2025 Session Last amended: 2020 session

§ 62D.18 — Rehabilitation or Liquidation of Health Maintenance Organization

Plain-Language Summary

This section allows the Commissioner of Health to petition a court to rehabilitate or liquidate an HMO that is in financial trouble. The process follows the same procedures used for insurance companies under chapter 60B. The rehabilitator can change premium rates and amend provider contracts with court approval. The commissioner must try to hire a senior executive from a successful HMO to lead the rehabilitation.

Practical Notes
If an HMO is in serious financial trouble, the state can step in to try to save it through rehabilitation or shut it down through liquidation. Provider contracts can be temporarily amended during rehabilitation, but reduced payments can only last 60 days. HMOs being liquidated after August 2020 are subject to the insurance guaranty laws, which provides additional protections for enrollees.