reglab/housing_qa huggingface dataset:
WY Stat § 26-34-122 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-122 - Rehabilitation, Liquidation or Conservation of a Health Maintenance Organization.

26-34-122. Rehabilitation, liquidation or conservation of a health maintenance organization.| (a) Any rehabilitation, liquidation or conservation of a health maintenance organization is deemed to be the rehabilitation, liquidation or conservation of an insurance company and shall be conducted under the commissioner's supervision pursuant to the provisions of this code governing the rehabilitation, liquidation or conservation of insurance companies. The commissioner may apply for an order directing him to rehabilitate, liquidate or conserve a health maintenance organization upon any one (1) or more grounds set out in chapter 28 of this code, or if in his opinion the continued operation of the health maintenance organization would be hazardous either to the enrollees or to the people of this state. Enrollees have the same priority in the event of liquidation or rehabilitation as the law provides to policyholders of an insurer.  (b) For purposes of determining the priority of distribution of general assets, claims of enrollees and enrollees' beneficiaries shall have the same priority as established by chapter 28 of this code for policyholders and beneficiaries of insureds of insurance companies. If an enrollee is liable to any provider for services provided pursuant to and covered by the health care plan, that liability shall have the status of an enrollee claim for distribution of general assets.  (c) Any provider who is obligated by statute or agreement to hold enrollees harmless from liability for services provided pursuant to and covered by a health care plan shall have a priority of distribution of the general assets immediately following that of enrollees and enrollees' beneficiaries as described herein, and immediately preceding the priority of distribution described in W.S. 26-28-125(a)(iv).
WY Stat § 26-34-123 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-123 - Summary Orders and Supervision.

26-34-123. Summary orders and supervision.| (a) Whenever the commissioner determines that the financial condition of any health maintenance organization is such that its continued operation might be hazardous to its enrollees, creditors, or the general public, or that it has violated any provision of this act, he may, after notice and hearing, order the health maintenance organization to take action reasonably necessary to rectify the condition or violation, including but not limited to one (1) or more of the following:  (i) Reduce the total amount of present and potential liability for benefits by reinsurance or other method acceptable to the commissioner;  (ii) Reduce the volume of new business being accepted;  (iii) Reduce expenses by specified methods;  (iv) Suspend or limit the writing of new business for a period of time;  (v) Increase the health maintenance organization's capital and surplus by contribution; or  (vi) Take other steps the commissioner deems appropriate under the circumstances, including those steps authorized in W.S. 26-3-132(b) and (c) for insurers.  (b) For purposes of this section, the violation by a health maintenance organization of any law of this state to which the health maintenance organization is subject shall be deemed a violation of this act.  (c) The commissioner is authorized, by rules and regulations, to set uniform standards and criteria for early warning that the continued operation of any health maintenance organization might be hazardous to its enrollees, creditors or the general public and to set standards for evaluating the financial condition of any health maintenance organization. The standards shall be consistent with the purposes expressed in subsection (a) of this section.  (d) The remedies and measures available to the commissioner under this section shall be in addition to, and not in lieu of, the remedies and measures available to the commissioner under the provisions of chapter 28 of this code.
WY Stat § 26-34-124 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-124 - Regulations.

26-34-124. Regulations.| The commissioner, after notice and hearing, may promulgate reasonable rules and regulations necessary or proper to carry out this chapter. The rules and regulations are subject to review in accordance with W.S. 28-9-101 through 28-9-108.
WY Stat § 26-34-125 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-125 - Administrative Procedures.

