5-2
Chapter 6. Quality Management Programs10 sections§§ 27-13-6-1 · 27-13-6-10 · 27-13-6-2 · 27-13-6-3 · 27-13-6-4 · 27-13-6-5 · 27-13-6-6 · 27-13-6-7 · 27-13-6-8 · 27-13-6-9
Chapter 7. Requirements for Group Contracts, Individual Contracts, and Evidence of Coverage39 sections§§ 27-13-7-0.1 · 27-13-7-1 · 27-13-7-10 · 27-13-7-11 · 27-13-7-12 · 27-13-7-13 · 27-13-7-14 · 27-13-7-14.2 · 27-13-7-14.5 · 27-13-7-14.7 · 27-13-7-14.8 · 27-13-7-15 · 27-13-7-15.3 · 27-13-7-16 · 27-13-7-17 · 27-13-7-18 · 27-13-7-19 · 27-13-7-2 · 27-13-7-20 · 27-13-7-20.1 · 27-13-7-20.2 · 27-13-7-20.4 · 27-13-7-21 · 27-13-7-22 · 27-13-7-23 · 27-13-7-24 · 27-13-7-24.5 · 27-13-7-26 · 27-13-7-27 · 27-13-7-28 · 27-13-7-28.5 · 27-13-7-3 · 27-13-7-4 · 27-13-7-5 · 27-13-7-6 · 27-13-7-7 · 27-13-7-7.5 · 27-13-7-8 · 27-13-7-9
Chapter 8. Annual Report6 sections§§ 27-13-8-0.1 · 27-13-8-1 · 27-13-8-1.5 · 27-13-8-2 · 27-13-8-3 · 27-13-8-4
Chapter 9. Information to Enrollees or Subscribers7 sections§§ 27-13-9-1 · 27-13-9-2 · 27-13-9-3 · 27-13-9-4 · 27-13-9-5 · 27-13-9-6 · 27-13-9-7
Chapter 10. Grievance Procedures11 sections§§ 27-13-10-1 · 27-13-10-11 · 27-13-10-12 · 27-13-10-13 · 27-13-10-2 · 27-13-10-3 · 27-13-10-4 · 27-13-10-5 · 27-13-10-6 · 27-13-10-7 · 27-13-10-8
Chapter 10.1. External Review of Grievances14 sections§§ 27-13-10.1-0.1 · 27-13-10.1-1 · 27-13-10.1-10 · 27-13-10.1-11 · 27-13-10.1-12 · 27-13-10.1-2 · 27-13-10.1-3 · 27-13-10.1-4 · 27-13-10.1-4.5 · 27-13-10.1-5 · 27-13-10.1-6 · 27-13-10.1-7 · 27-13-10.1-8 · 27-13-10.1-9
Chapter 11. Investments1 section§§ 27-13-11-1
Chapter 12. Protection Against Insolvency; Net Worth Requirements6 sections§§ 27-13-12-1 · 27-13-12-2 · 27-13-12-3 · 27-13-12-4 · 27-13-12-5 · 27-13-12-6
Chapter 13. Protection Against Insolvency; Deposit Requirements9 sections§§ 27-13-13-1 · 27-13-13-2 · 27-13-13-3 · 27-13-13-4 · 27-13-13-5 · 27-13-13-6 · 27-13-13-7 · 27-13-13-8 · 27-13-13-9
Chapter 14. Protection Against Insolvency; Liabilities2 sections§§ 27-13-14-1 · 27-13-14-2
Chapter 15. Participating Providers; Contracts and Legal Actions7 sections§§ 27-13-15-0.1 · 27-13-15-1 · 27-13-15-2 · 27-13-15-3 · 27-13-15-4 · 27-13-15-5 · 27-13-15-6
Chapter 16. Repealed0 sections
Chapter 17. Protection Against Insolvency; Notice of Termination1 section§§ 27-13-17-1
Chapter 18. Repealed0 sections
Chapter 19. Replacement Coverage in Event of Receivership3 sections§§ 27-13-19-1 · 27-13-19-2 · 27-13-19-3
Chapter 20. Filing Requirements4 sections§§ 27-13-20-1 · 27-13-20-1.3 · 27-13-20-1.5 · 27-13-20-2
Chapter 21. Insurance Producers of Health Maintenance Organizations and Limited Service Health Maintenance Organizations1 section§§ 27-13-21-1
Chapter 22. Powers of Insurers and Hospital Corporations5 sections§§ 27-13-22-1 · 27-13-22-2 · 27-13-22-3 · 27-13-22-4 · 27-13-22-5
Chapter 23. Examinations8 sections§§ 27-13-23-1 · 27-13-23-2 · 27-13-23-3 · 27-13-23-4 · 27-13-23-5 · 27-13-23-6 · 27-13-23-7 · 27-13-23-8
