Chapter

Health Maintenance Organizations

S.C. Code Ann. § 38-33-10— Short title
S.C. Code Ann. § 38-33-20— Definitions
S.C. Code Ann. § 38-33-30— Necessity of certificate of authority; foreign corporation
S.C. Code Ann. § 38-33-40— Issuance of certificate of authority; criteria and considerations; arrangements for participation of providers in each geographic area served
S.C. Code Ann. § 38-33-50— Powers of health maintenance organization; notice prior to exercise of powers
S.C. Code Ann. § 38-33-60— Members of governing body; advisory panels, etc
S.C. Code Ann. § 38-33-70— Fiduciary relationship in handling of funds
S.C. Code Ann. § 38-33-80— Enrollee entitled to evidence of coverage; contents of evidence of coverage; discontinuance or replacement of coverage; charges for services
S.C. Code Ann. § 38-33-90— Statements and reports
S.C. Code Ann. § 38-33-100— Financial requirements before issuance of certificate of authority to health maintenance organization
S.C. Code Ann. § 38-33-110— Complaint procedures; reports; malpractice claims; applicability of Freedom of Information Act
S.C. Code Ann. § 38-33-120— Investment of funds
S.C. Code Ann. § 38-33-130— Security deposit; individual stop-loss coverage; provisions for unpaid claim liability; individual conversion policy
S.C. Code Ann. § 38-33-140— Advertisements; application of provisions relating to trade practices; use of term "insurer" or "health maintenance organization"
S.C. Code Ann. § 38-33-150— Agent for organization; exemption from licensing requirements
S.C. Code Ann. § 38-33-160— Operation of health maintenance organization by insurance company; contracts for cost of care
S.C. Code Ann. § 38-33-170— Examination of affairs of organization; quality of health care services; books and records; expense of examination; reports
S.C. Code Ann. § 38-33-180— Suspension or revocation of certificate of authority
S.C. Code Ann. § 38-33-190— Rehabilitation, liquidation, or conservation of a health maintenance organization; priorities
S.C. Code Ann. § 38-33-200— Implementation of regulations
S.C. Code Ann. § 38-33-210— Notification of grounds for denial, suspension or revocation of certificate of authority; hearings; judicial review
S.C. Code Ann. § 38-33-220— Fees
S.C. Code Ann. § 38-33-230— Levy of administrative penalty in lieu of revocation or suspension of certificate of authority; monetary penalty; notice and hearings; injunctions
S.C. Code Ann. § 38-33-240— Application of provisions of insurance law or law relating to solicitation or advertising by health professionals; practice of medicine, dentistry or other healing profession
S.C. Code Ann. § 38-33-250— Records of organization as public documents; trade secrets, etc
S.C. Code Ann. § 38-33-260— Confidentiality of health records
S.C. Code Ann. § 38-33-270— Contractual powers of Department to assist in investigative duties; assessments for consulting expenses
S.C. Code Ann. § 38-33-280— Acquisition or exchange of securities of a health maintenance organization; merger or consolidation of HMO
S.C. Code Ann. § 38-33-290— Participation by physician, podiatrist, optometrist, or oral surgeon as provided in HMO
S.C. Code Ann. § 38-33-300— Liability for participation in quality of care or utilization review
S.C. Code Ann. § 38-33-310— HMO may contract with out-of-state provider
S.C. Code Ann. § 38-33-325— Obstetrician-gynecologist services; referrals; authorization for services; member notification of plan provisions