reglab/housing_qa huggingface dataset:
MS Code § 83-41-319 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-319. Provision of information and notices to subscribers

  The health maintenance organization shall provide to its subscribers a list of providers, upon enrollment, re-enrollment or at a minimum annually.   Every health maintenance organization shall provide within thirty (30) days to its subscribers notice of any material change in the operation of the organization that will affect them directly.   An enrollee must be notified in writing by the health maintenance organization of the termination of the primary care provider who provided health care services to that enrollee, if the plan operates on a formal gatekeeper concept. The health maintenance organization shall provide assistance to the enrollee in transferring to another participating primary care provider.   The health maintenance organization shall provide to subscribers information on how services may be obtained, where additional information on access to services can be obtained and a number where the enrollee can contact the health maintenance organization, at no cost to the enrollee.
MS Code § 83-41-321 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-321. Grievance procedures

  Every health maintenance organization shall establish and maintain a grievance procedure which has been approved by the commissioner, after consultation with the State Health Officer, to provide procedures for the resolution of grievances initiated by enrollees. The health maintenance organization shall maintain records regarding grievances received since the date of its last examination of such grievances.   The commissioner or the State Health Officer may examine such grievance procedures.
MS Code § 83-41-323 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-323. Funds

 With the exception of investments made in accordance with Section 83-41-309(1)(a), the funds of a health maintenance organization shall be invested only in accordance with investment permitted by the laws of the State of Mississippi for life insurance companies (Section 83-19-51 et seq., Mississippi Code of 1972).
MS Code § 83-41-331 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-331. Premium rates

  No premium rate may be used until either a schedule of premium rates or methodology for determining premium rates has been filed with and approved by the commissioner.   Either a specific schedule of premium rates, or a methodology for determining premium rates, shall be established in accordance with actuarial principles for various categories of enrollees, provided that the premium applicable to an enrollee shall not be individually determined based on the status of the enrollee's health. However, the premium rates shall not be excessive, inadequate or unfairly discriminatory. A certification by a qualified actuary or other qualified person acceptable to the commissioner as to the appropriateness of the use of the methodology, based on reasonable assumptions, shall accompany the filing along with adequate supporting information.   The commissioner shall approve the schedule of premium rates or methodology for determining premium rates if the requirements of subsection (2) are met. If the commissioner disapproves the filing, he shall notify the health maintenance organization. In the notice, the commissioner shall specify the reasons for his disapproval. A hearing will be conducted within thirty (30) days after a request in writing by the person filing.
MS Code § 83-41-333 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-333. Rules and regulations generally; exemptions from certification requirement

  The commissioner may, after notice and hearing, promulgate rules and regulations as are necessary to provide for the licensing of health maintenance organization producers. The rules shall establish:   The requirements for licensure of resident health maintenance organization producers;   The conditions for entering into reciprocal agreements with other jurisdictions for the licensure of nonresident health maintenance organization producers;   Any examination, prelicensing or continuing education requirements;   The requirements for registering and terminating the appointment of health maintenance organization producers;   Any requirements for registering any assumed names or office locations in which an health maintenance organization producer does business;   The conditions for health maintenance organization producer license renewal;   The grounds for denial, refusal, suspension or revocation of an health maintenance organization producer's license;   Any required fees for the licensing activities of health maintenance organization producers; and   Any other requirement or procedure and any form as may be reasonably necessary to provide for the effective administration of the licensing of health maintenance organization producers under this section.     The commissioner may by rule exempt certain classes of persons from the requirement of obtaining a license:   If the functions they perform do not require special competence, trustworthiness or the regulatory surveillance made possible by licensing; or   If other existing safeguards make regulation unnecessary.
MS Code § 83-41-335 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-335. Operation of health maintenance organizations by insurance companies and medical service corporations

  An insurance company licensed in this state, or a hospital or medical service corporation authorized to do business in this state, may either directly or through a subsidiary or affiliate organize and operate a health maintenance organization under the provisions of this article. Any two (2) or more insurance companies, hospital or medical service corporations, or subsidiaries or affiliates, 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, which health maintenance organization shall be subject to the provisions of this article.   Notwithstanding any provision of insurance and hospital or medical service corporation laws, an insurer or a hospital or medical 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 if the health maintenance organization fails to meet its obligations.  The enrollees of a health maintenance organization constitute a permissible group under such laws. Among other things, under the contracts, the insurer or hospital or medical service corporation may make benefit payments to health maintenance organizations for health care services rendered by providers.
MS Code § 83-41-337 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-337. Examination of health maintenance organizations and providers; acceptance of reports in lieu of examinations

  The commissioner shall make an examination of the affairs of any health maintenance organization and providers with whom such 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 at the expense of the health maintenance organization and provider with whom the health maintenance organization has contracted according to relevant statutes which govern examinations of insurance companies under the insurance laws of this state.   The State Health Officer may make an examination concerning the quality assurance program of the health maintenance organization and of any providers with whom such 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.   Every health maintenance organization and provider shall submit its books and records for such examinations and in every way facilitate the completion of the examination. For the purpose of examinations, the commissioner and the State Health Officer may administer oaths to, and examine the officers and agents of, the health maintenance organization and the principals of providers concerning their business as per existing insurance laws, rules and regulations.   The expenses of examinations under this section shall be assessed against the health maintenance organization being examined as per existing laws for examination of insurance companies or the State Health Officer for whom the examination is being conducted.   In lieu of such examination, the commissioner or State Health Officer may accept the report of an examination made by the Commissioner of Insurance or the State Health Officer of another state.
MS Code § 83-41-341 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-341. Rehabilitation, liquidation or administrative supervision of health maintenance organizations

