|
|
|
|
|
|
|
|
|
|
|
|
|
Martin O'Malley, Governor Ch. 452
|
|
|
|
|
|
|
|
EXCEPT AS OTHERWISE PROVIDED IN THIS SUBTITLE, A MANAGED CARE
ORGANIZATION IS NOT SUBJECT TO THE INSURANCE LAWS OF THE STATE OR TO
THE PROVISIONS OF TITLE 19 OF THIS ARTICLE.
15-102.3.
(a) The provisions of § 15-112 of the Insurance Article (Provider panels)
shall apply to managed care organizations in the same manner they apply to carriers.
(b) The provisions of § 15-1005 of the Insurance Article shall apply to
managed care organizations in the same manner they apply to health maintenance
organizations.
(C) THE PROVISIONS OF § 15-1008 §§ 4-311, 15-604, 15-605, AND
15-1008 OF THE INSURANCE ARTICLE SHALL APPLY TO MANAGED CARE
ORGANIZATIONS IN THE SAME MANNER THEY APPLY TO CARRIERS.
[(c)] (D) (1) The provisions of §§ 19-712(b), (c), and (d), 19-713.2, and
19-713.3 of this article apply to managed care organizations in the same manner they
apply to health maintenance organizations.
(2) The Insurance Commissioner shall consult with the Secretary
before taking any action against a managed care organization under this subsection.
[(d)] (E) The Insurance Commissioner or an agent of the Commissioner
shall examine the financial affairs and status of each managed care organization at
least once every 5 years.
Article - Insurance
15-1008.
(a) (1) In this section the following words have the meanings indicated.
(2) "Carrier" means:
(i) an insurer;
(ii) a nonprofit health service plan;
(iii) a health maintenance organization;
(iv) a dental plan organization; [or]
|
|
|
|
|
|
|
|
- 2693 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|