Chapter 62D — Health Maintenance Act of 1973

15.001 Application of Laws 2005, Chapter 56, Terminology Changes This law says that when state agencies update their signs and printed materials, they must use the new terminology from … 62D.001 This is a cross-reference entry pointing to section 15.001, which deals with terminology changes in state law. It does … 62D.01 Citation and Purpose This section names the law the 'Health Maintenance Act of 1973' and explains why it was created. The legislature found … 62D.02 Definitions This section defines key terms used throughout the HMO law. It explains what an HMO is, who counts as an enrollee, what … 62D.03 Establishment of Health Maintenance Organizations This section says that any corporation or local government must get a certificate of authority from the Commissioner of … 62D.04 Issuance of Certificate Authority This section explains how the Commissioner of Health reviews applications and issues certificates of authority to HMOs. … 62D.041 Protection in the Event of Insolvency This section requires HMOs to set aside money in a deposit to protect enrollees if the HMO goes bankrupt. New HMOs must … 62D.042 Initial Net Worth Requirement This section sets the minimum net worth that new HMOs must maintain. A beginning HMO must have a net worth of at least … 62D.043 This section has been repealed. It was removed by Laws 2004, chapter 285, article 3, section 11, and no longer contains … 62D.044 Admitted Assets This section lists what counts as 'admitted assets' for an HMO. Admitted assets include things like cash, bank deposits, … 62D.045 Investment Restrictions This section limits how HMOs can invest their money. HMOs may only invest in the types of securities and property … 62D.05 Powers of Health Maintenance Organizations This section describes what HMOs are allowed to do once they have a certificate of authority. HMOs can enter into health … 62D.06 Governing Body This section requires that after one year of operation, at least 40% of an HMO's board of directors must be enrollees or … 62D.07 Evidence of Coverage; Required Terms This section requires HMOs to give every enrollee an evidence of coverage document that clearly explains their benefits, … 62D.08 Annual Report This section requires HMOs to file annual reports with the Commissioner of Health by April 1 each year. The report must … 62D.09 Information to Enrollees This section sets rules for how HMOs market to potential enrollees and share information with current members. Marketing … 62D.095 Enrollee Cost Sharing This section sets rules about what HMOs can charge enrollees through co-payments, deductibles, and out-of-pocket … 62D.10 Provisions Applicable to All Health Plans This section applies to both nonprofit health plans and HMOs. After 24 months of operation, health plans must hold an … 62D.101 Continuation and Conversion Privileges for Former Spouses and Children This section protects former spouses and children when a marriage ends. An HMO cannot drop a spouse just because of a … 62D.102 Family Therapy This section requires HMOs to cover family therapy when it is recommended by an HMO provider for a minor's treatment. … 62D.103 Second Opinion Related to Substance Use Disorder and Mental Health This section requires HMOs to promptly evaluate enrollees seeking treatment for substance use disorder or mental health … 62D.104 Required Out-of-area Conversion This section requires HMOs to offer conversion coverage to enrollees with individual plans who move out of the HMO's … 62D.105 Coverage of Current Spouse, Former Spouse, and Children This section lets spouses, former spouses, and dependent children continue their HMO coverage when the main enrollee … 62D.106 This section has been repealed. It was removed by Laws 1995, chapter 207, article 10, section 25, and no longer contains … 62D.107 Equal Access to Acupuncture Services This section requires HMOs to cover acupuncture services from licensed acupuncture practitioners the same way they cover … 62D.1071 Coverage of Licensed Pharmacist Services This section requires HMOs to cover medical services provided by licensed pharmacists when those services fall within … 62D.108 This section has been repealed. It was removed by Laws 2000, chapter 349, section 2, and no longer contains active law. 62D.109 Services Associated With Clinical Trials This section requires HMOs to inform enrollees who are in clinical trials that their coverage will be provided as … 62D.11 Complaint System This section