| Section 500.3501 | Section | Definitions. |
| Section 500.3503 | Section | Applicability of provisions to health maintenance organization. |
| Section 500.3505 | Section | Certificate of authority; use of descriptive words; restrictions. |
| Section 500.3507 | Section | Authorizing and regulating health maintenance organization; establishment of system by commissioner. |
| Section 500.3508 | Section | Quality assessment program; quality improvement program. |
| Section 500.3509 | Section | Certificate of authority; application; form; limitation; change of service area. |
| Section 500.3511 | Section | Governing body; election of enrollee board members; terms; vacancy; meetings. |
| Section 500.3513 | Section | Health delivery and business and financial operations; regulation by commissioner. |
| Section 500.3515 | Section | Additional health maintenance services; copayments; limitation; report on increase of employer and employee numbers; "preventive health care services" defined; partial payment from government or private person. |
| Section 500.3517 | Section | Healthy lifestyle programs; emergency or out-of-area service; payment of expenses or fees. |
| Section 500.3519 | Section | Contract and contract rates; fairness; rate differential; basic health services required. |
| Section 500.3521 | Section | Prepayment rates; filing and approval of methodology; schedule. |
| Section 500.3523 | Section | Health maintenance contract; provisions. |
| Section 500.3525 | Section | Proposal to revise contract or rate; approval of commissioner; approval with modifications; hearing; disposition; exception; notice. |
| Section 500.3527 | Section | Health maintenance contract; performance; violation of terms. |
| Section 500.3528 | Section | Health maintenance organization; duties. |
| Section 500.3529 | Section | Affiliated provider contracts; collection of payments from enrollees; contract provisions; waiver of requirement under subsection (2); contract format; evidence of sufficient number of providers. |
| Section 500.3530 | Section | Availability of covered services; assurance; establishment and maintenance of proximity. |
| Section 500.3531 | Section | Contracts with health care providers to become affiliated providers; requirements; standards; filing; duplicative standards; notice procedures; provider application period; approval or rejection as affiliated provider; termination of contract; providing information to insurer. |
| Section 500.3533 | Section | Prudent purchaser contracts; reimbursement for unauthorized services or services by nonaffiliated providers; rate and operating requirements; maintenance of financial records by health maintenance organization. |
| Section 500.3535 | Section | Solicitation or advertising. |
| Section 500.3537 | Section | Open enrollment period; acceptance of group members; rating nongroup membership. |
| Section 500.3539 | Section | Nongroup contract; exclusion or limitation; preexisting condition; renewal or continuation of nongroup contract or group contract; guaranteed renewal; healthy lifestyle program; "group" defined. |
| Section 500.3541 | Section | Advocation by health professional. |
| Section 500.3542 | Section | Inducement to health professional prohibited; exception. |
| Section 500.3543 | Section | Third party administrator. |
| Section 500.3545 | Section | Acquisition of obligations from another managed care entity. |
| Section 500.3547 | Section | Health care service operations; visitation or examination by commissioner; consultation with enrollees; additional authority. |
| Section 500.3548 | Section | Maintenance of books, records, and files; funds and assets. |
| Section 500.3549 | Section | Disciplinary action; notice to board. |
| Section 500.3551 | Section | Health maintenance organization; net worth. |
| Section 500.3553 | Section | Minimum deposit requirements. |
| Section 500.3555 | Section | Financial plan. |
| Section 500.3557 | Section | Notice of changes in operations. |
| Section 500.3559 | Section | Reinsurance contract or plan; purpose; filing; approval; coverage. |
| Section 500.3561 | Section | Insolvency; continuation of benefits. |
| Section 500.3563 | Section | Insolvency; allocation of group coverage to health maintenance organizations and insurers participating in enrollment process; allocation of group coverage to health maintenance organizations or insurers within service area; nongroup coverage; reassignment of enrollees of insolvent organization contracting with state funded health care program. |
| Section 500.3565 | Section | Cancellation of contract by nongroup subscriber. |
| Section 500.3567 | Section | Cancellation of contract with nongroup enrollee by health maintenance organization. |
| Section 500.3569 | Section | Assumption of financial risk; “requiring an affiliated provider to assume financial risk” defined. |
| Section 500.3571 | Section | State and federal health programs. |
| Section 500.3573 | Section | Operation of health care delivery system not meeting requirements of act; permitted conduct; limitations. |
| Section 500.3580 | Section | Consumer guide to health maintenance organizations; publication; contents; data; writing, presentation, promotion, and distribution of guide; access through internet. |