  Any rehabilitation, liquidation or administrative supervision of a health maintenance organization shall be deemed to be the same as the rehabilitation, liquidation or administrative supervision of an insurance company and shall be conducted under the supervision of the commissioner pursuant to the law governing the rehabilitation, liquidation, and administrative supervision of insurance companies. The commissioner may apply for an order directing him to rehabilitate or liquidate a health maintenance organization upon any one or more grounds set out in Section 83-41-325 or when 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 shall have the same priority in the event of liquidation or rehabilitation as the law provides to policyholders of an insurer.   For purpose of determining the priority of distribution of general assets, claims of enrollees and enrollees' beneficiaries shall have the same priority as established by the Rehabilitation and Liquidation Act (Section 83-24-1 et seq., Mississippi Code of 1972) 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.   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 Section 83-24-1 et seq., Mississippi Code of 1972.
MS Code § 83-41-343 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-343. Remedies for correction of financial conditions of health maintenance organizations deemed hazardous to enrollees, creditors, or general public and violations of article

  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 article, he may, after notice and hearing, order the health maintenance organization to take such action as may be reasonably necessary to rectify such condition or violation, including but not limited to one or more of the following:   Reduce the total amount of present and potential liability for benefits by reinsurance or other method acceptable to the commissioner;   Reduce the volume of new business being accepted;   Reduce expenses by specified methods;   Suspend or limit the writing of new business for a period of time;   Increase the health maintenance organization's capital and surplus by contribution; or   Take such other steps as the commissioner may deem appropriate under the circumstances.     For purposes of this section, the violation by a health maintenance organization of any law of this state to which such health maintenance organization is subject shall be deemed a violation of this article.   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, which standards shall be consistent with the purposes expressed in subsection (1) of this section.   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 the insurance laws of the State of Mississippi.
MS Code § 83-41-345 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-345. Adoption of rules and regulations

 The commissioner may, after notice and hearing, promulgate reasonable rules and regulations, as are necessary or proper to carry out the provisions of this article.
MS Code § 83-41-347 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-347. Fees

  Every health maintenance organization subject to this article shall pay to the commissioner the following fees:   For filing an application for a certificate of authority for a healthmaintenance organization and amendment thereto . . . . . . . . $5,000.00;   For filing an amendment to the organizationdocuments that requires approval . . . . . $ 50.00;   For filing an amendment "for information only" . . . . . $ 25.00;   For filing each annual report . . . . . $ 500.00;   Annual renewal of Certificate of Authority . . . . . $ 500.00;   Policy forms, certificates, endorsements, riders,applications and rates . . . . . $ 15.00;     The State Health Officer may utilize state employees or he may contract with other persons, companies, corporations and entities to carry out the duties and responsibilities under this article. If it is necessary to contract for the performance of the duties and responsibilities required under this article, the expense for the services shall be charged to the carrier and paid directly to the contracting party. The charge shall be approved by the State Health Officer prior to the services being rendered when sufficient information is available to the State Health Officer, though the carrier is responsible for all charges expended when additional services are necessary to carry out the duties and responsibilities for finalization of the licensing process. The method and procedure for the payment of the expenses may be addressed in the regulations promulgated under this article.
MS Code § 83-41-351 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-351. Solicitation of enrollees

  This provision shall not apply to 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 article.   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.
MS Code § 83-41-353 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-353. Documents deemed public documents

 All applications, filings and reports required under this article shall be treated as public documents, 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 Section 83-41-317.
MS Code § 83-41-357 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-357. Contracting authority of State Health Officer

 The State Health Officer in carrying out his obligations under this article, may contract with qualified persons to make recommendations concerning the determinations required to be made by him. The recommendations may be accepted in full or in part by the State Health Officer.
MS Code § 83-41-359 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-359. Acquisitions, mergers and consolidations of health maintenance organizations

 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 the commissioner substantially similar to the information required pursuant to Section 83-6-1 et seq., Mississippi Code of 1972, and the offer, request, invitation, agreement or acquisition has been approved by the commissioner.
MS Code § 83-41-361 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-361. Adoption of coordination of benefits provisions

  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.   To the extent necessary for health maintenance organizations to meet their obligations as secondary carriers under the rules for coordination, health maintenance organizations shall make payments for services that are covered under the terms of their group contracts or evidence of coverage.
MS Code § 83-41-365 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 7 - Health Maintenance Organization, Preferred Provider Organization and Other Prepaid Health Benefit Plans Protection Act|§ 83-41-365. Contracting authority of commissioner

 The commissioner may contract with the necessary personnel to carry out the duties and responsibilities created by this article and make assessments for the expenses incurred in carrying out the duties and responsibilities of this article.
MS Code § 83-41-401 (2020)
2020 Mississippi Code|Title 83 - Insurance|Chapter 41 - Hospital and Medical Service Associations and Contracts|Article 9 - Patient Protection Act of 1995|§ 83-41-401. Short title

 This article shall be known and may be cited as the "Patient Protection Act of 1995."