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Session Laws, 1982
Volume 742, Page 1026   View pdf image
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1026

LAWS OF MARYLAND

Ch. 21

COMMISSIONER AND THE SECRETARY REQUEST UNDER THEIR JOINT
INTERNAL PROCEDURES;

(7) A STATEMENT THAT DESCRIBES GENERALLY:

(I) THE HEALTH MAINTENANCE ORGANIZATION,
INCLUDING:

1.  ITS OPERATIONS;

2.  ITS ENROLLMENT PROCESS;

3.  ITS QUALITY ASSURANCE MECHANISM;
AND

PROCEDURES;

4. ITS

INTERNAL

GRIEVANCE

(II)  THE METHODS THE HEALTH MAINTENANCE
ORGANIZATION PROPOSES TO USE TO OFFER ITS MEMBERS AND PUBLIC
REPRESENTATIVES AN OPPORTUNITY TO PARTICIPATE IN MATTERS OF
POLICY AND OPERATION;

(III)  THE LOCATION OF THE FACILITIES WHERE
HEALTH CARE SERVICES WILL BE AVAILABLE REGULARLY TO MEMBERS;

(IV)  THE TYPE AND SPECIALTY OF PHYSICIANS
AND HEALTH CARE PERSONNEL WHO ARE ENGAGED TO PROVIDE HEALTH
CARE SERVICES; ,

(V)  THE NUMBER OF PHYSICIANS AND PERSONNEL
IN EACH CATEGORY; AND

(VI)  THE HEALTH AND MEDICAL RECORDS SYSTEM
TO PROVIDE DOCUMENTATION OF USE BY MEMBERS;

(8)  THE FORM OF EACH CONTRACT THAT THE HEALTH
MAINTENANCE ORGANIZATION PROPOSES TO OFFER TO SUBSCRIBERS
SHOWING THE BENEFITS TO WHICH THEY ARE ENTITLED AND A TABLE
OF THE RATES CHARGED OR PROPOSED TO BE CHARGED FOR EACH FORM
OF CONTRACT;

(9)  A STATEMENT THAT DESCRIBES WITH REASONABLE
CERTAINTY EACH GEOGRAPHIC AREA TO BE SERVED BY THE HEALTH
MAINTENANCE ORGANIZATION;

(10)  A STATEMENT OF THE FINANCIAL CONDITION OF
THE HEALTH MAINTENANCE ORGANIZATION, INCLUDING:

(I)  SOURCES OF FINANCIAL SUPPORT;

(II)  A BALANCE SHEET SHOWING ASSETS,
LIABILITIES, AND MINIMUM TANGIBLE NET WORTH; AND

(III) ANY OTHER FINANCIAL INFORMATION THE

 

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Session Laws, 1982
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