62N.01 CITATION AND PURPOSE. Subdivision 1. Citation. This chapter may be cited as the “Minnesota Community Integrated Service Network Act.” Subd. 2. [Repealed, 1997 c 225 art 2 s 63] History: 1993 c 345 art 1 s 2; 1Sp1993 c 6 s 36; 1994 c 625 art 8 s 33; 1997 c 225 art 2 […]
62N.02 DEFINITIONS. Subdivision 1. Application. The definitions in this section apply to this chapter. Subd. 2. [Repealed, 1997 c 225 art 2 s 63] Subd. 3. [Repealed, 1997 c 225 art 2 s 63] Subd. 4. Commissioner. “Commissioner” means the commissioner of health or the commissioner’s designated representative. Subd. 4a. Community integrated service network or […]
62N.22 DISCLOSURE OF COMMISSIONS. Before selling any coverage or enrollment in a community integrated service network, a person selling the coverage or enrollment shall disclose in writing to the prospective purchaser the amount of any commission or other compensation the person will receive as a direct result of the sale. The disclosure may be expressed […]
62N.23 TECHNICAL ASSISTANCE; LOANS. (a) The commissioner shall provide technical assistance to parties interested in establishing or operating a community integrated service network. This shall be known as the community integrated service network technical assistance program (CISNTAP). The technical assistance program shall offer seminars on the establishment and operation of community integrated service networks in […]
62N.25 COMMUNITY INTEGRATED SERVICE NETWORKS. Subdivision 1. Scope of licensure. Beginning July 1, 1994, the commissioner shall accept applications for licensure as a community integrated service network under this section. Licensed community integrated service networks may begin providing health coverage to enrollees no earlier than January 1, 1995, and may begin marketing coverage to prospective […]
62N.26 SHARED SERVICES COOPERATIVE. The commissioner of health shall establish, or assist in establishing, a shared services cooperative organized under chapter 308A to make available administrative and legal services, technical assistance, provider contracting and billing services, and other services to those community integrated service networks that choose to participate in the cooperative. The commissioner shall […]
62N.27 DEFINITIONS. Subdivision 1. Applicability. For purposes of sections 62N.27 to 62N.32, the terms defined in this section have the meanings given. Other terms used in those sections have the meanings given in sections 62D.041, 62D.042, and 62D.044. Subd. 2. Net worth. “Net worth” means admitted assets as defined in subdivision 3, minus liabilities. Liabilities […]
62N.28 NET WORTH REQUIREMENT. Subdivision 1. Requirement. Except as otherwise permitted by this chapter, each community network must maintain a minimum net worth equal to the greater of: (1) $1,000,000; (2) two percent of the first $150,000,000 of annual premium revenue plus one percent of annual premium revenue in excess of $150,000,000; (3) eight percent […]
62N.29 GUARANTEEING ORGANIZATION. Subdivision 1. Use of guaranteeing organization. (a) A community network may satisfy its net worth and deposit requirements, in whole or in part, through the use of one or more guaranteeing organizations, with the approval of the commissioner, under the conditions permitted in this section. If the guaranteeing organization is used only […]
62N.31 STANDARDS FOR ACCREDITED CAPITATED PROVIDER ACCREDITATION. Subdivision 1. General. Each health care providing entity seeking initial accreditation as an accredited capitated provider shall submit to the commissioner of health sufficient information to establish that the applicant has operational capacity, facilities, personnel, and financial capability to provide the contracted covered services to the enrollees of […]
62N.32 DEPOSIT REQUIREMENT. A community network must satisfy the deposit requirement provided in section 62D.041. The deposit counts as an admitted asset and as part of the required net worth. The deposit requirement cannot be reduced by the alternative means that may be used to reduce the net worth requirement, other than through the use […]
62N.33 COVERAGE FOR ENROLLEES OF INSOLVENT NETWORKS. In the event of a community network insolvency, the commissioner shall determine whether one or more community networks or health plan companies are willing and able to provide replacement coverage to all of the failed community network’s enrollees, and if so, the commissioner shall facilitate the provision of […]
62N.35 BORDER ISSUES. To the extent feasible and appropriate, community networks that also operate under the health maintenance organization or similar prepaid health care law of another state must be licensed and regulated by this state in a manner that avoids unnecessary duplication and expense for the community network. The commissioner shall communicate with regulatory […]
62N.40 CHEMICAL DEPENDENCY SERVICES. Each community integrated service network regulated under this chapter must ensure that chemically dependent individuals have access to cost-effective treatment options that address the specific needs of individuals. These include, but are not limited to, the need for: treatment that takes into account severity of illness and comorbidities; provision of a […]
