P.R. Laws tit. 26, § 9278
(a) A limited health service organization shall file with the Commissioner prior to use, a notice of any intended change in rates, charges, or benefits and of any material modification of operations or information furnished pursuant to § 9274 of this title. Such filing shall be made within sixty (60) days before the change. Once the sixty (60)-day term elapses, the change shall be deemed to be approved, unless it is expressly approved or disapproved by order of the Commissioner. The Commissioner may, upon previous notification, extend such term for sixty (60) additional days, within which he/she may approve or disapprove the change.
(b) If a limited health service organization desires to provide additional limited health services, it shall file a notice with the Commissioner and, at the same time, shall submit the information required by § 9274 of this title and shall comply with §§ 9287, 9288 and 9294 of this title.
(c) If such filings are denied, the procedure set forth in § 9275(b) of this title shall be followed.
History —Aug. 29, 2011, No. 194, added as § 16.080 on Aug. 23, 2012, No. 203, § 2, eff. 90 days after Aug. 23, 2012.