26-34-125. Administrative procedures.| (a) If the commissioner has cause to believe that grounds for the denial of an application for a certificate of authority exist, or that grounds for the suspension or revocation of a certificate of authority or for the imposition of an administrative penalty exist, he shall notify the health maintenance organization and the administrator by written order specifically stating the grounds for denial, suspension, revocation or administrative penalty. The health maintenance organization or applicant may in writing request a hearing within thirty (30) days from the date of mailing of the order. If no written request is made, the order shall be final upon the expiration of the thirty (30) days.  (b) If the health maintenance organization or applicant requests a hearing pursuant to this section, the commissioner shall issue a written notice of hearing and send it to the health maintenance organization or applicant by certified or registered mail and to the administrator stating:  (i) A specific time for the hearing, which may not be less than twenty (20) nor more than thirty (30) days after mailing of the notice of hearing; and  (ii) A specific place for the hearing, which may be either in Cheyenne or in the county where the health maintenance organization's or applicant's principal place of business is located.  (c) If a hearing is requested, the administrator, or his designated representative, shall be in attendance at the hearing and shall participate in the proceedings. The administrator's recommendations and findings with respect to matters relating to the quality of health care services provided in connection with any decision regarding denial, suspension or revocation of a certificate of authority, are conclusive and binding upon the commissioner. After the hearing, or upon the failure of the health maintenance organization to appear at the hearing, the commissioner shall take action as is deemed advisable on written findings which shall be mailed to the health maintenance organization with a copy thereof to the administrator. The commissioner's action and the administrator's recommendations and findings are subject to review by the district court. The court, in disposing of the issue before it, may modify, affirm or reverse the commissioner's order in whole or in part.  (d) The Wyoming Administrative Procedure Act applies to proceedings under this section to the extent it is not in conflict with this section.
WY Stat § 26-34-126 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-126 - Fees; Taxes.

26-34-126. Fees; taxes.| (a) Each health maintenance organization subject to this chapter shall pay to the commissioner the following fees:  (i) For filing an application for a certificate of authority or amendment thereto, seven hundred fifty dollars ($750.00);  (ii) For annual certificate of authority renewal, five hundred dollars ($500.00);  (iii) For filing an amendment to the organization documents that requires approval, ten dollars ($10.00) for each document;  (iv) Repealed By Laws 2000, Ch. 30, § 2.  (b) Fees charged under this section shall be paid to the state treasurer for deposit in the general fund.  (c) Each health maintenance organization shall be treated as an authorized insurer for purposes of W.S. 26-2-204.  (d) Each health maintenance organization shall report direct premium income and shall pay premium taxes in accordance with the provisions of chapter 4 of this code.  (e) Each health maintenance organization shall be treated as a member insurer for purposes of the Wyoming Life and Health Insurance Guaranty Association Act.
WY Stat § 26-34-127 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-127 - Penalties and Enforcement.

26-34-127. Penalties and enforcement.| (a) The commissioner, instead of suspension or revocation of a certificate of authority under W.S. 26-34-121, may levy an administrative penalty in an amount not less than one thousand dollars ($1,000.00) nor more than ten thousand dollars ($10,000.00) if reasonable notice in writing is given of the intent to levy the penalty and the health maintenance organization has a reasonable time within which to remedy the defect in its operations which gave rise to the penalty citation. The commissioner may augment this penalty by an amount equal to the sum that he calculates to be the damages suffered by enrollees or other members of the public.  (b) If the commissioner or the administrator for any reason has cause to believe that any violation of this chapter has occurred or is threatened, the commissioner or administrator may give notice to the health maintenance organization and to the representatives, or other persons who appear to be involved in the suspected violation, to arrange a conference with the alleged violators or their authorized representatives for the purpose of attempting to ascertain the facts relating to the suspected violation, and, if it appears that any violation has occurred or is threatened, to arrive at an adequate and effective means of correcting or preventing the violation. Proceedings under this subsection shall not be governed by any formal procedural requirements, and may be conducted in a manner the commissioner or the administrator deems appropriate under the circumstances. However, unless consented to by the health maintenance organization, no rule or order shall result from a conference until the requirements of this section or W.S. 26-34-125 are satisfied.  (c) The commissioner may issue an order directing a health maintenance organization or a representative of a health maintenance organization to cease and desist from engaging in any act or practice in violation of this chapter. Within fifteen (15) days after service of the cease and desist order, the respondent may request a hearing on the question of whether acts or practices in violation of this chapter have occurred. The hearing shall be conducted pursuant to the Wyoming Administrative Procedure Act, and judicial review is available as provided by that act.  (d) In the case of any violation of this chapter, if the commissioner elects not to issue a cease and desist order, or in case of noncompliance with a cease and desist order issued pursuant to subsection (c) of this section, the commissioner may institute a proceeding to obtain injunctive or other appropriate relief in the district court.  (e) Notwithstanding any other provisions of this act, if a health maintenance organization fails to comply with the net worth requirement of this act, the commissioner is authorized to take appropriate action to assure that the continued operation of the health maintenance organization will not be hazardous to its enrollees.
WY Stat § 26-34-128 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-128 - Statutory Construction and Relationship to Other Laws.

