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Health Maintenance Organizations (HMOs)

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South Carolina Code > Title 38 > Chapter 33 - Health Maintenance Organizations

^{Current as of: 2009}

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§ 38-33-10	Short title
§ 38-33-20	Definitions
§ 38-33-30	Necessity of certificate of authority; foreign corporation
§ 38-33-40	Issuance of certificate of authority; criteria and considerations; arrangements for participation of providers in each geographic area served
§ 38-33-50	Powers of health maintenance organization; notice prior to exercise of powers
§ 38-33-60	Members of governing body; advisory panels, etc
§ 38-33-70	Fiduciary relationship in handling of funds
§ 38-33-80	Enrollee entitled to evidence of coverage; contents of evidence of coverage; discontinuance or replacement of coverage; charges for services
§ 38-33-90	Statements and reports
§ 38-33-100	Financial requirements before issuance of certificate of authority to health maintenance organization
§ 38-33-110	Complaint procedures; reports; malpractice claims; applicability of Freedom of Information Act
§ 38-33-120	Investment of funds
§ 38-33-130	Security deposit; individual stop-loss coverage; provisions for unpaid claim liability; individual conversion policy
§ 38-33-140	Advertisements; application of provisions relating to trade practices; use of term "insurer" or "health maintenance organization"
§ 38-33-150	Agent for organization; exemption from licensing requirements
§ 38-33-160	Operation of health maintenance organization by insurance company; contracts for cost of care
§ 38-33-170	Examination of affairs of organization; quality of health care services; books and records; expense of examination; reports
§ 38-33-180	Suspension or revocation of certificate of authority
§ 38-33-190	Rehabilitation, liquidation, or conservation of a health maintenance organization; priorities
§ 38-33-200	Implementation of regulations
§ 38-33-210	Notification of grounds for denial, suspension or revocation of certificate of authority; hearings; judicial review
§ 38-33-220	Fees
§ 38-33-230	Levy of administrative penalty in lieu of revocation or suspension of certificate of authority; monetary penalty; notice and hearings; injunctions
§ 38-33-240	Application of provisions of insurance law or law relating to solicitation or advertising by health professionals; practice of medicine, dentistry or other healing profession
§ 38-33-250	Records of organization as public documents; trade secrets, etc
§ 38-33-260	Confidentiality of health records
§ 38-33-270	Contractual powers of Department to assist in investigative duties; assessments for consulting expenses
§ 38-33-280	Acquisition or exchange of securities of a health maintenance organization; merger or consolidation of HMO
§ 38-33-290	Participation by physician, podiatrist, optometrist, or oral surgeon as provided in HMO
§ 38-33-300	Liability for participation in quality of care or utilization review
§ 38-33-310	HMO may contract with out-of-state provider
§ 38-33-325	Obstetrician-gynecologist services; referrals; authorization for services; member notification of plan provisions

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U.S. Code Provisions: Health Maintenance Organizations (HMOs)

U.S. Code Title 42 > Chapter 6A > Subchapter XI - Health Maintenance Organizations

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