reglab/housing_qa huggingface dataset:
WY Stat § 26-33-105 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 33 - Medical Malpractice Insurance|Section 26-33-105 - Medical Liability Compensation Account.

26-33-105. Medical liability compensation account.| (a) There is created a medical liability compensation account, the monies of which shall be collected by the commissioner for exclusive use for the purposes stated in this chapter. The account and any investment income from it shall be held in trust and invested and reinvested by the state treasurer pursuant to W.S. 9-4-715(a), (d) and (e).  (b) The commissioner may use account monies to purchase insurance for the account and its obligations. The commissioner shall be notified of a suit within thirty (30) days from the date the suit is filed. The commissioner may participate in a physician's defense if any claim is sufficient to be a potential liability against the account. Reasonable legal expenses the board approves and the commissioner incurs in defense against any malpractice claim are payable out of the account.  (c) To create the account, all physicians qualified under W.S. 26-33-102, practicing in Wyoming and who elect to participate, shall pay an annual surcharge. The commissioner shall determine the surcharge based upon sound actuarial principles using data obtained from Wyoming experience. The surcharge shall not exceed one hundred fifty percent (150%) of the cost to each physician for a basic fifty thousand dollar ($50,000.00) malpractice insurance premium and shall be collected on the same basis as premiums by each insurer from the physician.  (d) The surcharge is due and payable within thirty (30) days after the insurer receives the premiums for malpractice liability insurance from the practicing physician in Wyoming. The commissioner shall send to each insurer a statement explaining the provisions of this section together with any other information necessary for their compliance with this section.  (e) If the insurer collects the annual premium surcharge but does not pay it to the state within the stated time limit, the commissioner may suspend the insurer's certificate of authority until the annual premium surcharge is paid.  (f) All expenses of collecting, protecting and administering the account or related to the purchase of insurance for the account shall be paid from the account. The commissioner may employ financial, administrative or legal consultants to assist in the account management.  (g) If the account balance exceeds four million dollars ($4,000,000.00) at the end of any calendar year after payment of all claims and expenses, the commissioner shall reduce the surcharge to maintain the account at an approximate level of four million dollars ($4,000,000.00).  (h) The commissioner shall purchase reinsurance, if needed, to protect the account from depletion due to judgment against it. The reinsurance so purchased shall cover each qualified physician from two hundred fifty thousand dollars ($250,000.00) to one million dollars ($1,000,000.00) per year. Cost of reinsurance shall be paid from the monies of the account.
WY Stat § 26-33-106 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 33 - Medical Malpractice Insurance|Section 26-33-106 - Board Created; Membership; Removal; Terms; Duties.

26-33-106. Board created; membership; removal; terms; duties.| (a) There is created a medical liability compensation account board which shall consist of six (6) members. The governor shall appoint four (4) members with the advice and consent of the senate. The state treasurer and the commissioner are the other voting members. The governor may remove any member he appoints as provided in W.S. 9-1-202.  (b) Of the members the governor appoints:  (i) One (1) shall be a physician licensed to practice in Wyoming by the state board of medicine;  (ii) One (1) shall be a practicing attorney licensed to practice in Wyoming by the Wyoming state bar;  (iii) One (1) shall be a health care consumer; and  (iv) One (1) shall be a licensed insurance agent in Wyoming.  (c) Two (2) members shall serve for terms ending two (2) years from January 1 immediately following their appointment and two (2) members shall serve for a term of four (4) years from that date. Their successors shall serve for terms of three (3) years each. Effective July 1, 1979, appointments and terms shall be in accordance with W.S. 28-12-101 through 28-12-103.  (d) The board shall administer and govern the account and shall file rules and regulations therefor with the secretary of state.
WY Stat § 26-33-107 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 33 - Medical Malpractice Insurance|Section 26-33-107 - Settlements.

26-33-107. Settlements.| Any settlement of a claim against a physician exceeding fifty thousand dollars ($50,000.00) or limits of other underlying coverage if greater shall be carried out through agreement jointly by the claimant, the insurance carrier and the commissioner. If the claimant settles with the insurance carrier, without including the commissioner in the settlement agreement, the claimant waives any claim for damages exceeding fifty thousand dollars ($50,000.00) or limits of other underlying coverage if greater arising from the incident for which the claim is made.
WY Stat § 26-33-108 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 33 - Medical Malpractice Insurance|Section 26-33-108 - Payments From Account.