26-34-128. Statutory construction and relationship to other laws.| (a) Except as otherwise specifically provided in this chapter, the other provisions of this code relating to insurers and the provisions of title 35 of the Wyoming statutes relating to hospitals or medical service corporations are not applicable to any health maintenance organization granted a certificate of authority under this chapter. This provision does not apply to:  (i) An insurer or hospital or medical service corporation licensed and regulated pursuant to the insurance law or the hospital or medical service corporation laws of this state except with respect to its health maintenance organization activities authorized and regulated pursuant to this chapter.  (ii) Repealed By Laws 2004, ch. 130, § 2.  (b) Solicitation of enrollees by a health maintenance organization granted a certificate of authority, or its representatives, shall not be construed to violate any provision of law relating to solicitation or advertising by health professionals.  (c) Any health maintenance organization authorized under this chapter is not deemed to be practicing medicine and is exempt from the provisions of W.S. 33-26-101 through 33-26-511.
WY Stat § 26-34-129 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-129 - Filings and Reports as Public Documents.

26-34-129. Filings and reports as public documents.| All applications, filings and reports required under this chapter, except those which are trade secrets or privileged or confidential quality assurance, commercial or financial information, other than any annual financial statement that may be required under W.S. 26-34-110, shall be treated as public documents.
WY Stat § 26-34-131 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-131 - Administrator's Authority to Contract.

26-34-131. Administrator's authority to contract.| The administrator, in carrying out his obligations under this chapter may contract with qualified persons to make recommendations concerning the determinations he is required to make. The administrator may accept the recommendations in full or in part.
WY Stat § 26-34-132 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-132 - Acquisition of Control of or Merger of a Health Maintenance Organization.

26-34-132. Acquisition of control of or merger of a health maintenance organization.| No person may make a tender for or a request or invitation for tenders of, or enter into an agreement to exchange securities for or acquire in the open market or otherwise, any voting security of a health maintenance organization, or enter into any other agreement if, after the consummation thereof, that person would, directly or indirectly, or by conversion or by exercise of any right to acquire, be in control of the health maintenance organization, and no person may enter into an agreement to merge or consolidate with or otherwise to acquire control of a health maintenance organization, unless, at the time any offer, request or invitation is made or any agreement is entered into, or prior to the acquisition of the securities if no offer or agreement is involved, the person has filed with the commissioner and has sent to the health maintenance organization, information required by W.S. 26-44-103(b)(i) through (v), (c) and (d) and the offer, request, invitation, agreement or acquisition has been approved by the commissioner. Approval by the commissioner shall be governed by W.S. 26-44-103(f) through (h).
WY Stat § 26-34-133 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-133 - Coordination of Benefits.

26-34-133. Coordination of benefits.| (a) Health maintenance organizations are permitted, but not required, to adopt coordination of benefits provisions to avoid overinsurance and to provide for the orderly payment of claims when a person is covered by two (2) or more group health insurance or health care plans.  (b) If a health maintenance organization adopts coordination of benefits provisions, the provisions shall be consistent with the coordination of benefits provisions that are in general use in the state for coordinating coverage between two (2) or more group health insurance or health care plans.  (c) To the extent necessary for health maintenance organizations to meet their obligations as secondary carriers under the rules for coordination, the organizations shall make payments for services that are:  (i) Received from nonparticipating providers; or  (ii) Provided outside their service areas.
WY Stat § 26-34-134 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-134 - Written Agreement With Providers; Discrimination Prohibited.

26-34-134. Written agreement with providers; discrimination prohibited.| (a) Before entering into any written agreement with any provider for the furnishing of health care services to enrollees of a health maintenance organization the organization shall establish terms and conditions to be required of any provider interested in entering into the agreement. In no event shall any Wyoming provider willing to meet the established terms and conditions be denied the right to enter into any written agreement. The established terms and conditions shall not discriminate against any Wyoming provider solely on the basis of an inability to provide specified services within a health maintenance organization's entire service area. This subsection shall not be construed to require any health maintenance organization to involuntarily employ any person, sell any ownership interest to any person, enter into any partnership with any person or grant staff privileges to any person.  (b) No health maintenance organization shall discriminate in employment, contracting, participation, reimbursement or indemnification against a provider who is acting within the scope of his professional license under applicable state law, based solely on the academic degree of the provider.
WY Stat § 26-34-135 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-135 - Application of Other Laws.

