N.H. Admin. Code § Ins 2201.06

Current through Register No. 45, November 7, 2024

Section Ins 2201.06 - Periodic and Special Reporting

(a) The health maintenance organization shall provide concurrent notice to the commissioner of any of the following events or occurrences:

(1) Plans to purchase, lease, construct, renovate, operate, or maintain medical facilities;

(2) Any loans made with an annual aggregate from one creditor exceeding one percent of the health maintenance organization's liabilities, including:

a. The amount of the loan(s);

b. The term(s) of repayment;

c. Security given, if any; and

d. Any guarantees or sureties provided;

(3) Any contracts entered into with an insurance company or health service corporation, excluding contracts for fringe benefits for organization employees; and

(4) Any grants to be received from public or private sources exceeding on an annual basis from any one source one percent of the health maintenance organization's assets.

(b) The health maintenance organization shall file a report of all changes in controlling interest within 30 days of their occurrence.

(c) Each health maintenance organization shall, within 5 business days after the occurrence, inform the commissioner of any extraordinary loss or claim that has the potential to render it incapable of meeting its obligations as they become due.

(d) The health maintenance organization shall maintain and provide to the department upon request, the following information:

(1) Plans to purchase, lease, construct, renovate, operate, or maintain medical facilities;

(2) Any loans made with an annual aggregate from one creditor exceeding one percent of the health maintenance organization's liabilities, including:

a. The amount of the loan(s);

b. The term(s) of repayment;

c. Security given, if any; and

d. Any guarantees or sureties provided;

(3) Any contracts entered into with an insurance company or health service corporation, excluding contracts for fringe benefits for organization employees;

(4) Any grants to be received from public or private sources exceeding on an annual aggregate basis from any one source one percent of the health maintenance organization's assets; and

(5) Membership changes in group and non-group categories.

N.H. Admin. Code § Ins 2201.06

#1900, eff 1-1-82; ss by #4287, eff 7-1-87; ss by #5655, eff 7-1-93; ss by #7018, INTERIM, eff 7-1-99, EXPIRED: 10-29-99

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.