Section 500.3547 - Health care service operations; visitation or examination by commissioner; consultation with enrollees; additional authority.
THE INSURANCE CODE OF 1956 (EXCERPT)
Act 218 of 1956
500.3547 Health care service operations; visitation or examination by commissioner; consultation with enrollees; additional authority.
Sec. 3547.
(1) The commissioner at any time may visit or examine the health care service operations of a health maintenance organization and consult with enrollees to the extent necessary to carry out the intent of this chapter.
(2) In addition to the authority granted under chapter 2, the commissioner:
(a) Shall have access to all information of the health maintenance organization relating to the delivery of health services, including, but not limited to books, papers, computer databases, and documents, in a manner that preserves the confidentiality of the health records of individual enrollees.
(b) May require the submission of information regarding a proposed contract between a health maintenance organization and an affiliated provider as the commissioner considers necessary to assure that the contract is in compliance with this chapter.
History: Add. 2000, Act 252, Imd. Eff. June 29, 2000
Popular Name: Act 218
Popular Name: HMO