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Session Laws, 1982
Volume 742, Page 1025   View pdf image
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HARRY HUGHES, Governor

1025

The only changes are in style.

Defined terms: "Commissioner" § 19-701
"Health care services" § 19-701
"Health maintenance organisation" § 19-701
"Member" § 19-701

19-708. CONTENTS OF APPLICATION.

(A)  IN GENERAL.

AN APPLICANT FOR A CERTIFICATE TO OPERATE AS A HEALTH
MAINTENANCE ORGANIZATION SHALL SUBMIT AN APPLICATION TO THE
COMMISSIONER ON THE FORM THAT THE COMMISSIONER REQUIRES.

(B)  CONTENTS.

THE APPLICATION SHALL INCLUDE OR BE ACCOMPANIED BY:

(1)  A COPY OF THE BASIC HEALTH MAINTENANCE
ORGANIZATIONAL DOCUMENT AND ANY AMENDMENTS TO IT THAT, WHERE
APPLICABLE, ARE CERTIFIED BY THE DEPARTMENT OF ASSESSMENTS
AND TAXATION;

(2)  A COPY OF THE BYLAWS OF THE HEALTH
MAINTENANCE ORGANIZATION, IF ANY, THAT ARE CERTIFIED BY THE
APPROPRIATE OFFICER;

(3)  A LIST OF THE INDIVIDUALS WHO ARE TO BE
RESPONSIBLE FOR THE CONDUCT OF THE AFFAIRS OF THE HEALTH
MAINTENANCE ORGANIZATION, INCLUDING ALL MEMBERS OF THE
GOVERNING BODY, THE OFFICERS AND DIRECTORS IF IT IS A
CORPORATION, AND THE PARTNERS OR ASSOCIATES IF IT IS A
PARTNERSHIP OR ASSOCIATION;

(4)  THE ADDRESSES OF THOSE INDIVIDUALS AND THEIR
OFFICIAL CAPACITY WITH THE HEALTH MAINTENANCE ORGANIZATION;

(5)  A STATEMENT BY EACH INDIVIDUAL REFERRED TO
IN ITEM (3) OF THIS SECTION THAT FULLY DISCLOSES THE EXTENT
AND NATURE OF ANY CONTRACT OR ARRANGEMENT BETWEEN THE
INDIVIDUAL AND THE HEALTH MAINTENANCE ORGANIZATION AND ANY
POSSIBLE CONFLICT OF INTEREST;

(6)  A RESUME OF THE QUALIFICATIONS OF:

(I)  THE ADMINISTRATOR;

(II)  THE MEDICAL DIRECTOR;

(III)  THE ENROLLMENT DIRECTOR; AND

(IV)  ANY OTHER INDIVIDUAL WHO IS
ASSOCIATED WITH THE HEALTH MAINTENANCE ORGANIZATION THAT THE

 

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Session Laws, 1982
Volume 742, Page 1025   View pdf image
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