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Session Laws, 1997
Volume 795, Page 3979   View pdf image
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PARRIS N. GLENDENING, Governor

Ch. 685

(iv) each form of contract issued or proposed to be issued to
subscribers to the plan and a table of the rates charged or proposed to be charged to
subscribers for each form of contract;

(v) a financial statement of the corporation, including the amount of
each contribution paid or agreed to be paid to the corporation for working capital, the
name of each contributor, and the terms of each contribution;

(vi) a list of the names and addresses of and biographical information
about the members of th
e board of directors of the nonprofit health service plan; and

(vii) any other information or documents that the Commissioner
considers necessary to ensure compliance with this subtitle.

14-110.

The Commissioner shall issue a certificate of authority to an applicant if [:

(1) the applicant has paid the applicable fee required by § 2-112 of this
article; and

(2)] the Commissioner is satisfied:

[(i)] (1) that the applicant has been organized in good faith for the
purpos
e of establishing, maintaining, and operating a nonprofit health service plan;

[(ii)](2) that:

[1.] (I) each contract executed or proposed to be executed by
the applicant and a health care provider to furni
sh health-care services to subscribers to
the nonprofit health service plan, obligates or, when executed, wil
l obligate each health
care provid
er party to the contract to render the health-care services to which each
subscriber is entitled under the terms and conditions of the various contracts issued or
proposed to be issued by the applicant to sub
scribers to the plan; and

[2:] (II) each subscriber is entitled to reimbursement for
podiatric, chiropractic, psychological, or optometric services, regardless of whether the
service
is performed by a licensed physician, licensed podiatrist, licensed chiropractor,
licens
ed psychologist, or licensed optometrist;

[(iii)](3) that:

[1.] (I) each contract issued or proposed to be issued to
subscribers to the plan is in a form approved by the Commi
ssioner; and

[2.](II) the rates charged or proposed to be charged for each
form of each contract are fair and reasonable; and

[(iv)] (4) that the applicant has a surplus, as defined in § 14-117 of this
subti
tle, of the greater of:

[1.] (I) $100,000; and

- 3979 -

 

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Session Laws, 1997
Volume 795, Page 3979   View pdf image
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