26-33-108. Payments from account.| The state auditor, at the direction of the commissioner, shall issue a warrant in satisfaction of each claim submitted to him against the account after receipt of a certified copy of a final judgment from a court having jurisdiction, or a settlement agreement signed by a claimant, a qualified representative of the insurance carrier and the commissioner, with original signatures. The warrant shall be for the amount exceeding fifty thousand dollars ($50,000.00) or limits of other underlying coverage, if greater, set forth in the judgment or settlement, subject to the limitation that the amounts paid from the account shall not exceed one million dollars ($1,000,000.00) in any calendar year for one (1) or more awards or settlements against an individual physician.
WY Stat § 26-33-109 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 33 - Medical Malpractice Insurance|Section 26-33-109 - Contents of Policies.

26-33-109. Contents of policies.| Any policy issued under this chapter is presumed to comply with this chapter. The insurer assumes all obligations to pay an award imposed against its insured under this chapter and no policy termination by cancellation is effective unless at least ninety (90) days before the effective date of the cancellation both the insured and the commissioner receive at their offices, a written notice giving the date upon which termination is effective.
WY Stat § 26-33-110 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 33 - Medical Malpractice Insurance|Section 26-33-110 - Failure to Pay Claims.

26-33-110. Failure to pay claims.| (a) If a professional liability insurer, in the regular course of business, fails to pay its portion of any judgment rendered against any physician or any other person insured under this chapter, the commissioner shall suspend that insurer's certificate of authority until the portion of the judgment allocable to the insurer is paid in full, provided the insurer has the right to a hearing in accordance with W.S. 26-3-115(b).  (b) This section does not apply:  (i) If the insurer has asserted against the physician any policy defense based upon misrepresentation, fraud, noncooperation or any other matter which constitutes an avoidance of the policy;  (ii) If the time for filing any petition for review, new trial, appeal or rehearing, or all of them has not expired; or  (iii) Until such time as all review or appellate decisions are final.
WY Stat § 26-33-111 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 33 - Medical Malpractice Insurance|Section 26-33-111 - Exemption From Wyoming Insurance Guaranty Association Act.

26-33-111. Exemption from Wyoming Insurance Guaranty Association Act.| This chapter is exempt from and has no application to the Wyoming Insurance Guaranty Association Act.
WY Stat § 26-34-101 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-101 - Short Title.

26-34-101. Short title.| This chapter is known and may be cited as "The Health Maintenance Organization Act of 1995".
WY Stat § 26-34-105 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-105 - Powers of Health Maintenance Organizations.

26-34-105. Powers of health maintenance organizations.| (a) The powers of a health maintenance organization include but are not limited to the:  (i) Purchase, lease, construction, renovation, operation or maintenance of hospitals or medical facilities, or both, and their ancillary equipment, and any property as may reasonably be required for its principal office or for any purposes as may be necessary in the transaction of the business of the organization;  (ii) Making of loans to a medical group under contract with it in furtherance of its program or the making of loans to a corporation or corporations under its control for the purpose of acquiring or constructing medical facilities and hospitals or in furtherance of a program providing health care services to enrollees;  (iii) Furnishing of health care services through providers which are under contract with or employed by the health maintenance organization;  (iv) Contracting with any person for the performance on its behalf of certain functions such as marketing, enrollment and administration;  (v) Contracting with an insurance company licensed in this state, or with a hospital or health service corporation authorized to do business in this state, for the provision of insurance, indemnity or reimbursement against the cost of health care services provided by the health maintenance organization;  (vi) Offering of other health care services, in addition to basic health care services. Nonbasic health care services may be offered by a health maintenance organization on a prepaid basis without offering basic health care services to any group or individual;  (vii) The joint marketing of products with an insurance company licensed in this state or with a hospital or medical service corporation authorized to do business in this state as long as the company that is offering each product is clearly identified.  (b) A health maintenance organization shall file notice, with adequate supporting information, with the commissioner prior to the exercise of any power granted in paragraph (a)(i), (ii) or (iv) of this section. The commissioner shall disapprove any exercise of power only if in his opinion it would substantially and adversely affect the financial soundness of the health maintenance organization and endanger its ability to meet its obligations. If the commissioner does not disapprove within forty-five (45) days from the date of the filing, it is deemed approved.  (c) The commissioner may promulgate rules and regulations exempting from the filing requirement of subsection (b) of this section those activities having a de minimis effect.
WY Stat § 26-34-106 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-106 - Governing Body.

