§ 27-41-9 - Required reports.
SECTION 27-41-9
§ 27-41-9 Required reports. – (a) Every health maintenance organization shall annually, on or before thefirst day of March, file a report verified by at least two (2) principalofficers with the director, with a copy to the director of health, covering thepreceding calendar year.
(b) The annual report shall be on forms prescribed by thedirector in consultation with the director of health and shall include:
(1) A financial statement of the organization, including itsbalance sheet and receipts and disbursements for the preceding year certifiedby an independent public accountant;
(2) Any material changes in the information submittedpursuant to § 27-41-3(c);
(3) The number of persons enrolled during the year, thenumber of enrollees as of the end of the year, and the number of enrollmentsterminated during the year;
(4) A summary of information compiled pursuant to §27-41-4(a)(2)(iv) in the form required by the director of health; and
(5) Any other information relating to the performance of thehealth maintenance organization as is necessary to enable the director to carryout his or her duties under this chapter.
(c) In addition to the reports required in subsection (a),every health maintenance organization shall on a form prescribed by thedirector report on or before September 30 of each year a filing that shall setforth the amount of uncovered and covered expenses that are payable and aremore than ninety (90) days past due. That report shall cover the period January1 through July 31 of that year. At the time of the filing of the annual reportas required in subsection (a), a report shall be filed setting forth the amountof uncovered and covered expenses that are payable and are more than ninety(90) days past due; that report shall cover the preceding period of August 1through December 31 of that year.
(d) Every health maintenance organization shall also filequarterly statements with the insurance commissioner, due on or beforeforty-five (45) days after the quarter ending in accordance with the NationalAssociation of Insurance Commissioners' guidelines and procedures, and shall beavailable for inspection by the public.
(e) The insurance commissioner shall also require compliancewith chapters 12 and 12.1 of this title.