N.H. Admin. Code § Ins 2201.02

Current through Register No. 44, October 31, 2024

Section Ins 2201.02 - Applicability and Scope

Ins 2201.02 Applicability and Scope.

(a) No health maintenance organization shall, without being licensed in accordance with this part:

(1) Provide or arrange for health care services to enrolled participants in exchange primarily for a prepaid per capita or aggregate fixed sum; or

(2) Commence operations, except as provided in Ins 2201.04(g), with operations deemed to commence on the date on which any contracts for health services are available to members or on which evidences of coverage are issued.

(b) This part shall apply to any health maintenance organization regardless of whether services are to be delivered through physicians or other health professionals:

(1) Who are employees of the health maintenance organization;

(2) Who are organized on a group practice basis;

(3) Who are organized on an individual practice basis; or

(4) Under any other arrangements.

N.H. Admin. Code § Ins 2201.02

#1900, eff 1-1-82; ss by #4287, eff 7-1-87; ss by #5655, eff 7-1-93; ss by #5944, eff 1-1-95, EXPIRED: 1-1-03

New. #9335, eff 12-5-08

Amended by Volume XXXVI Number 41, Filed October 13, 2016, Proposed by #11194, Effective 12/5/2016, Expires 12/5/2026.