26-34-106. Governing body.| (a) The governing body of any health maintenance organization may include providers, or other individuals, or both.  (b) Repealed by Laws 1995, ch. 210, § 5.  (c) Any domestic health maintenance organization shall comply with the requirements applicable to a domestic insurer in W.S. 26-24-129 and shall be subject to the penalties provided in W.S. 26-24-129.
WY Stat § 26-34-107 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-107 - Fiduciary Responsibilities.

26-34-107. Fiduciary responsibilities.| (a) Any director, officer, employee or partner of a health maintenance organization who receives, handles, collects, disburses or invests funds in connection with the activities of the organization is responsible for those funds in a fiduciary relationship to the organization and shall not violate the prohibitions specified in W.S. 26-24-127.  (b) A health maintenance organization shall maintain in force a fidelity bond on employees and officers in an amount not less than the greater of two hundred fifty thousand dollars ($250,000.00), ten percent (10%) of the organization's previous year's gross premiums or other amount the commissioner prescribes. All such bonds shall be written with at least a one (1) year discovery period and if written with less than a three (3) year discovery period shall contain a provision that no cancellation or termination of the bond, whether by or at the request of the insured or by the underwriter is effective prior to the expiration of ninety (90) days after written notice of the cancellation or termination has been filed with the commissioner unless the commissioner approves an earlier date of cancellation or termination.  (c) A health maintenance organization shall not make any disbursement of seventy-five dollars ($75.00) or more without complying with the requirements specified for insurers in W.S. 26-24-130.
WY Stat § 26-34-110 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-110 - Annual Report.

26-34-110. Annual report.| (a) Each health maintenance organization, annually, on or before March 1, shall file with the commissioner, with a copy to the administrator, a report verified by at least two (2) organization principal officers and covering the immediately preceding calendar year. Each health maintenance organization shall file with the commissioner on a quarterly basis a statement of its financial condition for the preceding quarter. Each quarterly statement shall be filed with the commissioner on or before forty-five (45) days from the end of the quarter being reported. The reports and statements shall be on forms the commissioner prescribes and shall be completed pursuant to the most recent National Association of Insurance Commissioners' accounting practices and procedures manual.  (b) The health maintenance organization shall file on or before March 1, unless otherwise stated:  (i) Audited financial statements in accordance with the provisions of title 26, chapter 3, article 3 of the Wyoming statutes on or before June 1;  (ii) A list of the providers who have executed a contract that complies with W.S. 26-34-114; and  (iii) The report on the complaint system pursuant to W.S. 26-34-112(b).  (c) All annual and quarterly statements filed pursuant to this section shall be accompanied by an electronic version containing the same information as the statement. The commissioner may specify the format of the electronic version. The commissioner may accept, for any health maintenance organization not domiciled in this state which is required to file annual, quarterly and audited financial statements under this section, an electronic filing with the National Association of Insurance Commissioners meeting the requirements of this section as a filing with the commissioner. The commissioner may refuse to continue or may suspend or revoke the certificate of authority of any health maintenance organization failing to file its annual or quarterly statement when due.  (d) The commissioner may require any additional reports as are deemed reasonably necessary and appropriate to enable him to carry out his duties under this chapter.
WY Stat § 26-34-111 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-111 - Information to Enrollees; Claims to Be Accepted or Rejected; Attorney's Fees.

26-34-111. Information to enrollees; claims to be accepted or rejected; attorney's fees.| (a) Each health maintenance organization shall:  (i) Provide promptly to its enrollees notice of any material change in the operation of the organization that will directly affect those enrollees;  (ii) Provide to its subscribers a list of providers, upon enrollment and reenrollment;  (iii) Notify an enrollee in writing of the termination of the primary care provider who provided health care services to that enrollee, and provide assistance to the enrollee in transferring to another participating primary care provider;  (iv) Provide to subscribers information on how services may be obtained, where additional information on access to services can be obtained and a telephone number where the enrollee can contact the organization at no cost to the enrollee.  (b) Any claim for a benefit under a health insurance policy shall be rejected or accepted and paid by the health maintenance organization in accordance with W.S. 26-15-124(a) and (c).
WY Stat § 26-34-112 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-112 - Complaint System.