requires every HMO to set up and maintain a system for handling enrollee complaints. The Commissioner of … 62D.115 Quality of Care Complaints This section requires HMOs to investigate complaints about the quality of health care received by enrollees. Each HMO … 62D.12 Prohibited Practices This section lists things HMOs are not allowed to do. HMOs cannot use misleading advertising, cancel coverage without … 62D.121 Required Replacement Coverage This section requires HMOs to offer replacement coverage when they terminate an enrollee's individual coverage for … 62D.122 This section has been repealed. It was originally enacted in 1988 and removed by Laws 1990, chapter 538, section 31. It … 62D.123 Provider Contracts This section sets requirements for contracts between HMOs and health care providers. Provider agreements must include a … 62D.124 Geographic Accessibility This section sets maximum travel distances for HMO enrollees to reach providers. Primary care, mental health, and … 62D.13 Powers of Insurers and Nonprofit Health Service Plans This section allows insurance companies and nonprofit health service plan corporations to contract with HMOs to provide … 62D.14 Examinations This section gives the Commissioner of Health the power to examine HMOs and their contracts at least every five years. … 62D.145 Disclosure of Information Held by Health Maintenance Organizations This section protects the privacy of enrollee health information held by HMOs. HMOs generally cannot share individually … 62D.15 Suspension or Revocation of Certificate of Authority This section lists the reasons the Commissioner of Health can suspend or revoke an HMO's certificate of authority. … 62D.16 Denial, Suspension, and Revocation; Administrative Procedures This section describes the process the commissioner must follow before denying, suspending, or revoking an HMO's … 62D.17 Penalties and Enforcement This section sets penalties for HMOs that violate the law. The commissioner can levy fines of up to $25,000 per … 62D.18 Rehabilitation or Liquidation of Health Maintenance Organization This section allows the Commissioner of Health to petition a court to rehabilitate or liquidate an HMO that is in … 62D.181 Insolvency; Mcha Alternative Coverage This section provides coverage through the Minnesota Comprehensive Health Association (MCHA) for people who lose health … 62D.182 Liabilities This section requires every HMO to keep enough money set aside to pay all reported and unreported claims that have been … 62D.19 Unreasonable Expenses This section prohibits HMOs from paying unreasonably high expenses for services or goods. The commissioner enforces this … 62D.20 Rules This section authorizes the Commissioner of Health to adopt rules needed to carry out the HMO law. The rules must … 62D.21 Fees This section lists the fees that HMOs must pay to the Commissioner of Health. Filing an application for a certificate of … 62D.211 Renewal Fee This section requires each HMO to pay an annual renewal fee of $30,000 plus 88 cents for each person enrolled as of … 62D.22 Statutory Construction and Relationship to Other Laws This section explains how HMO law relates to other laws. Insurance laws generally do not apply to HMOs. HMO solicitation … 62D.221 Oversight of Transactions This section makes HMOs subject to certain insurance holding company and merger oversight laws. Before anyone can … 62D.23 Filings and Reports as Public Documents This section makes all HMO applications, filings, and reports required under the HMO law public documents. Anyone can … 62D.24 Commissioner of Health's Authority to Contract This section allows the Commissioner of Health to hire the Commissioner of Commerce or other qualified people to help … 62D.25 This section has been repealed. It was removed by Laws 1985, First Special Session chapter 9, article 2, section 104, … 62D.26 This section has been repealed. It was removed by Laws 1985, First Special Session chapter 9, article 2, section 104, … 62D.27 This section has been repealed. It was removed by Laws 1984, chapter 464, section 46, and no longer contains active law. 62D.28 This section has been repealed. It was removed by Laws 1985, First Special Session chapter 9, article 2, section 104, … 62D.29 This section has been repealed. It was removed by Laws 1985, First Special Session chapter 9, article 2, section 104, … 62D.30 Demonstration Projects This section allows the Commissioner of Health to set up demonstration projects that let HMOs extend coverage to …