§ 23-76-127. Fees
A health maintenance organization subject to this chapter shall pay to the State Insurance Department Trust Fund as special revenues the following fees: (1) For filing and reviewing all documents necessary for issuance of an original certificate of authority, one thousand dollars ($1,000); (2) For issuance of the original certificate of authority, two hundred dollars […]
§ 23-76-112. Evidence of coverage and charges for healthcare services
(a) (1) (A) Every enrollee residing in this state is entitled to evidence of coverage under a healthcare plan. (B) If the enrollee obtains coverage under a healthcare plan through an insurance policy or a contract issued by a hospital and medical service corporation, whether by option or otherwise, the insurer or the hospital and […]
§ 23-76-128. Applications, filings, and reports public
All applications, filings, and reports required under this chapter shall be treated as public documents.
§ 23-76-113. Annual report and quarterly report
(a) A health maintenance organization shall annually on or before March 1 file a report verified by at least two (2) principal officers with the Insurance Commissioner covering the preceding calendar year. (b) (1) The report shall be on forms prescribed by the commissioner. (2) For the report to be filed March 1, 2002, and […]
§ 23-76-101. Purpose
(a) The General Assembly determines that health maintenance organizations, when properly regulated, encourage methods of treatment and controls over the quality of care which effectively contain costs and provide for continuous health care by undertaking responsibility for the provision, availability, and accessibility of services. (b) For this reason, and because the primary responsibility of a […]
§ 23-76-102. Definitions
As used in this chapter: (1) “Commissioner” means the Insurance Commissioner; (2) “Domestic corporation” means any corporation organized pursuant to the Arkansas Business Corporation Act, § 4-26-101 et seq., and the Arkansas Nonprofit Corporation Act, § 4-28-201 et seq.; (3) “Enrollee” means an individual who has been enrolled in a healthcare plan; (4) “Evidence of […]
§ 23-76-103. Applicability of Arkansas Insurance Code and laws concerning hospital and medical service corporations
(a) (1) Except as otherwise provided in this chapter, provisions of the insurance law and provisions of hospital and medical service corporation laws shall not be applicable to any health maintenance organization granted a certificate of authority under this chapter. (2) Subdivision (a)(1) of this section shall not apply to an insurer or hospital and […]
§ 23-76-104. Arkansas Insurance Code sections applicable to health maintenance organizations
(a) Except to the extent that the Insurance Commissioner determines that the nature of health maintenance organizations, healthcare plans, and evidences of coverage render such sections clearly inappropriate, the following sections are applicable to health maintenance organizations: (1) Sections 23-60-101 — 23-60-108 and 23-60-110, referring to scope of the Arkansas Insurance Code; (2) Section 23-61-101 […]
§ 23-76-105. Penalties — Enforcement
(a) In lieu of suspension or revocation of a certificate of authority under § 23-76-123, the Insurance Commissioner may levy an administration penalty in an amount not less than two hundred fifty dollars ($250), nor more than two thousand five hundred dollars ($2,500), if reasonable notice in writing is given of the intent to levy […]
§ 23-76-106. License to practice, sell, or dispense required
No person shall perform any of the services or procedures or sell or dispense any goods or devices in the field of the healing arts for which a license is required under the laws of the State of Arkansas unless the person holds a valid license authorizing him or her to perform the procedures, render […]