26-34-135. Application of other laws.| (a) The annual audited financial reports law, title 26, chapter 3, article 3 of the Wyoming statutes, shall apply to domestic health maintenance organizations licensed under this chapter.  (b) The Wyoming Insurance Holding Company System Regulatory Act, title 26, chapter 44 of the Wyoming statutes, shall apply to domestic health maintenance organizations licensed under this chapter.  (c) Except for those portions of the Wyoming Insurance Holding Company System Regulatory Act, title 26, chapter 44 of the Wyoming statutes, made applicable by W.S. 26-34-132 and which are in effect prior to January 1, 2017, this section shall be applied to domestic health maintenance organizations licensed under this chapter on and after January 1, 2017.  (d) The Wyoming Insurance Corporate Governance Annual Disclosure Act, W.S. 26-54-101 through 26-54-108, shall apply to domestic health maintenance organizations licensed under this chapter.
WY Stat § 26-36-101 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 36 - Risk Retention|Section 26-36-101 - Short Title.

26-36-101. Short title.| This chapter may be cited as the "Risk Retention Act".
WY Stat § 26-36-102 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 36 - Risk Retention|Section 26-36-102 - Purpose.

26-36-102. Purpose.| The purpose of this act is to regulate the formation and operation of risk retention groups in this state formed pursuant to the provisions of the federal Liability Risk Retention Act of 1986.
WY Stat § 26-36-104 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 36 - Risk Retention|Section 26-36-104 - Risk Retention Groups Chartered in This State.

26-36-104. Risk retention groups chartered in this state.| A risk retention group seeking to be chartered in this state must be chartered and licensed as a liability insurance company authorized by the insurance laws of this state and, except as provided elsewhere in this act, must comply with all of the laws, rules, regulations and requirements applicable to such insurers chartered and licensed in this state and with W.S. 26-36-106 to the extent such requirements are not a limitation on laws, rules, regulations or requirements of this state. Before it may offer insurance in any state, each risk retention group shall also submit for approval to the insurance commissioner of this state a plan of operation or a feasibility study and revisions of such plan or study if the group intends to offer any additional lines of liability insurance. Immediately upon receipt of an application for charter, this state shall provide summary information concerning the filing to the National Association of Insurance Commissioners, including the name of the risk retention group, the identity of the initial members of the group, the identity of those individuals who organized the group or who will provide administrative services or otherwise influence or control the activities of the group, the amount and nature of initial capitalization, the coverages to be afforded and the states in which the group intends to operate. Providing notification to the National Association of Insurance Commissioners is in addition to and shall not be sufficient to satisfy the requirements of W.S. 26-36-106 and all other sections of this act.
WY Stat § 26-36-106 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 36 - Risk Retention|Section 26-36-106 - Compulsory Associations.

26-36-106. Compulsory associations.| (a) No risk retention group shall be permitted to join or contribute financially to any insurance insolvency guaranty fund or similar mechanism in this state, nor shall any risk retention group or its insureds receive any benefit from any such fund for claims arising out of the operations of such risk retention group.  (b) A risk retention group shall participate in this state's joint underwriting associations and mandatory liability pools as provided by this act.
WY Stat § 26-36-108 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 36 - Risk Retention|Section 26-36-108 - Purchasing Groups; Exemption From Certain Laws Relating to the Group Purchase of Insurance.

26-36-108. Purchasing groups; exemption from certain laws relating to the group purchase of insurance.| Any purchasing group meeting the criteria established under the provisions of the federal Liability Risk Retention Act of 1986 shall be exempt from any law of this state relating to the creation of groups for the purchase of insurance, prohibition of group purchasing or any law that would discriminate against a purchasing group or its members. In addition, an insurer shall be exempt from any law of this state which prohibits providing, or offering to provide, to a purchasing group or its members advantages based on their loss and expense experience not afforded to other persons with respect to rates, policy forms, coverages or other matters. A purchasing group shall be subject to all other applicable laws of this state.