26-34-112. Complaint system.| (a) Each health maintenance organization shall establish and maintain a complaint system which has been approved by the commissioner, after consultation with the administrator, to provide reasonable procedures for the resolution of written complaints initiated by enrollees.  (b) Each health maintenance organization shall submit to the commissioner and the administrator, an annual report, in a form the commissioner prescribes, after consultation with the administrator, which shall include:  (i) A description of the procedures of the complaint system;  (ii) The total number of complaints handled through the complaint system and a compilation of causes underlying the complaints filed; and  (iii) The number, amount and disposition of malpractice claims made by an enrollee of the organization that were settled during the year by the health maintenance organization. All such information shall be held in confidence by the commissioner.  (c) The commissioner or the administrator may examine the complaint system at any time.
WY Stat § 26-34-113 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-113 - Investments.

26-34-113. Investments.| With the exception of investments made in accordance with W.S. 26-34-105(a)(i), the funds of a health maintenance organization shall be invested only in securities or other investments permitted by chapter 7 of this code.
WY Stat § 26-34-119 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-119 - Powers of Insurers and Hospital and Health Service Corporations.

26-34-119. Powers of insurers and hospital and health service corporations.| (a) Any insurance company licensed in this state, or a hospital or health service corporation authorized to do business in this state, either directly or through a subsidiary or affiliate, may organize and operate a health maintenance organization under this chapter. Notwithstanding any other law to the contrary, any two (2) or more such insurance companies, hospitals or health service corporations, or subsidiaries or affiliates thereof, may jointly organize and operate a health maintenance organization. The business of insurance is deemed to include the providing of health care by a health maintenance organization owned or operated by an insurer or a subsidiary thereof.  (b) Notwithstanding any other provision of this code, any insurer or any hospital or health service corporation may contract with a health maintenance organization to provide insurance or similar protection against the cost of care provided through health maintenance organizations and to provide coverage in the event of the failure of the health maintenance organization to meet its obligations.  (c) The enrollees of a health maintenance organization constitute a permissible group under this code or any other laws of this state. Among other things, under any contract specified the insurer or hospital or health service corporation may make benefit payments to health maintenance organizations for health care services rendered by providers.
WY Stat § 26-34-120 (2021)
2021 Wyoming Statutes|Title 26 - Insurance Code|Chapter 34 - Health Maintenance Organizations|Section 26-34-120 - Examination.

26-34-120. Examination.| (a) The commissioner may make an examination of the affairs of any health maintenance organization and providers with whom that organization has contracts, agreements or other arrangements as often as is reasonably necessary for the protection of the interests of the people of this state but not less frequently than once every five (5) years.  (b) The administrator may make an examination concerning the quality of health care service and the adequacy of quality assurance programs of any health maintenance organization and providers with whom that organization has contracts, agreements or other arrangements as often as is reasonably necessary for the protection of the interests of the people of this state but not less frequently than once every five (5) years.  (c) Each health maintenance organization and provider shall submit its relevant books and records for the examinations specified in this section and in every way facilitate those examinations. For the purpose of examinations, the commissioner and the administrator may administer oaths to and examine the officers and agents of the health maintenance organization and the principals of any providers concerning their business.  (d) Repealed by Laws 1995, ch. 210, § 3.  (e) Instead of the examinations under this section the commissioner or administrator may accept the report of an examination made by the insurance commissioner or public health commissioner of another state. A report from another state's insurance commissioner shall only be accepted if:  (i) The insurance department preparing the report was, at the time of the examination, accredited under the National Association of Insurance Commissioners' financial regulation standards and accreditation program; or  (ii) The examination is performed under the supervision of an accredited insurance department or with the participation of one (1) or more examiners who are employed by an accredited insurance department and who, after the review of the examination work papers and report, state under oath that the examination was performed in a manner consistent with the standards and procedures required by their insurance department.