2025 Session Last amended: 1973 session

§ 62D.13 — Powers of Insurers and Nonprofit Health Service Plans

Plain-Language Summary

This section allows insurance companies and nonprofit health service plan corporations to contract with HMOs to provide insurance coverage for HMO enrollees. HMO enrollees count as a permissible group for group insurance coverage. Insurers can make payments directly to HMOs for health care services and can provide the types of coverage described in section 62D.05.

Practical Notes
This section allows HMOs to partner with insurance companies for financial protection. Insurers can provide coverage against the risk that an HMO cannot meet its obligations, which adds a safety net for enrollees. This cooperation between HMOs and insurers helps protect members if the HMO faces financial difficulties.