Chapter 24. Suspension, Revocation, or Denial of Certificate of Authority8 sections§§ 27-13-24-1 · 27-13-24-2 · 27-13-24-3 · 27-13-24-4 · 27-13-24-5 · 27-13-24-6 · 27-13-24-7 · 27-13-24-8
Chapter 25. Rehabilitation or Liquidation of Health Maintenance Organizations3 sections§§ 27-13-25-1 · 27-13-25-2 · 27-13-25-3
Chapter 26. Summary of Orders and Supervision4 sections§§ 27-13-26-1 · 27-13-26-2 · 27-13-26-3 · 27-13-26-4
Chapter 27. Fees2 sections§§ 27-13-27-1 · 27-13-27-2
Chapter 28. Penalties and Enforcement7 sections§§ 27-13-28-1 · 27-13-28-2 · 27-13-28-3 · 27-13-28-4 · 27-13-28-5 · 27-13-28-6 · 27-13-28-7
Chapter 29. Statutory Construction and Relationship to Other Laws4 sections§§ 27-13-29-1 · 27-13-29-2 · 27-13-29-3 · 27-13-29-4
Chapter 30. Filings and Reports as Public Documents1 section§§ 27-13-30-1
Chapter 31. Confidentiality of Medical Information and Limitation of Liability4 sections§§ 27-13-31-1 · 27-13-31-2 · 27-13-31-3 · 27-13-31-4
Chapter 32. Transfers of Ownership1 section§§ 27-13-32-1
Chapter 32.5. Voluntary Dissolution2 sections§§ 27-13-32.5-1 · 27-13-32.5-2
Chapter 33. Coordination of Benefits2 sections§§ 27-13-33-1 · 27-13-33-2
Chapter 34. Limited Service Health Maintenance Organizations26 sections§§ 27-13-34-0.1 · 27-13-34-1 · 27-13-34-10 · 27-13-34-11 · 27-13-34-12 · 27-13-34-13 · 27-13-34-14 · 27-13-34-15 · 27-13-34-16 · 27-13-34-17 · 27-13-34-18 · 27-13-34-19 · 27-13-34-2 · 27-13-34-20 · 27-13-34-21 · 27-13-34-22 · 27-13-34-23 · 27-13-34-24 · 27-13-34-26 · 27-13-34-3 · 27-13-34-4 · 27-13-34-5 · 27-13-34-6 · 27-13-34-7 · 27-13-34-8 · 27-13-34-9
Chapter 35. General Rulemaking Authority1 section§§ 27-13-35-1
Chapter 36. Patient Protection; Clinical Decision Making; Access to Personnel and Facilities13 sections§§ 27-13-36-1 · 27-13-36-10 · 27-13-36-11 · 27-13-36-12 · 27-13-36-2 · 27-13-36-2.5 · 27-13-36-3 · 27-13-36-4 · 27-13-36-5 · 27-13-36-6 · 27-13-36-7 · 27-13-36-8 · 27-13-36-9
Chapter 36.2. Provider Payment11 sections§§ 27-13-36.2-1 · 27-13-36.2-10 · 27-13-36.2-2 · 27-13-36.2-3 · 27-13-36.2-4 · 27-13-36.2-4.5 · 27-13-36.2-5 · 27-13-36.2-6 · 27-13-36.2-7 · 27-13-36.2-8 · 27-13-36.2-9
Chapter 37. Patient Protection; Choice of Health Care Professional5 sections§§ 27-13-37-1 · 27-13-37-2 · 27-13-37-3 · 27-13-37-4 · 27-13-37-5
Chapter 37.5. Mail Order and Internet Pharmacy Designation3 sections§§ 27-13-37.5-0.1 · 27-13-37.5-1 · 27-13-37.5-2
Chapter 38. Patient Protection; Drugs and Devices; Drug Utilization Review Program8 sections§§ 27-13-38-1 · 27-13-38-2 · 27-13-38-3 · 27-13-38-4 · 27-13-38-5 · 27-13-38-6 · 27-13-38-7 · 27-13-38-8
Chapter 39. Patient Protection; Experimental Treatments3 sections§§ 27-13-39-1 · 27-13-39-2 · 27-13-39-3
Chapter 40. Patient Protection; Health Maintenance Organization Comparison Sheets3 sections§§ 27-13-40-1 · 27-13-40-2 · 27-13-40-3
Chapter 41. Claims2 sections§§ 27-13-41-1 · 27-13-41-2
Chapter 42. Specific Reporting Requirements1 section§§ 27-13-42-1
Chapter 43. Credentialing6 sections§§ 27-13-43-1 · 27-13-43-2 · 27-13-43-3 · 27-13-43-3.5 · 27-13-43-4 · 27-13-43-5